Medicaid Provider Spending

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

PRATT OTOLARYNGOLOGY- HEAD & NECK SURGERY ASSOCIATES INC

NPI: 1669411229 · BOSTON, MA 02111 · Otolaryngology Physician · NPI assigned 06/06/2006

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

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

$536K
Total Medicaid Paid
14,045
Total Claims
13,775
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGALLEGOS, EDWARD (DIRECTOR)
NPI Enumeration Date06/06/2006

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 PATHOLOGY ASSOCIATES, INC BOSTON MA $1.47M
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 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 2,643 $118K
2019 2,917 $116K
2020 1,324 $51K
2021 1,606 $61K
2022 1,401 $46K
2023 1,941 $62K
2024 2,213 $83K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,842 6,656 $191K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,001 2,970 $166K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,711 1,710 $76K
31231 1,265 1,240 $42K
31575 625 613 $32K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 190 189 $14K
69210 326 313 $7K
42820 Tonsillectomy and adenoidectomy; younger than age 12 12 12 $3K
31579 57 57 $3K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 16 15 $2K