Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CHILD HEALTH FOUNDATION OF BOSTON, INC.

NPI: 1619969920 · BOSTON, MA 02118 · Pediatric Emergency Medicine (Pediatrics) Physician · NPI assigned 08/22/2005

$26.55M
Total Medicaid Paid
510,391
Total Claims
480,784
Beneficiaries
92
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPAINTSIL, ELIJAH (PRESIDENT)
NPI Enumeration Date08/22/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 74,563 $3.68M
2019 70,608 $3.37M
2020 57,016 $2.86M
2021 61,400 $2.88M
2022 75,524 $3.74M
2023 90,149 $5.34M
2024 81,131 $4.67M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 73,543 71,860 $4.04M
99215 Prolong outpt/office vis 40,765 40,082 $3.29M
99284 Emergency department visit for the evaluation and management, high severity 36,409 36,192 $3.24M
S9485 Crisis intervention mental health services, per diem 4,111 2,264 $2.81M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38,983 38,065 $1.44M
99283 Emergency department visit for the evaluation and management, moderate severity 25,954 25,831 $1.23M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 9,479 9,415 $1.23M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 19,756 19,211 $968K
99233 Prolong inpt eval add15 m 9,312 4,522 $733K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 79,180 78,239 $675K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14,974 14,956 $645K
99239 Hospital discharge day management, more than 30 minutes 7,808 7,751 $622K
96110 Developmental screening, with scoring and documentation, per standardized instrument 51,213 43,670 $522K
99205 Prolong outpt/office vis 4,118 4,111 $511K
99479 Subsequent intensive care, per day, very low birth weight infant 4,775 1,758 $451K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,390 4,390 $408K
99223 Prolong inpt eval add15 m 2,672 2,633 $403K
T1040 Medicaid certified community behavioral health clinic services, per diem 1,522 1,057 $356K
99222 Initial hospital care, per day, moderate complexity 3,218 3,201 $316K
99232 Subsequent hospital care, per day, moderate complexity 4,963 3,533 $268K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,980 5,974 $238K
99282 Emergency department visit for the evaluation and management, low to moderate severity 6,125 6,097 $197K
H2011 Crisis intervention service, per 15 minutes 3,484 896 $196K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 533 198 $157K
99238 Hospital discharge day management, 30 minutes or less 2,911 2,897 $157K
99464 2,640 2,605 $144K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 17,232 16,452 $113K
99221 1,087 1,085 $81K
95720 504 352 $79K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,585 1,579 $75K
95810 Polysomnography; sleep staging with 4 or more additional parameters 667 667 $61K
99480 Subsequent intensive care, per day, low birth weight infant 653 276 $60K
99188 2,090 2,088 $54K
96127 5,270 5,218 $51K
99051 3,390 3,373 $50K
95782 483 483 $47K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 947 920 $46K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 779 778 $43K
95951 178 143 $43K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,166 2,143 $42K
90834 Psychotherapy, 45 minutes with patient 515 383 $41K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 583 583 $39K
96112 341 339 $32K
T2023 Targeted case management; per month 154 141 $31K
90792 Psychiatric diagnostic evaluation with medical services 261 261 $25K
99231 Subsequent hospital care, per day, straightforward or low complexity 859 718 $25K
99468 35 13 $23K
99462 524 422 $22K
99460 200 198 $19K
90791 Psychiatric diagnostic evaluation 175 172 $18K
95816 344 344 $15K
76825 222 219 $14K
93320 921 894 $13K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 212 211 $11K
93325 3,896 3,760 $9K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 173 173 $9K
99417 Prolong home eval add 15m 196 188 $8K
96113 183 181 $8K
93304 260 249 $7K
94060 220 214 $6K
76821 229 225 $6K
94010 978 973 $6K
90847 Family psychotherapy with the patient present, 50 minutes 60 49 $5K
95819 116 116 $5K
76827 232 229 $5K
99443 172 171 $5K
76820 205 201 $4K
94375 347 346 $4K
99281 Emergency department visit for the evaluation and management, self-limited or minor 240 240 $4K
99220 26 24 $4K
90832 Psychotherapy, 30 minutes with patient 88 81 $4K
90853 Group psychotherapy (other than of a multiple-family group) 123 92 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 29 29 $3K
90887 71 71 $3K
99349 32 27 $3K
99381 36 36 $2K
99236 Prolong inpt eval add15 m 12 12 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 102 97 $2K
99226 18 13 $1K
99217 25 25 $1K
93321 251 242 $1K
99404 17 17 $1K
96111 14 13 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 13 $688.68
90472 Immunization administration, each additional vaccine (list separately) 39 38 $610.53
96160 697 688 $553.71
92650 13 13 $304.20
93790 19 19 $251.75
99442 12 12 $247.36
90474 12 12 $100.32
90837 Psychotherapy, 53 minutes with patient 21 13 $0.00
99354 19 19 $0.00