Medicaid Provider Spending

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

MOUNT AUBURN HOSPITAL

NPI: 1689670259 · CAMBRIDGE, MA 02138 · General Acute Care Hospital · NPI assigned 06/28/2005

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

Authorized official SMITH, BRIAN controls 20+ related entities in our dataset. Read more

$27.96M
Total Medicaid Paid
1,350,388
Total Claims
1,179,187
Beneficiaries
307
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, BRIAN (CFO)
NPI Enumeration Date06/28/2005

Related Entities

Other providers sharing the same authorized official: SMITH, BRIAN

ProviderCityStateTotal Paid
CHILDREN AND TEEN DENTAL GROUP OF FLORIDA LAKELAND FL $11.61M
DELAWARE VALLEY MAXILLOFACIAL & ORAL SURGERY LLC PHILADELPHIA PA $4.88M
CHILDREN AND TEEN DENTAL GROUP OF ALABAMA TUSCALOOSA AL $2.84M
ABRIAL ADULT SERVICES, LLC RICHMOND VA $2.67M
BRIAN K. SMITH, D.D.S., M.D., INC. LAKEWOOD OH $1.92M
MOUNT AUBURN PROFESSIONAL SERVICES INC CAMBRIDGE MA $1.73M
SLEEP MEDICINE SERVICES OF WESTERN MASSACHUSETTS LLC SPRINGFIELD MA $1.53M
ARKLATEX ORAL & MAXILLOFACIAL SURGERY A PARTNERSHIP OF PROFESSIONAL DE SHREVEPORT LA $991K
SOUTHWEST ALLEN COUNTY SCHOOLS FORT WAYNE IN $474K
CURRY COMMUNITY HEALTH GOLD BEACH OR $332K
CITY OF EATON EATON OH $236K
THE SIDELINE PHYSICAL THERAPY MARTIN TN $211K
UMASS MEMORIAL MEDICAL CENTER, INC. WORCESTER MA $202K
GALENA USD499 GALENA KS $169K
MOUNT AUBURN HOSPITAL WATERTOWN MA $144K
SMITH AUDIOLOGY CONSULTING, INC. AKRON OH $87K
SIREN FAMILY EYECARE, LLC SIREN WI $75K
GREYSTONE NEUROLOGY AND PAIN CENTERS, INC BIRMINGHAM AL $75K
VERSAILLES FAMILY MEDICINE, PLLC VERSAILLES KY $45K
SOUTHEAST ARKANSAS PHARMACIES LLC MONTICELLO AR $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 203,388 $4.37M
2019 204,177 $3.56M
2020 154,136 $2.92M
2021 214,004 $4.08M
2022 207,077 $5.09M
2023 207,328 $4.40M
2024 160,278 $3.55M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 25,634 21,266 $3.87M
G0378 Hospital observation service, per hour 21,174 12,422 $2.79M
96361 Intravenous infusion, hydration; each additional hour 5,676 4,789 $1.77M
99283 Emergency department visit for the evaluation and management, moderate severity 9,676 8,731 $1.24M
99284 Emergency department visit for the evaluation and management, high severity 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 12,200 11,141 $790K
S5161 Emergency response system; service fee, per month (excludes installation and testing) 43,894 42,496 $736K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4,533 4,084 $693K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 9,285 3,855 $483K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 22,162 21,149 $476K
76801 3,346 2,909 $467K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 21,931 20,919 $467K
77063 Screening digital breast tomosynthesis, bilateral 6,527 6,384 $445K
59025 Fetal non-stress test 1,708 1,184 $413K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,827 3,613 $412K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 4,303 3,875 $405K
70450 Computed tomography, head or brain; without contrast material 4,502 3,980 $376K
76819 Fetal biophysical profile; without non-stress testing 4,559 3,007 $374K
74177 Computed tomography, abdomen and pelvis; with contrast material 3,198 2,856 $350K
99219 2,645 1,786 $350K
76830 Ultrasound, transvaginal 3,694 3,485 $341K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,138 2,927 $323K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,336 2,083 $292K
86481 5,014 4,795 $268K
90834 Psychotherapy, 45 minutes with patient 7,282 4,429 $264K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 63,616 51,472 $253K
84443 Thyroid stimulating hormone (TSH) 29,379 28,167 $253K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 8,497 6,876 $251K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,767 1,198 $248K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,491 1,427 $240K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,974 1,441 $228K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,394 2,181 $227K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 14,908 14,251 $209K
71046 Radiologic examination, chest; 2 views 12,114 10,944 $209K
77067 Screening mammography, bilateral, including computer-aided detection 7,239 7,086 $202K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 7,180 6,412 $198K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,503 1,351 $196K
83036 Hemoglobin; glycosylated (A1C) 41,214 39,582 $189K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,110 1,071 $173K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 11,845 11,450 $165K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 10,348 10,015 $157K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,815 1,601 $153K
45380 Colonoscopy, flexible; with biopsy, single or multiple 191 183 $149K
76642 1,567 1,461 $145K
86803 14,732 14,179 $131K
80053 Comprehensive metabolic panel 41,900 37,587 $127K
80050 General health panel 11,803 11,301 $126K
87800 4,112 3,822 $112K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 170 161 $100K
85027 27,043 25,277 $100K
76813 1,138 1,109 $99K
87086 Culture, bacterial; quantitative colony count, urine 18,857 17,135 $99K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 969 888 $97K
93971 689 628 $97K
82728 11,990 11,469 $91K
88305 Level IV - Surgical pathology, gross and microscopic examination 6,275 5,830 $90K
82607 11,989 11,552 $89K
80048 Basic metabolic panel (calcium, ionized) 42,860 36,258 $88K
S9485 Crisis intervention mental health services, per diem 122 122 $82K
80061 Lipid panel 49,833 47,880 $82K
ATP08 14,006 11,432 $71K
87653 2,357 2,297 $67K
73630 2,255 1,987 $67K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 83 83 $66K
87340 9,555 9,141 $64K
71250 1,015 902 $60K
73562 1,714 1,541 $60K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 241 222 $58K
83550 12,220 11,738 $58K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 905 773 $57K
83655 5,315 5,226 $56K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 3,034 2,914 $54K
86780 5,880 5,648 $53K
84484 9,482 7,111 $52K
86762 6,258 5,984 $52K
84439 11,092 10,507 $51K
86850 6,877 6,346 $51K
84702 4,123 3,056 $46K
81001 26,145 23,486 $46K
83540 12,265 11,786 $42K
ATP15 6,099 5,295 $40K
93017 619 557 $39K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 857 798 $38K
84703 7,523 6,632 $37K
90791 Psychiatric diagnostic evaluation 2,009 1,350 $36K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 9,256 7,943 $36K
83690 9,072 7,817 $36K
82248 31,977 29,407 $36K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,150 1,022 $36K
87808 4,097 3,868 $35K
86787 4,982 4,763 $34K
86706 6,689 6,377 $33K
ATP14 4,355 3,719 $33K
87070 4,998 4,681 $30K
0002A 1,006 860 $30K
82746 4,140 3,957 $29K
73610 1,168 1,026 $29K
83970 1,786 1,719 $29K
73030 1,236 1,101 $28K
72100 856 800 $27K
76536 287 275 $27K
93976 453 385 $26K
87102 4,355 4,103 $26K
0001A 1,110 947 $26K
87186 5,014 4,571 $26K
87205 4,795 4,451 $26K
97161 693 614 $25K
73502 1,166 956 $24K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 552 249 $23K
ATP18 4,582 4,098 $23K
82043 10,233 9,860 $23K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,077 1,024 $23K
ATP03 5,098 4,653 $23K
86900 7,422 6,790 $22K
86140 7,752 6,631 $22K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 8,147 4,200 $22K
86592 6,343 6,069 $22K
77065 Tomosynthesis, mammo 516 448 $22K
83735 7,181 5,278 $21K
87338 2,162 2,105 $21K
ATP11 3,853 3,554 $20K
88342 961 872 $20K
86901 7,421 6,786 $19K
87081 3,453 3,306 $19K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 18,372 15,175 $18K
77080 501 477 $18K
74176 Computed tomography, abdomen and pelvis; without contrast material 203 171 $18K
71045 Radiologic examination, chest; single view 2,229 1,941 $17K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 200 188 $17K
83880 1,688 1,478 $16K
0011A 614 498 $16K
90853 Group psychotherapy (other than of a multiple-family group) 629 284 $16K
87449 1,509 1,345 $16K
ATP17 2,163 2,041 $16K
84403 1,096 1,052 $16K
86735 3,350 3,203 $15K
86765 3,377 3,230 $14K
80076 7,344 7,050 $14K
87077 3,178 2,880 $14K
J2405 Injection, ondansetron hydrochloride, per 1 mg 8,676 6,753 $14K
0012A 518 435 $14K
86704 2,685 2,530 $13K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 61 51 $12K
82570 5,004 4,601 $12K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 337 299 $12K
81025 2,271 2,077 $11K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,879 3,206 $11K
73130 331 305 $10K
85652 7,134 6,490 $10K
J3010 Injection, fentanyl citrate, 0.1 mg 8,516 7,263 $10K
84153 1,360 1,293 $10K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 2,762 2,688 $10K
ATP04 2,392 2,164 $10K
85610 5,938 4,366 $10K
86708 2,060 1,956 $10K
82950 2,254 2,208 $9K
83605 1,795 1,344 $9K
83021 600 571 $9K
J2250 Injection, midazolam hydrochloride, per 1 mg 7,266 6,307 $9K
ATP07 1,640 1,541 $9K
96375 Therapeutic injection; each additional sequential IV push 6,042 4,536 $9K
84480 1,426 1,337 $8K
86480 162 159 $8K
83721 2,246 2,138 $8K
83001 845 803 $8K
97162 311 280 $7K
87147 1,254 1,159 $7K
J1170 Injection, hydromorphone, up to 4 mg 5,429 3,306 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 551 482 $7K
87106 985 926 $7K
85018 3,625 3,506 $7K
71271 188 173 $7K
81003 4,959 4,630 $6K
J1644 Injection, heparin sodium, per 1000 units 4,365 1,682 $6K
84146 727 702 $6K
85378 1,347 1,182 $6K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 77 71 $6K
76770 57 53 $6K
36415 Collection of venous blood by venipuncture 57,419 41,329 $5K
J1885 Injection, ketorolac tromethamine, per 15 mg 6,353 4,542 $5K
70551 Magnetic resonance imaging, brain; without contrast material 57 50 $5K
ATP10 1,003 950 $5K
85007 2,773 2,284 $5K
71275 Computed tomographic angiography, chest, with contrast material 75 67 $5K
86682 1,272 1,203 $5K
86038 723 679 $5K
84402 351 333 $5K
85014 2,740 2,623 $5K
77336 55 24 $5K
84460 6,354 5,654 $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 429 426 $4K
J0690 Injection, cefazolin sodium, 500 mg 2,780 2,318 $4K
97803 65 59 $3K
J2704 Injection, propofol, 10 mg 5,350 4,785 $3K
82565 3,979 3,311 $3K
77066 Tomosynthesis, mammo 96 94 $3K
ATP09 790 717 $3K
83615 4,882 3,805 $3K
77062 37 36 $3K
82784 422 404 $3K
99205 Prolong outpt/office vis 15 15 $3K
88341 124 110 $3K
73110 132 108 $3K
90792 Psychiatric diagnostic evaluation with medical services 131 123 $2K
85730 956 832 $2K
90715 95 89 $2K
84450 4,476 3,833 $2K
G0379 Direct admission of patient for hospital observation care 20 19 $2K
86618 245 236 $2K
81514 411 389 $2K
A9585 Injection, gadobutrol, 0.1 ml 4,068 2,673 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 206 192 $2K
86141 298 290 $2K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 19 12 $2K
84100 2,957 2,386 $2K
84156 764 698 $2K
90832 Psychotherapy, 30 minutes with patient 356 283 $1K
G0297 Low dose ct scan (ldct) for lung cancer screening 54 49 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,336 1,107 $1K
87522 Neg quan hep c or qual rna 80 72 $1K
84550 3,415 2,783 $1K
72125 Computed tomography, cervical spine; without contrast material 1,078 917 $1K
84165 334 318 $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 230 218 $1K
77061 13 13 $1K
90686 97 88 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 401 227 $1K
82550 1,035 902 $1K
ATP12 300 281 $1K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 4,137 3,501 $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 1,017 636 $1K
86255 167 157 $1K
87040 195 130 $1K
ATP16 231 209 $1K
86431 461 439 $995.16
83002 116 109 $982.89
74018 44 37 $947.91
J1650 Injection, enoxaparin sodium, 10 mg 149 57 $829.44
82670 66 61 $813.12
84520 3,151 2,562 $789.64
ATP13 103 102 $784.08
88304 104 94 $781.26
82040 2,234 1,716 $771.15
71260 Computed tomography, thorax, diagnostic; with contrast material 35 25 $658.56
84425 38 36 $654.94
82951 55 54 $640.63
82947 307 281 $607.40
87536 19 17 $525.42
S5160 Emergency response system; installation and testing 16 16 $516.31
ATP02 248 217 $494.04
82962 6,239 3,412 $490.11
82803 44 37 $391.44
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 7,192 5,996 $385.79
83883 42 38 $355.74
86769 13 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 16 14 $314.97
86753 44 35 $284.18
86376 28 24 $269.43
82150 76 67 $263.62
82652 12 12 $237.72
87046 59 50 $234.20
86200 26 26 $232.30
85045 191 171 $228.04
J2060 Injection, lorazepam, 2 mg 485 329 $221.74
87045 59 50 $215.84
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 16 13 $215.20
J3475 Injection, magnesium sulfate, per 500 mg 43 24 $160.78
82533 12 12 $158.18
82627 13 12 $156.88
87177 21 13 $129.92
87427 48 38 $122.95
84481 13 12 $122.29
82247 60 51 $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 114 90 $115.36
73560 18 13 $111.64
G0008 Administration of influenza virus vaccine 71 67 $111.40
J2270 Injection, morphine sulfate, up to 10 mg 108 64 $80.39
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 609 423 $79.42
84155 1,743 1,285 $75.18
87075 19 12 $66.80
82465 101 92 $58.24
ATP05 12 12 $57.19
96376 1,804 969 $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 1,074 934 $25.00
84075 12 12 $18.39
85048 12 12 $7.83
80178 13 12 $6.82
84132 17 14 $4.20
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 5,909 4,108 $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 162 141 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 128 112 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 27 24 $0.00
91300 968 589 $0.00
C1760 Closure device, vascular (implantable/insertable) 14 12 $0.00
99222 Initial hospital care, per day, moderate complexity 15 12 $0.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 72 54 $0.00
76376 14 12 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 12 12 $0.00
36591 85 49 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 407 280 $0.00
91301 551 358 $0.00
36416 108 65 $0.00
C1769 Guide wire 26 24 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 83 25 $0.00
J1815 Injection, insulin, per 5 units 231 42 $0.00
J1630 Injection, haloperidol, up to 5 mg 14 12 $0.00
J1790 Injection, droperidol, up to 5 mg 17 15 $0.00