Physician
Pratt Pathology Associates, INC
Pratt Pathology Associates, INC was paid $1.47M by Medicaid between Jan 2018 and Dec 2024, across 86 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 68% of everything it billed.
33Billing provider infoPRATT PATHOLOGY ASSOCIATES, INC
BOSTON, MA 02111
BOSTON, MA 02111
33aNPI1659312189assigned 06/08/2006
33bProvider typeClinical Pathology/Laboratory Medicine Physician
28Total paid$1.47M
24GClaims57,246
24DCodes billed86
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Pathology/Laboratory Medicine Physician providers in Massachusetts
Rank by total paid#1 of 10
Median peer was paid$2K
This provider vs. median689×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official GALLEGOS, EDWARD controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,821 | $184K | |
| 2019 | 6,735 | $197K | |
| 2020 | 4,251 | $123K | |
| 2021 | 13,160 | $221K | |
| 2022 | 11,473 | $218K | |
| 2023 | 8,992 | $261K | |
| 2024incomplete | 5,814 | $266K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 68% | 21,546 | 18,349 | $994K |
| 88342 | 7.4% | 4,658 | 4,453 | $108K | |
| 88307 | 6.0% | 1,488 | 1,356 | $88K | |
| 88112 | 1.8% | 1,916 | 1,802 | $26K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.4% | 447 | 371 | $20K |
| 86255 | 1.3% | 1,801 | 1,506 | $19K | |
| 84165 | 1.1% | 2,607 | 2,478 | $17K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 1.0% | 508 | 499 | $15K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 474 | 465 | $14K |
| 86256 | <1% | 1,296 | 1,280 | $14K | |
| 86334 | <1% | 1,717 | 1,607 | $11K | |
| 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 | <1% | 132 | 127 | $9K |
74 more codes
| 80074 | <1% | 209 | $9K | |
| 88141 | <1% | 400 | $9K | |
| 85390 | <1% | 541 | $8K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 342 | $7K |
| 80503 | <1% | 345 | $6K | |
| 88341 | <1% | 149 | $6K | |
| 87660 | <1% | 323 | $6K | |
| 88313 | <1% | 662 | $5K | |
| 87510 | <1% | 305 | $5K | |
| 87480 | <1% | 303 | $5K | |
| 83020 | <1% | 306 | $4K | |
| 88304 | <1% | 493 | $4K | |
| 86038 | <1% | 373 | $4K | |
| 88189 | <1% | 68 | $4K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 495 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,089 | $3K |
| 84166 | <1% | 451 | $3K | |
| 83735 | <1% | 1,047 | $3K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 96 | $3K |
| 86039 | <1% | 254 | $2K | |
| 82565 | <1% | 1,006 | $2K | |
| 82570 | <1% | 477 | $2K | |
| 83540 | <1% | 354 | $2K | |
| 84100 | <1% | 971 | $2K | |
| 89060 | <1% | 224 | $2K | |
| 85060 | <1% | 99 | $2K | |
| 84520 | <1% | 1,008 | $2K | |
| 88104 | <1% | 75 | $2K | |
| 82310 | <1% | 869 | $2K | |
| 80061 | Lipid panel | <1% | 116 | $1K |
| 85730 | <1% | 369 | $1K | |
| 80053 | Comprehensive metabolic panel | <1% | 222 | $939.08 |
| 87625 | <1% | 28 | $938.00 | |
| 86706 | <1% | 82 | $746.77 | |
| ATP14 | <1% | 67 | $711.45 | |
| 84702 | <1% | 56 | $692.18 | |
| 82247 | <1% | 387 | $631.78 | |
| 84484 | <1% | 91 | $604.91 | |
| 87340 | <1% | 70 | $593.06 | |
| 82248 | <1% | 283 | $589.49 | |
| 86335 | <1% | 91 | $577.63 | |
| 84460 | <1% | 388 | $573.88 | |
| 84450 | <1% | 390 | $564.43 | |
| 85027 | <1% | 141 | $560.96 | |
| 84075 | <1% | 385 | $552.82 | |
| 82728 | <1% | 41 | $512.03 | |
| 82947 | <1% | 1,006 | $468.01 | |
| 83615 | <1% | 251 | $443.00 | |
| 84144 | <1% | 23 | $437.69 | |
| 86431 | <1% | 91 | $422.61 | |
| 83970 | <1% | 15 | $388.74 | |
| 83516 | <1% | 39 | $370.66 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 130 | $370.09 |
| 84480 | <1% | 24 | $290.52 | |
| 85610 | <1% | 89 | $286.77 | |
| 84146 | <1% | 21 | $284.87 | |
| 82670 | <1% | 13 | $282.04 | |
| 80504 | <1% | 13 | $281.04 | |
| 87070 | <1% | 39 | $277.38 | |
| 84153 | <1% | 15 | $251.70 | |
| 88312 | <1% | 13 | $241.34 | |
| 86140 | <1% | 54 | $230.21 | |
| 83690 | <1% | 39 | $226.87 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 14 | $226.84 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 22 | $169.40 |
| 81025 | <1% | 24 | $165.84 | |
| 85379 | <1% | 14 | $86.82 | |
| 87205 | <1% | 25 | $73.91 | |
| 81001 | <1% | 50 | $69.57 | |
| 82550 | <1% | 13 | $65.90 | |
| 82040 | <1% | 13 | $53.60 | |
| 81003 | <1% | 33 | $53.43 | |
| 86593 | <1% | 12 | $46.56 | |
| 85014 | <1% | 20 | $32.06 |
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 officialGALLEGOS, EDWARD (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Pratt Pediatric Associates INC | Boston, MA | $7.66M |
| Pratt Ophthalmology Associates INC | Boston, MA | $2.95M |
| Pratt Ob/Gyn Associates, INC | Boston, MA | $2.62M |
| Pratt Medical Group, INC | Boston, MA | $2.18M |
| Pratt Radiology Associates, INC | Boston, MA | $1.58M |
| Pratt Med/Surg Dermatology Associates INC | Boston, MA | $851K |
| Cardiovascular Center at Tufts Medical Center, INC. | Boston, MA | $721K |
| Pratt Medical Group, INC | Boston, MA | $705K |
| Pratt Orthopaedic Associates, INC | Boston, MA | $566K |
| Pratt Otolaryngology- Head & Neck Surgery Associates INC | Boston, MA | $536K |
| Pratt Psychiatric Associates, INC | Boston, MA | $346K |
| Pratt Neurology Associates, INC | Boston, MA | $279K |
| Pratt Medical Group, INC | Boston, MA | $269K |
| Pratt Medical Group, INC | Boston, MA | $247K |
| Pratt Medical Group, INC | Boston, MA | $240K |
| Pratt Urology Associates, INC | Boston, MA | $204K |
| Pratt Anesthesiology Associates, INC | Boston, MA | $197K |
| Pratt Medical Group, INC | Boston, MA | $141K |
| Pratt Medical Group, INC | Boston, MA | $127K |
| Pratt Surgical Associates INC | Boston, MA | $123K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.