Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › Salem › NPI 1588606123
Physician

Mass General Brigham Medical Group Northern Massachusetts INC

Mass General Brigham Medical Group Northern Massachusetts INC was paid $30.22M by Medicaid between Jan 2018 and Dec 2024, across 160 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.

33Billing provider infoMASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC
SALEM, MA 01970
33aNPI1588606123assigned 06/11/2006
33bProvider typeInternal Medicine Physician
28Total paid$30.22M
24GClaims797,099
24DCodes billed160
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Massachusetts

Rank by total paid#4 of 1,270
Median peer was paid$8K
This provider vs. median3,615×

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$200K$400K$600K2018201920202021202220232024
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
2018102,663$3.97M
2019103,805$4.17M
202091,378$3.70M
2021133,461$5.03M
2022129,770$5.28M
2023129,677$4.55M
2024incomplete106,345$3.52M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 23% 165,200 160,040 $7.08M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 20% 75,552 74,446 $6.09M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 13% 51,382 50,729 $3.92M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.1% 49,612 47,751 $1.86M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 5.5% 39,121 38,831 $1.66M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 4.3% 38,416 19,241 $1.31M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 3.5% 45,985 21,345 $1.07M
99223 Prolong inpt eval add15 m 2.5% 10,552 10,385 $765K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.2% 8,174 8,146 $668K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2.2% 17,119 16,451 $663K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2.0% 7,420 4,683 $618K
99239 Hospital discharge day management, more than 30 minutes 1.9% 15,214 14,918 $571K
148 more codes
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.9% 11,170 $571K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.5% 108,940 $448K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.4% 11,090 $435K
99222 Initial hospital care, per day, moderate complexity <1% 3,096 $160K
99215 Doctor's office visit, returning patient (complex) <1% 3,438 $158K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 2,337 $140K
90792 Psychiatric diagnostic evaluation with medical services <1% 2,184 $114K
99205 Prolong outpt/office vis <1% 1,061 $111K
99254 <1% 558 $105K
99220 <1% 1,522 $98K
0001A <1% 2,647 $96K
0002A <1% 2,453 $92K
93000 <1% 13,887 $89K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 2,954 $88K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 676 $81K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 4,612 $77K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 1,309 $72K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 10,503 $67K
99203 Doctor's office visit, new patient (routine) <1% 1,119 $65K
90686 <1% 4,223 $51K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 7,350 $44K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 4,693 $40K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 5,028 $40K
99310 Prolong nursin fac eval 15m <1% 3,643 $30K
99238 Hospital discharge day management, 30 minutes or less <1% 1,013 $27K
83036 Hemoglobin; glycosylated (A1C) <1% 6,795 $27K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 305 $25K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,417 $24K
93793 <1% 8,502 $24K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 285 $24K
99350 Prolong home eval add 15m <1% 888 $23K
0004A <1% 596 $23K
90837 Psychotherapy session, about an hour <1% 203 $22K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 303 $21K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation <1% 276 $21K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 781 $20K
95886 <1% 440 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 770 $19K
96401 <1% 653 $18K
93295 <1% 1,118 $16K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 210 $15K
0071A <1% 332 $15K
77067 Screening mammography, bilateral, including computer-aided detection <1% 225 $14K
20552 <1% 476 $14K
76775 <1% 750 $14K
20611 <1% 315 $13K
51798 <1% 2,842 $13K
0072A <1% 266 $12K
20610 <1% 486 $12K
94060 <1% 1,692 $11K
93294 <1% 1,135 $8K
94726 <1% 1,331 $7K
0124A <1% 236 $6K
93297 <1% 848 $6K
73564 <1% 349 $6K
93298 <1% 519 $6K
99217 <1% 146 $6K
94729 <1% 1,356 $5K
17000 <1% 264 $5K
73030 <1% 488 $5K
77080 <1% 1,235 $5K
81003 <1% 4,941 $4K
99464 <1% 78 $4K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 140 $4K
73110 <1% 226 $4K
0054A <1% 121 $4K
99292 <1% 79 $4K
99306 Prolong nursin fac eval 15m <1% 307 $4K
99219 <1% 60 $4K
99308 Subsequent nursing facility care, per day, straightforward <1% 540 $4K
93272 <1% 292 $4K
99385 <1% 31 $3K
99244 Office or other outpatient consultation, moderate to high complexity <1% 28 $3K
93227 <1% 218 $3K
64493 <1% 55 $3K
93016 <1% 313 $3K
83013 <1% 69 $3K
77063 Screening digital breast tomosynthesis, bilateral <1% 225 $3K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 105 $3K
76857 <1% 223 $3K
S3005 Performance measurement, evaluation of patient self assessment, depression <1% 271 $3K
99443 <1% 459 $3K
59025 Fetal non-stress test <1% 82 $2K
0031A <1% 125 $2K
99224 <1% 86 $2K
93018 <1% 312 $2K
64494 <1% 56 $2K
99234 <1% 44 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 316 $2K
87634 <1% 39 $2K
99253 <1% 12 $2K
99442 <1% 314 $2K
85610 <1% 1,434 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 166 $2K
93280 <1% 137 $1K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 27 $1K
17110 <1% 27 $1K
95251 <1% 128 $1K
95819 <1% 30 $1K
97803 <1% 66 $1K
93042 <1% 723 $1K
99221 <1% 44 $1K
36416 <1% 1,476 $917.73
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 465 $904.39
J1030 Injection, methylprednisolone acetate, 40 mg <1% 175 $873.01
93015 <1% 27 $848.42
95811 <1% 13 $838.60
0064A <1% 30 $779.80
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 33 $698.89
17003 <1% 96 $692.90
90662 <1% 143 $618.57
99441 <1% 84 $612.99
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 54 $544.31
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 177 $474.22
73562 <1% 31 $456.26
94010 <1% 32 $444.83
73140 <1% 28 $436.01
90656 <1% 24 $434.94
71046 Radiologic examination, chest; 2 views <1% 30 $375.09
88112 <1% 28 $245.19
73610 <1% 15 $238.38
73502 <1% 14 $228.22
99307 <1% 77 $212.66
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 14 $204.12
87086 Culture, bacterial; quantitative colony count, urine <1% 62 $195.47
81025 <1% 27 $173.80
90472 Immunization administration, each additional vaccine (list separately) <1% 12 $158.00
G0008 Administration of influenza virus vaccine <1% 599 $140.79
90791 Psychiatric diagnostic evaluation <1% 16 $123.33
J1010 Injection, methylprednisolone acetate, 1 mg <1% 73 $121.75
80305 <1% 14 $107.04
99349 <1% 31 $84.07
93290 <1% 13 $74.53
83014 <1% 13 $55.44
J9250 Methotrexate sodium, 5 mg <1% 72 $38.61
82962 <1% 305 $31.82
99152 <1% 115 $30.00
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) <1% 43 $17.40
90853 Group psychotherapy (other than of a multiple-family group) <1% 14 $15.36
81002 <1% 12 $13.20
91300 <1% 4,539 $0.02
36415 Collection of venous blood by venipuncture 0% 46 $0.00
91305 0% 114 $0.00
91307 0% 584 $0.00
91303 0% 29 $0.00
91306 0% 12 $0.00
99000 0% 19 $0.00
91312 0% 234 $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 officialGAINER, LINDSAY (PRESIDENT & COO)
Same official

Other billing entities under GAINER, LINDSAY

Full network →
ProviderLocationPaid
Mass General Brigham Medical Group Western Massachusetts INCNorthampton, MA$7.99M
Merrimack Valley Endoscopy, LLCHaverhill, MA$2.61M
Mass General Brigham Medical Group Suburban Massachusetts INCNewton, MA$892K
Mass General Brigham Medical Group Western Massachusetts INCNorthampton, MA$20K

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