Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › Cambridge › NPI 1689670259
Hospital

Mount Auburn Hospital

Mount Auburn Hospital was paid $27.96M by Medicaid between Jan 2018 and Dec 2024, across 307 billing codes. Its largest line is 99285, emergency room visit (most serious) — 14% of everything it billed.

33Billing provider infoMOUNT AUBURN HOSPITAL
CAMBRIDGE, MA 02138
33aNPI1689670259assigned 06/28/2005
28Total paid$27.96M
24GClaims1,350,388
24DCodes billed307
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Massachusetts

Rank by total paid#35 of 66
Median peer was paid$29.11M
This provider vs. median1.0×

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 SMITH, BRIAN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
2018203,388$4.37M
2019204,177$3.56M
2020154,136$2.92M
2021214,004$4.08M
2022207,077$5.09M
2023207,328$4.40M
2024incomplete160,278$3.55M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 14% 25,634 21,266 $3.87M
G0378 Hospital observation service, per hour 10.0% 21,174 12,422 $2.79M
96361 Intravenous infusion, hydration; each additional hour 6.3% 5,676 4,789 $1.77M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 4.4% 9,676 8,731 $1.24M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 3.6% 7,793 7,154 $998K
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 2.8% 12,200 11,141 $790K
S5161 Emergency response system; service fee, per month (excludes installation and testing) 2.6% 43,894 42,496 $736K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2.5% 4,533 4,084 $693K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.7% 9,285 3,855 $483K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1.7% 22,162 21,149 $476K
76801 1.7% 3,346 2,909 $467K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1.7% 21,931 20,919 $467K
295 more codes
77063 Screening digital breast tomosynthesis, bilateral 1.6% 6,527 $445K
59025 Fetal non-stress test 1.5% 1,708 $413K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1.5% 3,827 $412K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1.4% 4,303 $405K
70450 Computed tomography, head or brain; without contrast material 1.3% 4,502 $376K
76819 Fetal biophysical profile; without non-stress testing 1.3% 4,559 $374K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.3% 3,198 $350K
99219 1.3% 2,645 $350K
76830 Ultrasound, transvaginal 1.2% 3,694 $341K
99214 Doctor's office visit, returning patient (more involved) 1.2% 3,138 $323K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.0% 2,336 $292K
86481 <1% 5,014 $268K
90834 Psychotherapy session, about 45 minutes <1% 7,282 $264K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 63,616 $253K
84443 Thyroid stimulating hormone (TSH) <1% 29,379 $253K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 8,497 $251K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 1,767 $248K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,491 $240K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 1,974 $228K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,394 $227K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 14,908 $209K
71046 Radiologic examination, chest; 2 views <1% 12,114 $209K
77067 Screening mammography, bilateral, including computer-aided detection <1% 7,239 $202K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 7,180 $198K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,503 $196K
83036 Hemoglobin; glycosylated (A1C) <1% 41,214 $189K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 1,110 $173K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 11,845 $165K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 10,348 $157K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 1,815 $153K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 191 $149K
76642 <1% 1,567 $145K
86803 <1% 14,732 $131K
80053 Comprehensive metabolic panel <1% 41,900 $127K
80050 General health panel <1% 11,803 $126K
87800 <1% 4,112 $112K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 170 $100K
85027 <1% 27,043 $100K
76813 <1% 1,138 $99K
87086 Culture, bacterial; quantitative colony count, urine <1% 18,857 $99K
99213 Doctor's office visit, returning patient (routine) <1% 969 $97K
93971 <1% 689 $97K
82728 <1% 11,990 $91K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 6,275 $90K
82607 <1% 11,989 $89K
80048 Basic metabolic panel (calcium, ionized) <1% 42,860 $88K
S9485 Crisis intervention mental health services, per diem <1% 122 $82K
80061 Lipid panel <1% 49,833 $82K
ATP08 <1% 14,006 $71K
87653 <1% 2,357 $67K
73630 <1% 2,255 $67K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 83 $66K
87340 <1% 9,555 $64K
71250 <1% 1,015 $60K
73562 <1% 1,714 $60K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 241 $58K
83550 <1% 12,220 $58K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 905 $57K
83655 <1% 5,315 $56K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 3,034 $54K
86780 <1% 5,880 $53K
84484 <1% 9,482 $52K
86762 <1% 6,258 $52K
84439 <1% 11,092 $51K
86850 <1% 6,877 $51K
84702 <1% 4,123 $46K
81001 <1% 26,145 $46K
83540 <1% 12,265 $42K
ATP15 <1% 6,099 $40K
93017 <1% 619 $39K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 857 $38K
84703 <1% 7,523 $37K
90791 Psychiatric diagnostic evaluation <1% 2,009 $36K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 9,256 $36K
83690 <1% 9,072 $36K
82248 <1% 31,977 $36K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,150 $36K
87808 <1% 4,097 $35K
86787 <1% 4,982 $34K
86706 <1% 6,689 $33K
ATP14 <1% 4,355 $33K
87070 <1% 4,998 $30K
0002A <1% 1,006 $30K
82746 <1% 4,140 $29K
73610 <1% 1,168 $29K
83970 <1% 1,786 $29K
73030 <1% 1,236 $28K
72100 <1% 856 $27K
76536 <1% 287 $27K
93976 <1% 453 $26K
87102 <1% 4,355 $26K
0001A <1% 1,110 $26K
87186 <1% 5,014 $26K
87205 <1% 4,795 $26K
97161 <1% 693 $25K
73502 <1% 1,166 $24K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 552 $23K
ATP18 <1% 4,582 $23K
82043 <1% 10,233 $23K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 1,077 $23K
ATP03 <1% 5,098 $23K
86900 <1% 7,422 $22K
86140 <1% 7,752 $22K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 8,147 $22K
86592 <1% 6,343 $22K
77065 Tomosynthesis, mammo <1% 516 $22K
83735 <1% 7,181 $21K
87338 <1% 2,162 $21K
ATP11 <1% 3,853 $20K
88342 <1% 961 $20K
86901 <1% 7,421 $19K
87081 <1% 3,453 $19K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 18,372 $18K
77080 <1% 501 $18K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 203 $18K
71045 Radiologic examination, chest; single view <1% 2,229 $17K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 200 $17K
83880 <1% 1,688 $16K
0011A <1% 614 $16K
90853 Group psychotherapy (other than of a multiple-family group) <1% 629 $16K
87449 <1% 1,509 $16K
ATP17 <1% 2,163 $16K
84403 <1% 1,096 $16K
86735 <1% 3,350 $15K
86765 <1% 3,377 $14K
80076 <1% 7,344 $14K
87077 <1% 3,178 $14K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 8,676 $14K
0012A <1% 518 $14K
86704 <1% 2,685 $13K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 61 $12K
82570 <1% 5,004 $12K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 337 $12K
81025 <1% 2,271 $11K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 3,879 $11K
73130 <1% 331 $10K
85652 <1% 7,134 $10K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 8,516 $10K
84153 <1% 1,360 $10K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 2,762 $10K
ATP04 <1% 2,392 $10K
85610 <1% 5,938 $10K
86708 <1% 2,060 $10K
82950 <1% 2,254 $9K
83605 <1% 1,795 $9K
83021 <1% 600 $9K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 7,266 $9K
ATP07 <1% 1,640 $9K
96375 Therapeutic injection; each additional sequential IV push <1% 6,042 $9K
84480 <1% 1,426 $8K
86480 <1% 162 $8K
83721 <1% 2,246 $8K
83001 <1% 845 $8K
97162 <1% 311 $7K
87147 <1% 1,254 $7K
J1170 Injection, hydromorphone, up to 4 mg <1% 5,429 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 551 $7K
87106 <1% 985 $7K
85018 <1% 3,625 $7K
71271 <1% 188 $7K
81003 <1% 4,959 $6K
J1644 Injection, heparin sodium, per 1000 units <1% 4,365 $6K
84146 <1% 727 $6K
85378 <1% 1,347 $6K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 77 $6K
76770 <1% 57 $6K
36415 Collection of venous blood by venipuncture <1% 57,419 $5K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 6,353 $5K
70551 Magnetic resonance imaging, brain; without contrast material <1% 57 $5K
ATP10 <1% 1,003 $5K
85007 <1% 2,773 $5K
71275 Computed tomographic angiography, chest, with contrast material <1% 75 $5K
86682 <1% 1,272 $5K
86038 <1% 723 $5K
84402 <1% 351 $5K
85014 <1% 2,740 $5K
77336 <1% 55 $5K
84460 <1% 6,354 $4K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision <1% 429 $4K
J0690 Injection, cefazolin sodium, 500 mg <1% 2,780 $4K
97803 <1% 65 $3K
J2704 Injection, propofol, 10 mg <1% 5,350 $3K
82565 <1% 3,979 $3K
77066 Tomosynthesis, mammo <1% 96 $3K
ATP09 <1% 790 $3K
83615 <1% 4,882 $3K
77062 <1% 37 $3K
82784 <1% 422 $3K
99205 Prolong outpt/office vis <1% 15 $3K
88341 <1% 124 $3K
73110 <1% 132 $3K
90792 Psychiatric diagnostic evaluation with medical services <1% 131 $2K
85730 <1% 956 $2K
90715 <1% 95 $2K
84450 <1% 4,476 $2K
G0379 Direct admission of patient for hospital observation care <1% 20 $2K
86618 <1% 245 $2K
81514 <1% 411 $2K
A9585 Injection, gadobutrol, 0.1 ml <1% 4,068 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 206 $2K
86141 <1% 298 $2K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 19 $2K
84100 <1% 2,957 $2K
84156 <1% 764 $2K
90832 Psychotherapy session, about 30 minutes <1% 356 $1K
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 54 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,336 $1K
87522 Neg quan hep c or qual rna <1% 80 $1K
84550 <1% 3,415 $1K
72125 Computed tomography, cervical spine; without contrast material <1% 1,078 $1K
84165 <1% 334 $1K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 230 $1K
77061 <1% 13 $1K
90686 <1% 97 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 401 $1K
82550 <1% 1,035 $1K
ATP12 <1% 300 $1K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 4,137 $1K
C7901 Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 30-60 minutes, provided remotely by hospital staff who are licensed to provided mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service <1% 1,017 $1K
86255 <1% 167 $1K
87040 <1% 195 $1K
ATP16 <1% 231 $1K
86431 <1% 461 $995.16
83002 <1% 116 $982.89
74018 <1% 44 $947.91
J1650 Injection, enoxaparin sodium, 10 mg <1% 149 $829.44
82670 <1% 66 $813.12
84520 <1% 3,151 $789.64
ATP13 <1% 103 $784.08
88304 <1% 104 $781.26
82040 <1% 2,234 $771.15
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 35 $658.56
84425 <1% 38 $654.94
82951 <1% 55 $640.63
82947 <1% 307 $607.40
87536 <1% 19 $525.42
S5160 Emergency response system; installation and testing <1% 16 $516.31
ATP02 <1% 248 $494.04
82962 <1% 6,239 $490.11
82803 <1% 44 $391.44
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 7,192 $385.79
83883 <1% 42 $355.74
86769 <1% 13 $337.04
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 16 $314.97
86753 <1% 44 $284.18
86376 <1% 28 $269.43
82150 <1% 76 $263.62
82652 <1% 12 $237.72
87046 <1% 59 $234.20
86200 <1% 26 $232.30
85045 <1% 191 $228.04
J2060 Injection, lorazepam, 2 mg <1% 485 $221.74
87045 <1% 59 $215.84
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 16 $215.20
J3475 Injection, magnesium sulfate, per 500 mg <1% 43 $160.78
82533 <1% 12 $158.18
82627 <1% 13 $156.88
87177 <1% 21 $129.92
87427 <1% 48 $122.95
84481 <1% 13 $122.29
82247 <1% 60 $115.39
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 114 $115.36
73560 <1% 18 $111.64
G0008 Administration of influenza virus vaccine <1% 71 $111.40
J2270 Injection, morphine sulfate, up to 10 mg <1% 108 $80.39
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 609 $79.42
84155 <1% 1,743 $75.18
87075 <1% 19 $66.80
82465 <1% 101 $58.24
ATP05 <1% 12 $57.19
96376 <1% 1,804 $43.00
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 1,074 $25.00
84075 <1% 12 $18.39
85048 <1% 12 $7.83
80178 <1% 13 $6.82
84132 <1% 17 $4.20
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 5,909 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 162 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 128 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 0% 27 $0.00
91300 0% 968 $0.00
C1760 Closure device, vascular (implantable/insertable) 0% 14 $0.00
99222 Initial hospital care, per day, moderate complexity 0% 15 $0.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 0% 72 $0.00
76376 0% 14 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 0% 12 $0.00
36591 0% 85 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 0% 407 $0.00
91301 0% 551 $0.00
36416 0% 108 $0.00
C1769 Guide wire 0% 26 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 0% 83 $0.00
J1815 Injection, insulin, per 5 units 0% 231 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 14 $0.00
J1790 Injection, droperidol, up to 5 mg 0% 17 $0.00

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 officialSMITH, BRIAN (CFO)
Same official

Other billing entities under SMITH, BRIAN

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.