Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › Springfield › NPI 1568488450
Hospital

Baystate Medical Center INC

Baystate Medical Center INC was paid $40.55M by Medicaid between Jan 2018 and Dec 2024, across 325 billing codes. Its largest line is U0003, Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r — 18% of everything it billed.

33Billing provider infoBAYSTATE MEDICAL CENTER INC
SPRINGFIELD, MA 01199
33aNPI1568488450assigned 07/14/2006
28Total paid$40.55M
24GClaims3,844,354
24DCodes billed325
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Massachusetts

Rank by total paid#27 of 66
Median peer was paid$29.11M
This provider vs. median1.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018609,102$5.00M
2019145,133$1.16M
2020610,041$6.91M
2021815,716$10.12M
2022803,128$8.60M
2023732,007$7.43M
2024incomplete129,227$1.33M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 18% 114,112 105,170 $7.26M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 5.0% 81,324 78,540 $2.01M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4.9% 80,396 77,660 $1.98M
84443 Thyroid stimulating hormone (TSH) 3.1% 129,296 125,892 $1.24M
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2.6% 65,210 63,831 $1.05M
81513 2.5% 16,755 15,424 $1.03M
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 2.4% 61,936 60,733 $981K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 2.2% 3,094 3,046 $912K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 2.2% 50,829 47,115 $904K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2.2% 28,136 24,520 $873K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.9% 184,336 171,921 $782K
87631 1.8% 7,465 7,360 $736K
313 more codes
86480 1.6% 16,875 $665K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1.5% 26,785 $612K
83036 Hemoglobin; glycosylated (A1C) 1.5% 119,676 $607K
87481 1.5% 19,670 $602K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1.4% 25,384 $578K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1.3% 27,136 $542K
86780 1.1% 50,092 $453K
86803 1.1% 49,460 $447K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 1.1% 6,016 $432K
80053 Comprehensive metabolic panel 1.0% 152,351 $423K
86003 1.0% 17,883 $412K
88305 Level IV - Surgical pathology, gross and microscopic examination 1.0% 9,602 $408K
87086 Culture, bacterial; quantitative colony count, urine <1% 75,411 $396K
87536 <1% 7,783 $392K
80061 Lipid panel <1% 121,421 $381K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 12,824 $358K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 5,103 $345K
83655 <1% 29,348 $318K
85027 <1% 78,207 $305K
83013 <1% 6,486 $304K
82607 <1% 39,249 $303K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 1,035 $290K
82728 <1% 36,993 $288K
87902 <1% 1,865 $283K
83970 <1% 16,647 $283K
87088 <1% 34,612 $278K
87522 Neg quan hep c or qual rna <1% 9,376 $261K
84439 <1% 45,485 $247K
80050 General health panel <1% 8,764 $224K
87340 <1% 33,437 $222K
ATP17 <1% 31,373 $203K
86481 <1% 3,931 $199K
84702 <1% 16,755 $196K
ATP14 <1% 35,505 $187K
86317 <1% 17,428 $182K
84403 <1% 9,502 $158K
81001 <1% 85,248 $152K
80048 Basic metabolic panel (calcium, ionized) <1% 72,062 $152K
83550 <1% 32,668 $151K
82570 <1% 59,718 $148K
86360 <1% 5,595 $142K
86762 <1% 12,694 $139K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 1,190 $136K
84153 <1% 14,725 $135K
83540 <1% 36,242 $128K
83880 <1% 9,184 $121K
82043 <1% 44,233 $117K
82746 <1% 15,311 $117K
87081 <1% 20,650 $116K
86355 <1% 5,597 $115K
86357 <1% 5,591 $114K
87186 <1% 21,650 $113K
86359 <1% 5,571 $111K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed <1% 1,323 $110K
87077 <1% 22,878 $109K
84146 <1% 7,676 $102K
86704 <1% 14,632 $101K
36415 Collection of venous blood by venipuncture <1% 355,921 $101K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 3,331 $100K
86850 <1% 13,501 $100K
83516 <1% 8,806 $99K
82670 <1% 4,798 $93K
87070 <1% 14,310 $93K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 2,578 $92K
83001 <1% 6,763 $88K
87653 <1% 2,993 $87K
ATP08 <1% 23,153 $87K
82784 <1% 9,581 $81K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision <1% 4,956 $78K
82652 <1% 3,264 $78K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 1,524 $77K
86038 <1% 9,807 $77K
85610 <1% 41,279 $76K
ATP15 <1% 13,139 $75K
83735 <1% 23,946 $73K
86787 <1% 7,668 $72K
86140 <1% 22,314 $72K
83718 <1% 13,034 $68K
80074 <1% 1,885 $67K
82274 <1% 8,340 $64K
84270 <1% 4,623 $63K
80069 <1% 24,038 $63K
86618 <1% 5,732 $62K
83002 <1% 4,683 $62K
83021 <1% 4,280 $60K
82105 <1% 4,414 $57K
87529 <1% 2,031 $56K
87480 <1% 3,389 $54K
87510 <1% 3,375 $54K
ATP11 <1% 10,132 $54K
87660 <1% 3,379 $54K
87147 <1% 12,591 $53K
80076 <1% 20,043 $53K
86708 <1% 7,324 $52K
82785 <1% 4,121 $50K
83721 <1% 11,765 $49K
85652 <1% 28,702 $48K
ATP18 <1% 6,976 $48K
84460 <1% 30,288 $47K
84481 <1% 4,532 $46K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 4,351 $45K
86160 <1% 3,427 $44K
86696 <1% 3,203 $43K
86376 <1% 4,382 $43K
ATP03 <1% 9,318 $42K
86665 <1% 1,699 $41K
84450 <1% 28,293 $41K
82565 <1% 25,038 $39K
82950 <1% 9,611 $38K
82627 <1% 2,366 $37K
83014 <1% 6,441 $35K
86235 <1% 1,455 $35K
86765 <1% 4,049 $34K
82951 <1% 3,255 $34K
84156 <1% 18,008 $34K
83690 <1% 7,726 $34K
87517 <1% 1,330 $32K
80197 <1% 7,316 $32K
86735 <1% 3,761 $32K
87209 <1% 2,655 $31K
82465 <1% 15,739 $31K
87046 <1% 2,832 $29K
86900 <1% 11,532 $29K
87338 <1% 2,962 $29K
ATP10 <1% 9,662 $28K
83520 <1% 2,638 $28K
86800 <1% 2,740 $28K
82248 <1% 23,204 $26K
87205 <1% 9,248 $26K
82533 <1% 2,618 $26K
ATP07 <1% 5,499 $26K
80051 <1% 10,453 $26K
87507 <1% 104 $26K
86901 <1% 11,385 $26K
87581 <1% 963 $25K
87486 <1% 964 $25K
86705 <1% 3,843 $25K
88304 <1% 651 $23K
86431 <1% 6,414 $23K
80164 <1% 3,754 $23K
81025 <1% 4,028 $21K
87350 <1% 3,467 $21K
ATP02 <1% 7,458 $21K
86695 <1% 2,223 $21K
81508 <1% 556 $21K
87799 <1% 1,575 $20K
85730 <1% 5,152 $19K
86200 <1% 2,304 $19K
88342 <1% 415 $19K
86664 <1% 1,592 $18K
84550 <1% 13,928 $18K
86769 <1% 891 $18K
86617 <1% 1,634 $18K
82947 <1% 9,140 $18K
84520 <1% 14,498 $17K
82150 <1% 4,246 $17K
84100 <1% 11,889 $17K
86039 <1% 2,460 $17K
84144 <1% 1,151 $17K
88112 <1% 779 $17K
82550 <1% 8,933 $17K
86334 <1% 1,658 $16K
87045 <1% 2,754 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 862 $16K
ATP13 <1% 3,550 $16K
85018 <1% 8,191 $16K
84134 <1% 1,766 $16K
86677 <1% 1,541 $16K
87177 <1% 2,655 $15K
86225 <1% 1,593 $15K
86008 <1% 142 $14K
81003 <1% 10,244 $14K
87476 <1% 702 $14K
84154 <1% 1,798 $14K
86706 <1% 1,972 $14K
87210 <1% 4,276 $14K
87899 <1% 1,546 $13K
83921 <1% 1,665 $13K
83993 <1% 1,118 $13K
ATP04 <1% 2,769 $12K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 454 $12K
85014 <1% 6,385 $12K
82247 <1% 7,666 $12K
80180 <1% 1,889 $12K
36416 <1% 9,168 $12K
ATP16 <1% 2,532 $11K
82553 <1% 2,598 $11K
82952 <1% 3,288 $10K
87449 <1% 1,802 $10K
ATP09 <1% 2,580 $10K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 176 $10K
86255 <1% 903 $10K
87324 <1% 1,741 $9K
ATP05 <1% 1,825 $9K
80178 <1% 2,713 $9K
84165 <1% 1,843 $9K
84480 <1% 1,409 $9K
85045 <1% 3,669 $9K
86141 <1% 1,167 $9K
82310 <1% 4,289 $8K
82977 <1% 3,663 $8K
83525 <1% 998 $8K
84466 <1% 977 $8K
84075 <1% 4,440 $8K
83615 <1% 3,577 $7K
87625 <1% 387 $7K
85379 <1% 1,207 $7K
84436 <1% 1,835 $7K
0099U <1% 41 $6K
84425 <1% 671 $6K
86593 <1% 2,070 $6K
ATP06 <1% 1,508 $6K
82040 <1% 3,306 $6K
84163 <1% 442 $6K
83883 <1% 618 $6K
87206 <1% 1,659 $6K
87329 <1% 796 $6K
87427 <1% 776 $5K
86308 <1% 1,249 $5K
87563 <1% 261 $5K
82677 <1% 284 $5K
84402 <1% 271 $4K
ATP12 <1% 1,127 $4K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 1,889 $4K
82330 <1% 536 $4K
84703 <1% 752 $4K
82340 <1% 937 $3K
81401 <1% 50 $3K
82088 <1% 132 $3K
88312 <1% 172 $3K
83498 <1% 149 $3K
83010 <1% 331 $3K
83090 <1% 307 $3K
82172 <1% 238 $3K
84132 <1% 1,628 $3K
81050 <1% 1,363 $3K
84300 <1% 858 $2K
82024 <1% 88 $2K
86666 <1% 81 $2K
86336 <1% 163 $2K
84305 <1% 145 $2K
87102 <1% 481 $2K
86304 <1% 175 $2K
ATP19 <1% 399 $2K
82397 <1% 210 $2K
86352 <1% 26 $2K
84155 <1% 1,695 $2K
80175 <1% 396 $2K
82787 <1% 145 $2K
80177 <1% 353 $2K
84244 <1% 118 $2K
82140 <1% 273 $1K
80156 <1% 510 $1K
86709 <1% 229 $1K
88300 <1% 81 $1K
85651 <1% 623 $1K
85613 <1% 172 $1K
86753 <1% 149 $1K
84484 <1% 269 $1K
85660 <1% 260 $1K
86147 <1% 34 $1K
83835 <1% 107 $1K
84681 <1% 118 $1K
84207 <1% 89 $1K
87040 <1% 116 $987.00
86162 <1% 67 $943.81
84630 <1% 117 $934.86
82390 <1% 148 $886.00
84445 <1% 26 $835.17
82507 <1% 37 $832.15
86707 <1% 120 $831.18
86258 <1% 348 $677.86
82378 <1% 67 $663.34
80162 <1% 96 $526.77
82610 <1% 64 $495.89
89055 <1% 195 $457.85
84560 <1% 106 $413.51
82374 <1% 213 $343.27
80183 <1% 24 $342.89
86611 <1% 14 $334.08
80299 <1% 50 $324.76
82272 <1% 105 $308.42
82525 <1% 54 $283.00
83945 <1% 25 $281.16
86812 <1% 12 $266.10
85245 <1% 12 $253.06
84482 <1% 26 $238.70
86682 <1% 28 $229.40
82103 <1% 27 $220.68
86644 <1% 28 $210.08
81002 <1% 95 $192.72
86694 <1% 17 $170.69
85049 <1% 55 $138.08
84432 <1% 14 $125.02
ATP20 <1% 39 $124.74
81015 <1% 61 $121.42
87015 <1% 17 $104.98
84540 <1% 42 $94.48
84478 <1% 196 $88.40
87075 <1% 30 $87.84
80185 <1% 15 $60.45
80158 <1% 13 $55.86
84105 <1% 13 $54.20
80159 <1% 20 $53.31
87185 <1% 12 $51.96
84133 <1% 16 $44.05
82523 <1% 14 $39.45
81596 0% 194 $0.00
82575 0% 13 $0.00
81511 0% 110 $0.00
0240U 0% 12 $0.00
80373 0% 71 $0.00
80348 0% 53 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialMCCARTHY, RAYMOND (SR. VP, CFO & TREASURER)
Same official

Other billing entities under MCCARTHY, RAYMOND

Full network →
ProviderLocationPaid
Baystate Wing Hospital CorporationPalmer, MA$38.22M
Baystate Franklin Medical CenterGreenfield, MA$29.11M
Baystate Wing Hospital CorporationPalmer, MA$2.29M
Baystate Medical Center INCSpringfield, MA$1.12M
Baystate Franklin Medical CenterGreenfield, MA$3K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.