Medicaid Provider Spending

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

UMASS MEMORIAL MEDICAL GROUP INC

NPI: 1760445373 · WORCESTER, MA 01655 · Emergency Medicine Physician · NPI assigned 04/07/2006

$98.44M
Total Medicaid Paid
2,643,419
Total Claims
2,329,719
Beneficiaries
400
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBRESEE-FERREIRA, MAUREEN (SVP/COO)
NPI Enumeration Date04/07/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 306,845 $12.22M
2019 340,973 $13.98M
2020 285,483 $12.51M
2021 431,982 $16.77M
2022 500,371 $18.82M
2023 412,697 $13.40M
2024 365,068 $10.72M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 356,010 341,527 $17.01M
99284 Emergency department visit for the evaluation and management, high severity 188,573 186,838 $13.51M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 292,407 279,533 $10.55M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 82,403 81,438 $6.67M
99233 Prolong inpt eval add15 m 150,838 69,892 $5.76M
99232 Subsequent hospital care, per day, moderate complexity 105,618 48,305 $2.62M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 28,889 11,906 $2.40M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 8,493 2,848 $2.36M
99215 Prolong outpt/office vis 31,150 29,652 $1.95M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 33,425 33,343 $1.71M
99283 Emergency department visit for the evaluation and management, moderate severity 37,264 36,954 $1.57M
90834 Psychotherapy, 45 minutes with patient 20,320 12,658 $1.50M
74177 Computed tomography, abdomen and pelvis; with contrast material 33,823 33,487 $1.50M
99223 Prolong inpt eval add15 m 17,811 17,477 $1.46M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 17,543 17,469 $1.39M
88305 Level IV - Surgical pathology, gross and microscopic examination 38,297 37,437 $1.23M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 20,567 20,318 $1.11M
99239 Hospital discharge day management, more than 30 minutes 23,157 22,567 $1.02M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 232,237 206,485 $901K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 30,826 30,418 $874K
99479 Subsequent intensive care, per day, very low birth weight infant 7,988 2,673 $715K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 10,033 9,983 $656K
99282 Emergency department visit for the evaluation and management, low to moderate severity 18,547 18,409 $541K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 14,994 12,721 $522K
99222 Initial hospital care, per day, moderate complexity 10,274 10,024 $519K
99460 5,505 5,485 $518K
70450 Computed tomography, head or brain; without contrast material 28,213 27,469 $490K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,186 6,185 $484K
90832 Psychotherapy, 30 minutes with patient 10,855 8,406 $481K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,271 6,261 $480K
76819 Fetal biophysical profile; without non-stress testing 15,290 12,453 $443K
77067 Screening mammography, bilateral, including computer-aided detection 19,609 19,554 $438K
71260 Computed tomography, thorax, diagnostic; with contrast material 16,417 16,235 $436K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,965 5,688 $421K
96110 Developmental screening, with scoring and documentation, per standardized instrument 37,052 36,028 $380K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 16,301 15,061 $375K
90460 Immunization administration through 18 years of age via any route, first or only component 14,579 14,457 $363K
90791 Psychiatric diagnostic evaluation 2,609 2,595 $350K
71045 Radiologic examination, chest; single view 79,767 55,808 $331K
71046 Radiologic examination, chest; 2 views 57,077 55,789 $321K
99480 Subsequent intensive care, per day, low birth weight infant 3,687 1,225 $314K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 503 500 $314K
99205 Prolong outpt/office vis 2,632 2,628 $311K
99238 Hospital discharge day management, 30 minutes or less 6,139 6,070 $309K
90792 Psychiatric diagnostic evaluation with medical services 2,717 2,688 $308K
88307 4,792 4,706 $294K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 4,210 4,165 $272K
99309 Subsequent nursing facility care, per day, low to moderate complexity 10,035 8,773 $253K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 3,394 3,360 $246K
67028 Intravitreal injection of a pharmacologic agent 5,784 4,694 $241K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,689 2,688 $236K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 4,311 4,245 $228K
99308 Subsequent nursing facility care, per day, straightforward 11,398 10,117 $226K
92134 14,592 13,570 $207K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 20,442 20,386 $194K
99231 Subsequent hospital care, per day, straightforward or low complexity 15,735 6,408 $189K
99462 4,606 4,135 $186K
93971 10,765 9,714 $177K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 5,741 5,721 $175K
72125 Computed tomography, cervical spine; without contrast material 8,547 8,451 $174K
77063 Screening digital breast tomosynthesis, bilateral 13,819 13,781 $172K
99236 Prolong inpt eval add15 m 1,233 1,138 $165K
76830 Ultrasound, transvaginal 6,648 6,483 $159K
76705 Ultrasound, abdominal, real time with image documentation; limited 9,639 9,495 $153K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 8,155 8,034 $150K
31575 3,303 3,216 $130K
92015 Determination of refractive state 9,166 9,142 $124K
31231 2,123 2,071 $121K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,122 1,122 $121K
90853 Group psychotherapy (other than of a multiple-family group) 3,862 1,477 $120K
71250 6,102 6,010 $112K
70551 Magnetic resonance imaging, brain; without contrast material 3,339 3,303 $111K
70498 2,930 2,897 $105K
00170 Anesthesia for intraoral procedures, including biopsy 835 775 $102K
99221 2,462 2,419 $100K
88342 4,689 4,536 $96K
76770 4,983 4,946 $96K
00731 1,954 1,879 $95K
70496 2,696 2,663 $95K
88189 2,229 2,000 $94K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,993 1,897 $90K
90847 Family psychotherapy with the patient present, 50 minutes 981 883 $90K
20611 3,249 2,460 $90K
20610 4,754 3,883 $89K
76642 4,077 3,602 $83K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,229 3,022 $81K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 794 793 $80K
95720 699 336 $70K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,927 1,913 $70K
95806 1,391 807 $69K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,418 2,255 $68K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,148 2,112 $68K
99292 1,191 649 $68K
42820 Tonsillectomy and adenoidectomy; younger than age 12 309 305 $68K
95951 498 209 $66K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,392 1,086 $65K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 434 428 $64K
62323 1,298 1,289 $63K
88341 1,641 1,497 $63K
88112 5,053 4,801 $63K
99305 1,073 1,068 $62K
88173 1,673 1,594 $62K
99217 2,438 2,396 $61K
90688 4,945 4,928 $60K
95886 1,970 1,828 $60K
90461 3,762 3,754 $58K
93970 3,794 3,648 $58K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 3,635 3,617 $58K
72141 1,590 1,568 $57K
88304 6,629 6,541 $54K
54150 736 732 $54K
86077 1,991 1,862 $53K
99442 4,286 4,100 $52K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 2,953 2,000 $51K
90961 780 758 $49K
99252 441 438 $49K
73630 10,902 9,801 $49K
76801 1,259 1,231 $48K
78815 Positron emission tomography (PET) for limited area imaging 1,327 1,301 $48K
76813 982 895 $45K
93308 3,603 3,534 $44K
71271 2,784 2,782 $43K
01810 936 800 $43K
96133 157 157 $42K
74183 976 967 $41K
73564 6,818 5,787 $41K
93975 1,127 1,104 $40K
73610 7,696 7,230 $38K
95810 Polysomnography; sleep staging with 4 or more additional parameters 514 446 $35K
95816 1,260 1,238 $35K
73030 7,553 7,075 $34K
74018 7,917 6,024 $34K
66982 133 113 $34K
59025 Fetal non-stress test 1,166 924 $34K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 968 938 $33K
93272 2,589 2,580 $33K
73130 6,436 5,371 $33K
99220 288 283 $31K
77427 355 169 $31K
96111 165 155 $30K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,025 1,017 $29K
96137 173 172 $29K
90846 Family psychotherapy without the patient present, 50 minutes 312 297 $28K
90935 Hemodialysis procedure with single evaluation by a physician 1,552 780 $28K
92133 1,972 1,831 $27K
77066 Tomosynthesis, mammo 1,010 1,009 $27K
77065 Tomosynthesis, mammo 1,329 1,294 $26K
72100 4,969 4,927 $26K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 379 368 $25K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 103 94 $25K
00812 513 506 $25K
11721 3,338 3,301 $24K
73110 4,438 4,008 $24K
64493 452 415 $21K
88141 1,000 996 $21K
72132 708 695 $20K
92083 1,294 1,196 $20K
99443 1,753 1,600 $20K
90715 615 609 $20K
00811 357 351 $18K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 394 392 $18K
76536 1,294 1,291 $18K
95912 210 210 $18K
73502 3,874 3,776 $17K
76604 1,299 1,270 $17K
99385 147 147 $16K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 634 583 $16K
96116 134 133 $16K
96136 339 338 $16K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 53 37 $16K
96132 157 157 $16K
76376 4,068 4,019 $15K
74019 2,151 2,031 $15K
93295 909 887 $15K
93016 1,837 1,826 $14K
90472 Immunization administration, each additional vaccine (list separately) 891 825 $14K
93298 1,359 1,354 $14K
76820 739 549 $14K
64483 318 304 $13K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 292 287 $13K
93000 2,348 2,265 $13K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 98 98 $13K
92504 1,477 1,414 $12K
72129 462 454 $12K
94729 3,103 3,090 $12K
93880 931 913 $12K
94060 2,049 2,039 $12K
96112 146 140 $12K
90732 119 116 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 962 942 $12K
94010 2,472 2,447 $11K
00142 332 309 $11K
72197 202 200 $11K
64494 454 413 $11K
64495 446 407 $11K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 144 143 $11K
94727 1,971 1,963 $11K
99404 60 60 $10K
77080 4,090 4,063 $10K
96130 101 101 $10K
51701 767 752 $10K
88311 1,704 1,634 $10K
93294 1,226 1,221 $10K
73221 262 257 $10K
96127 1,086 1,083 $10K
92250 1,795 1,708 $10K
93018 1,853 1,841 $10K
93922 1,749 1,711 $9K
72131 448 448 $9K
43235 154 152 $9K
99468 14 13 $9K
99219 100 97 $9K
G6002 Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy 863 87 $8K
74230 1,085 1,055 $8K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 2,786 2,659 $8K
45380 Colonoscopy, flexible; with biopsy, single or multiple 87 86 $7K
95251 546 542 $7K
95811 129 95 $7K
94070 403 401 $7K
88312 260 257 $7K
01922 60 56 $7K
93325 2,812 2,682 $7K
76700 Ultrasound, abdominal, real time with image documentation; complete 295 293 $6K
36573 206 200 $6K
95819 204 199 $6K
72128 303 302 $6K
69210 524 493 $6K
99464 134 133 $6K
78451 245 244 $6K
73590 1,238 1,117 $6K
93227 372 371 $6K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 389 379 $6K
99441 849 778 $5K
99235 51 50 $5K
73562 1,197 1,072 $5K
72050 723 719 $5K
76775 285 281 $5K
69200 132 132 $5K
52000 106 106 $5K
77002 446 429 $5K
74174 133 130 $5K
43264 42 40 $4K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 178 171 $4K
90750 32 31 $4K
72040 863 848 $4K
73090 661 593 $4K
91120 20 12 $4K
94760 2,164 2,060 $4K
73140 952 888 $4K
95813 63 62 $4K
93320 292 287 $4K
81002 1,780 1,693 $4K
J9035 Injection, bevacizumab, 10 mg 90 85 $4K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 82 82 $4K
72082 324 319 $4K
99253 25 25 $4K
92020 302 300 $3K
95911 39 38 $3K
93458 28 28 $3K
71101 520 518 $3K
43237 43 42 $3K
73560 888 835 $3K
31600 14 14 $3K
99457 127 126 $3K
93280 244 240 $3K
11056 359 356 $3K
76882 180 159 $2K
88302 273 273 $2K
92285 1,227 1,185 $2K
73080 490 469 $2K
73552 612 579 $2K
72170 452 441 $2K
G0250 Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests 1,099 1,096 $2K
99243 27 27 $2K
99335 76 73 $2K
72081 195 195 $2K
72110 311 309 $2K
71275 Computed tomographic angiography, chest, with contrast material 67 65 $2K
99383 27 27 $2K
99218 29 29 $2K
99397 31 31 $2K
99381 33 26 $2K
87634 32 32 $2K
74178 37 37 $2K
72156 28 27 $2K
77092 1,500 1,493 $2K
93793 1,101 840 $2K
72070 414 409 $2K
99306 Prolong nursin fac eval 15m 43 40 $2K
77072 239 239 $2K
99244 Office or other outpatient consultation, moderate to high complexity 13 13 $2K
99463 12 12 $2K
99152 741 717 $1K
96131 12 12 $1K
74022 273 263 $1K
74328 86 85 $1K
43775 12 12 $1K
90746 29 28 $1K
77300 27 24 $1K
76519 137 134 $1K
64615 29 29 $1K
73070 203 170 $1K
54160 15 13 $1K
76825 25 24 $1K
70486 54 54 $1K
75574 15 14 $1K
95782 12 12 $1K
11102 55 53 $1K
00910 26 26 $1K
00813 16 16 $1K
88300 444 440 $1K
88360 38 37 $1K
67840 19 13 $1K
70491 38 38 $981.78
J1030 Injection, methylprednisolone acetate, 40 mg 106 100 $903.61
99316 26 26 $890.98
99382 12 12 $863.12
17110 14 13 $861.96
73523 127 127 $844.73
98926 46 44 $843.60
99402 25 25 $779.79
99153 Mod sedat endo service >5yrs 204 199 $760.59
46600 12 12 $751.14
51784 27 12 $708.68
00126 12 12 $684.31
G0452 Molecular pathology procedure; physician interpretation and report 63 62 $655.22
76506 26 26 $650.17
83036 Hemoglobin; glycosylated (A1C) 198 192 $543.48
72146 12 12 $535.88
88313 39 36 $518.59
97530 Therapeutic activities, direct patient contact, each 15 minutes 24 13 $501.12
70360 71 69 $486.45
93351 12 12 $462.21
31500 14 13 $451.19
74170 12 12 $451.02
76827 25 24 $450.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 15 15 $423.81
70544 12 12 $414.54
99310 Prolong nursin fac eval 15m 40 32 $392.86
78306 24 24 $384.25
90620 12 12 $381.02
91010 12 12 $374.08
0042T 12 12 $349.94
93304 13 13 $341.40
76831 12 12 $331.92
20552 13 13 $326.04
99318 21 21 $287.88
76886 12 12 $286.20
93321 70 68 $278.28
95874 50 49 $274.98
83037 77 70 $273.28
76870 12 12 $255.09
31645 13 12 $251.91
27096 15 12 $249.69
78264 14 14 $238.48
11100 12 12 $237.79
J1040 Injection, methylprednisolone acetate, 80 mg 46 43 $237.53
82962 1,148 1,116 $232.78
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 21 12 $231.14
77081 133 132 $228.18
72190 28 27 $191.42
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 29 28 $184.50
94726 27 27 $179.25
76937 44 41 $155.90
73060 50 41 $150.66
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 12 12 $146.00
92025 31 30 $145.84
20553 14 14 $141.18
73521 13 13 $112.97
91200 28 28 $112.65
93356 143 143 $102.90
72202 12 12 $91.94
73100 13 12 $91.28
85390 22 16 $89.92
93926 12 12 $86.52
90785 44 24 $83.52
85018 39 38 $83.33
81025 12 12 $63.60
99406 94 90 $57.74
51798 25 25 $56.04
87210 13 13 $51.60
J1010 Injection, methylprednisolone acetate, 1 mg 63 51 $49.21
76514 25 25 $47.64
G0008 Administration of influenza virus vaccine 349 349 $18.67
81000 14 12 $13.08
36416 14 14 $9.60
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 121 119 $0.00
97602 28 14 $0.00
90670 127 127 $0.00
99499 26 26 $0.00
99100 64 63 $0.00
90681 12 12 $0.00
90633 15 15 $0.00
99000 1,960 1,917 $0.00
90697 65 65 $0.00
90686 176 175 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 60 54 $0.00
90619 13 13 $0.00
99140 15 15 $0.00
90680 12 12 $0.00