Medicaid Provider Spending

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

PRATT PATHOLOGY ASSOCIATES, INC

NPI: 1659312189 · BOSTON, MA 02111 · Clinical Pathology/Laboratory Medicine Physician · NPI assigned 06/08/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GALLEGOS, EDWARD controls 20+ related entities in our dataset. Read more

$1.47M
Total Medicaid Paid
57,246
Total Claims
45,561
Beneficiaries
86
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGALLEGOS, EDWARD (DIRECTOR)
NPI Enumeration Date06/08/2006

Related Entities

Other providers sharing the same authorized official: GALLEGOS, EDWARD

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 5,814 $266K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
88305 Level IV - Surgical pathology, gross and microscopic examination 21,546 18,349 $994K
88342 4,658 4,453 $108K
88307 1,488 1,356 $88K
88112 1,916 1,802 $26K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 447 371 $20K
86255 1,801 1,506 $19K
84165 2,607 2,478 $17K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 508 499 $15K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 474 465 $14K
86256 1,296 1,280 $14K
86334 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 132 127 $9K
80074 209 209 $9K
88141 400 398 $9K
85390 541 529 $8K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 342 340 $7K
80503 345 334 $6K
88341 149 139 $6K
87660 323 318 $6K
88313 662 570 $5K
87510 305 302 $5K
87480 303 300 $5K
83020 306 306 $4K
88304 493 488 $4K
86038 373 371 $4K
88189 68 58 $4K
83036 Hemoglobin; glycosylated (A1C) 495 487 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,089 383 $3K
84166 451 436 $3K
83735 1,047 277 $3K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 96 59 $3K
86039 254 230 $2K
82565 1,006 209 $2K
82570 477 444 $2K
83540 354 350 $2K
84100 971 216 $2K
89060 224 196 $2K
85060 99 89 $2K
84520 1,008 212 $2K
88104 75 62 $2K
82310 869 186 $2K
80061 Lipid panel 116 116 $1K
85730 369 98 $1K
80053 Comprehensive metabolic panel 222 188 $939.08
87625 28 28 $938.00
86706 82 82 $746.77
ATP14 67 65 $711.45
84702 56 49 $692.18
82247 387 163 $631.78
84484 91 66 $604.91
87340 70 70 $593.06
82248 283 131 $589.49
86335 91 89 $577.63
84460 388 149 $573.88
84450 390 149 $564.43
85027 141 96 $560.96
84075 385 149 $552.82
82728 41 41 $512.03
82947 1,006 209 $468.01
83615 251 102 $443.00
84144 23 14 $437.69
86431 91 91 $422.61
83970 15 13 $388.74
83516 39 39 $370.66
80048 Basic metabolic panel (calcium, ionized) 130 76 $370.09
84480 24 24 $290.52
85610 89 71 $286.77
84146 21 20 $284.87
82670 13 13 $282.04
80504 13 12 $281.04
87070 39 37 $277.38
84153 15 15 $251.70
88312 13 12 $241.34
86140 54 51 $230.21
83690 39 38 $226.87
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 14 14 $226.84
84443 Thyroid stimulating hormone (TSH) 22 16 $169.40
81025 24 23 $165.84
85379 14 12 $86.82
87205 25 16 $73.91
81001 50 42 $69.57
82550 13 12 $65.90
82040 13 13 $53.60
81003 33 31 $53.43
86593 12 12 $46.56
85014 20 13 $32.06