Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › SALEM › MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC

MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC

NPI: 1588606123 · SALEM, MA 01970 · Internal Medicine Physician · NPI assigned 06/11/2006

$30.22M
Total Medicaid Paid
797,099
Total Claims
709,131
Beneficiaries
160
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGAINER, LINDSAY (PRESIDENT & COO)
NPI Enumeration Date06/11/2006

Related Entities

Other providers sharing the same authorized official: GAINER, LINDSAY

ProviderCityStateTotal Paid
MASS GENERAL BRIGHAM MEDICAL GROUP WESTERN MASSACHUSETTS INC NORTHAMPTON MA $7.99M
MERRIMACK VALLEY ENDOSCOPY, LLC HAVERHILL MA $2.61M
MASS GENERAL BRIGHAM MEDICAL GROUP SUBURBAN MASSACHUSETTS INC NEWTON MA $892K
MASS GENERAL BRIGHAM MEDICAL GROUP WESTERN MASSACHUSETTS INC NORTHAMPTON MA $20K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 102,663 $3.97M
2019 103,805 $4.17M
2020 91,378 $3.70M
2021 133,461 $5.03M
2022 129,770 $5.28M
2023 129,677 $4.55M
2024 106,345 $3.52M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 165,200 160,040 $7.08M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 75,552 74,446 $6.09M
99284 Emergency department visit for the evaluation and management, high severity 51,382 50,729 $3.92M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 49,612 47,751 $1.86M
99283 Emergency department visit for the evaluation and management, moderate severity 39,121 38,831 $1.66M
99233 Prolong inpt eval add15 m 38,416 19,241 $1.31M
99232 Subsequent hospital care, per day, moderate complexity 45,985 21,345 $1.07M
99223 Prolong inpt eval add15 m 10,552 10,385 $765K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 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 17,119 16,451 $663K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 7,420 4,683 $618K
99239 Hospital discharge day management, more than 30 minutes 15,214 14,918 $571K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 11,170 10,814 $571K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 108,940 97,505 $448K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 11,090 10,251 $435K
99222 Initial hospital care, per day, moderate complexity 3,096 3,041 $160K
99215 Prolong outpt/office vis 3,438 3,367 $158K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,337 2,314 $140K
90792 Psychiatric diagnostic evaluation with medical services 2,184 2,094 $114K
99205 Prolong outpt/office vis 1,061 1,060 $111K
99254 558 522 $105K
99220 1,522 1,508 $98K
0001A 2,647 2,642 $96K
0002A 2,453 2,450 $92K
93000 13,887 13,518 $89K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,954 2,933 $88K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 676 671 $81K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,612 4,553 $77K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,309 1,301 $72K
99231 Subsequent hospital care, per day, straightforward or low complexity 10,503 4,725 $67K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,119 1,115 $65K
90686 4,223 4,209 $51K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 7,350 6,817 $44K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 4,693 3,854 $40K
99309 Subsequent nursing facility care, per day, low to moderate complexity 5,028 3,577 $40K
99310 Prolong nursin fac eval 15m 3,643 2,422 $30K
99238 Hospital discharge day management, 30 minutes or less 1,013 986 $27K
83036 Hemoglobin; glycosylated (A1C) 6,795 6,744 $27K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 305 303 $25K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,417 961 $24K
93793 8,502 5,063 $24K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 285 285 $24K
99350 Prolong home eval add 15m 888 815 $23K
0004A 596 594 $23K
90837 Psychotherapy, 53 minutes with patient 203 133 $22K
95810 Polysomnography; sleep staging with 4 or more additional parameters 303 303 $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 276 237 $21K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 781 775 $20K
95886 440 317 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 770 750 $19K
96401 653 237 $18K
93295 1,118 1,113 $16K
45380 Colonoscopy, flexible; with biopsy, single or multiple 210 208 $15K
0071A 332 332 $15K
77067 Screening mammography, bilateral, including computer-aided detection 225 225 $14K
20552 476 442 $14K
76775 750 551 $14K
20611 315 294 $13K
51798 2,842 2,770 $13K
0072A 266 266 $12K
20610 486 406 $12K
94060 1,692 1,644 $11K
93294 1,135 1,134 $8K
94726 1,331 1,327 $7K
0124A 236 234 $6K
93297 848 843 $6K
73564 349 257 $6K
93298 519 505 $6K
99217 146 144 $6K
94729 1,356 1,352 $5K
17000 264 256 $5K
73030 488 436 $5K
77080 1,235 1,215 $5K
81003 4,941 4,634 $4K
99464 78 78 $4K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 140 97 $4K
73110 226 189 $4K
0054A 121 121 $4K
99292 79 58 $4K
99306 Prolong nursin fac eval 15m 307 287 $4K
99219 60 60 $4K
99308 Subsequent nursing facility care, per day, straightforward 540 435 $4K
93272 292 288 $4K
99385 31 31 $3K
99244 Office or other outpatient consultation, moderate to high complexity 28 28 $3K
93227 218 217 $3K
64493 55 54 $3K
93016 313 310 $3K
83013 69 67 $3K
77063 Screening digital breast tomosynthesis, bilateral 225 225 $3K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 105 98 $3K
76857 223 152 $3K
S3005 Performance measurement, evaluation of patient self assessment, depression 271 267 $3K
99443 459 411 $3K
59025 Fetal non-stress test 82 73 $2K
0031A 125 125 $2K
99224 86 70 $2K
93018 312 309 $2K
64494 56 55 $2K
99234 44 12 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 316 266 $2K
87634 39 39 $2K
99253 12 12 $2K
99442 314 290 $2K
85610 1,434 962 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 166 164 $2K
93280 137 130 $1K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 27 25 $1K
17110 27 27 $1K
95251 128 128 $1K
95819 30 30 $1K
97803 66 65 $1K
93042 723 374 $1K
99221 44 44 $1K
36416 1,476 1,188 $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) 465 456 $904.39
J1030 Injection, methylprednisolone acetate, 40 mg 175 172 $873.01
93015 27 25 $848.42
95811 13 13 $838.60
0064A 30 30 $779.80
99281 Emergency department visit for the evaluation and management, self-limited or minor 33 31 $698.89
17003 96 94 $692.90
90662 143 143 $618.57
99441 84 65 $612.99
96110 Developmental screening, with scoring and documentation, per standardized instrument 54 52 $544.31
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 177 167 $474.22
73562 31 26 $456.26
94010 32 25 $444.83
73140 28 27 $436.01
90656 24 24 $434.94
71046 Radiologic examination, chest; 2 views 30 29 $375.09
88112 28 28 $245.19
73610 15 12 $238.38
73502 14 14 $228.22
99307 77 74 $212.66
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14 14 $204.12
87086 Culture, bacterial; quantitative colony count, urine 62 54 $195.47
81025 27 25 $173.80
90472 Immunization administration, each additional vaccine (list separately) 12 12 $158.00
G0008 Administration of influenza virus vaccine 599 595 $140.79
90791 Psychiatric diagnostic evaluation 16 15 $123.33
J1010 Injection, methylprednisolone acetate, 1 mg 73 72 $121.75
80305 14 12 $107.04
99349 31 28 $84.07
93290 13 13 $74.53
83014 13 13 $55.44
J9250 Methotrexate sodium, 5 mg 72 12 $38.61
82962 305 302 $31.82
99152 115 114 $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) 43 43 $17.40
90853 Group psychotherapy (other than of a multiple-family group) 14 12 $15.36
81002 12 12 $13.20
91300 4,539 4,091 $0.02
36415 Collection of venous blood by venipuncture 46 46 $0.00
91305 114 113 $0.00
91307 584 553 $0.00
91303 29 29 $0.00
91306 12 12 $0.00
99000 19 19 $0.00
91312 234 232 $0.00