Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Massachusetts General Physicians Organization INC

Massachusetts General Physicians Organization INC was paid $60.23M by Medicaid between Jan 2018 and Dec 2024, across 366 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 9.0% of everything it billed.

33Billing provider infoMASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC
BOSTON, MA 02114
33aNPI1801874573assigned 01/04/2006
33bProvider typeEmergency Medicine Physician
28Total paid$60.23M
24GClaims1,805,895
24DCodes billed366
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Massachusetts

Rank by total paid#3 of 618
Median peer was paid$8K
This provider vs. median7,285×

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.

Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
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
2018218,980$6.83M
2019226,993$7.13M
2020212,368$7.28M
2021277,818$9.38M
2022295,403$10.33M
2023308,288$10.62M
2024incomplete266,045$8.64M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9.0% 94,859 91,192 $5.40M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 6.8% 59,159 58,548 $4.12M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 6.8% 45,220 44,487 $4.08M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 5.5% 105,697 37,337 $3.29M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 4.9% 63,379 24,346 $2.96M
74177 Computed tomography, abdomen and pelvis; with contrast material 4.4% 52,785 49,393 $2.68M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 4.2% 26,200 13,395 $2.52M
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 3.8% 29,950 28,790 $2.28M
88305 Level IV - Surgical pathology, gross and microscopic examination 3.0% 49,036 46,015 $1.83M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2.4% 12,001 10,157 $1.46M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.4% 37,755 35,550 $1.44M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 2.3% 35,304 35,012 $1.41M
354 more codes
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.8% 31,933 $1.07M
99223 Prolong inpt eval add15 m 1.7% 11,608 $1.00M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1.6% 20,486 $974K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.6% 235,987 $959K
71260 Computed tomography, thorax, diagnostic; with contrast material 1.5% 24,779 $920K
J0585 Injection, onabotulinumtoxina, 1 unit 1.5% 3,026 $885K
77067 Screening mammography, bilateral, including computer-aided detection 1.3% 27,744 $798K
70450 Computed tomography, head or brain; without contrast material 1.3% 40,309 $766K
90834 Psychotherapy session, about 45 minutes 1.3% 8,395 $765K
96133 1.2% 1,892 $750K
99204 Doctor's office visit, new patient (more involved) 1.2% 7,389 $743K
76819 Fetal biophysical profile; without non-stress testing 1.2% 19,496 $726K
71045 Radiologic examination, chest; single view 1.2% 161,984 $708K
99255 <1% 2,264 $595K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 16,164 $553K
96137 <1% 1,397 $506K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth <1% 4,005 $466K
71046 Radiologic examination, chest; 2 views <1% 79,622 $454K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 25,365 $436K
99203 Doctor's office visit, new patient (routine) <1% 6,343 $433K
96118 <1% 504 $402K
74183 <1% 3,701 $401K
77063 Screening digital breast tomosynthesis, bilateral <1% 27,611 $387K
90791 Psychiatric diagnostic evaluation <1% 2,335 $339K
71275 Computed tomographic angiography, chest, with contrast material <1% 8,498 $330K
99222 Initial hospital care, per day, moderate complexity <1% 5,261 $324K
88307 <1% 5,458 $322K
70551 Magnetic resonance imaging, brain; without contrast material <1% 5,081 $306K
99254 <1% 1,372 $260K
76801 <1% 5,265 $253K
71250 <1% 9,398 $250K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 3,119 $233K
96132 <1% 2,037 $209K
99205 Prolong outpt/office vis <1% 1,513 $204K
90832 Psychotherapy session, about 30 minutes <1% 4,229 $199K
95720 <1% 1,677 $188K
90961 <1% 2,753 $187K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 1,794 $166K
00104 <1% 8,910 $162K
90935 Hemodialysis procedure with single evaluation by a physician <1% 8,542 $161K
72125 Computed tomography, cervical spine; without contrast material <1% 6,890 $159K
96116 <1% 1,171 $148K
95951 <1% 1,045 $143K
75574 <1% 2,391 $134K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 5,467 $134K
96139 <1% 844 $132K
76830 Ultrasound, transvaginal <1% 5,040 $127K
99239 Hospital discharge day management, more than 30 minutes <1% 1,987 $127K
86320 <1% 16,693 $120K
85390 <1% 8,053 $117K
99220 <1% 1,215 $115K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 2,997 $114K
D7240 Removal of impacted tooth - completely bony <1% 842 $113K
78815 Positron emission tomography (PET) for limited area imaging <1% 973 $113K
99460 <1% 1,073 $107K
97803 <1% 2,381 $105K
74018 <1% 21,939 $104K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment <1% 1,577 $103K
90837 Psychotherapy session, about an hour <1% 798 $101K
64615 <1% 1,737 $97K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,198 $97K
00731 <1% 1,374 $92K
86256 <1% 9,230 $90K
99238 Hospital discharge day management, 30 minutes or less <1% 1,885 $87K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger <1% 283 $87K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 3,024 $86K
96136 <1% 1,654 $80K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 5,209 $79K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 3,804 $76K
93970 <1% 4,971 $76K
76642 <1% 3,425 $73K
93296 <1% 9,586 $72K
77080 <1% 6,862 $66K
88112 <1% 5,280 $66K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 871 $66K
78812 <1% 566 $65K
95813 <1% 1,181 $64K
93000 <1% 7,681 $62K
99221 <1% 1,528 $61K
D0330 Panoramic radiographic image <1% 937 $59K
73630 <1% 9,388 $59K
88346 <1% 3,553 $58K
93016 <1% 6,393 $57K
99217 <1% 2,361 $57K
76770 <1% 2,530 $57K
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 3,559 $56K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 3,056 $56K
73610 <1% 7,486 $55K
D1110 Prophylaxis - adult <1% 1,251 $53K
93971 <1% 5,384 $53K
99245 <1% 470 $53K
93295 <1% 3,099 $50K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 1,652 $49K
73564 <1% 7,552 $48K
90846 Family psychotherapy without the patient present, 50 minutes <1% 492 $48K
90847 Family psychotherapy with the patient present, 50 minutes <1% 483 $47K
76813 <1% 869 $45K
97802 <1% 542 $44K
74174 <1% 940 $44K
D0120 Dental checkup, returning patient <1% 1,820 $44K
94375 <1% 5,711 $43K
88342 <1% 2,005 $43K
D0140 Limited oral evaluation - problem focused <1% 1,197 $43K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 2,109 $42K
90853 Group psychotherapy (other than of a multiple-family group) <1% 1,184 $41K
99480 Subsequent intensive care, per day, low birth weight infant <1% 440 $39K
D9222 <1% 608 $39K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 1,744 $39K
93018 <1% 6,373 $38K
83020 <1% 2,698 $36K
88141 <1% 1,804 $35K
71271 <1% 887 $34K
93294 <1% 4,522 $33K
70496 <1% 850 $33K
D1206 Topical application of fluoride varnish <1% 1,621 $32K
20553 <1% 1,931 $31K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 916 $31K
D1120 Dental cleaning, child <1% 607 $31K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 670 $30K
86334 <1% 4,459 $30K
88189 <1% 586 $29K
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% 1,344 $29K
73030 <1% 5,318 $28K
90792 Psychiatric diagnostic evaluation with medical services <1% 233 $28K
77014 <1% 1,799 $28K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 499 $26K
99462 <1% 585 $25K
93298 <1% 2,085 $25K
96138 <1% 884 $23K
93325 <1% 3,906 $23K
96119 <1% 149 $23K
96910 <1% 543 $22K
70498 <1% 631 $22K
64644 <1% 746 $22K
51798 <1% 4,278 $22K
99479 Subsequent intensive care, per day, very low birth weight infant <1% 232 $21K
77066 Tomosynthesis, mammo <1% 749 $21K
51728 <1% 257 $21K
73221 <1% 215 $21K
76377 <1% 849 $21K
72197 <1% 154 $20K
Q9992 Injection, buprenorphine extended-release (sublocade), greater than 100 mg <1% 13 $19K
86325 <1% 2,772 $19K
00732 <1% 225 $19K
90945 <1% 361 $17K
90686 <1% 1,540 $17K
86255 <1% 1,735 $17K
99464 <1% 298 $17K
93320 <1% 886 $17K
D9920 <1% 355 $15K
16020 <1% 450 $14K
95117 <1% 1,877 $14K
77065 Tomosynthesis, mammo <1% 610 $13K
99443 <1% 913 $13K
64450 <1% 326 $13K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 154 $12K
51705 <1% 514 $12K
88311 <1% 2,125 $11K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 2,105 $11K
46606 <1% 56 $11K
94729 <1% 3,173 $11K
51797 <1% 281 $11K
76536 <1% 643 $10K
95816 <1% 395 $10K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 202 $10K
99308 Subsequent nursing facility care, per day, straightforward <1% 641 $10K
72141 <1% 163 $10K
72100 <1% 1,744 $10K
73502 <1% 1,939 $9K
64405 <1% 253 $9K
88173 <1% 230 $9K
99236 Prolong inpt eval add15 m <1% 68 $8K
99417 Prolong home eval add 15m <1% 183 $8K
S3005 Performance measurement, evaluation of patient self assessment, depression <1% 780 $8K
93923 <1% 1,147 $8K
72082 <1% 485 $8K
95800 <1% 121 $8K
64400 <1% 98 $8K
73130 <1% 1,328 $7K
95886 <1% 283 $7K
93248 <1% 791 $7K
90715 <1% 221 $7K
51784 <1% 327 $7K
88304 <1% 841 $6K
99310 Prolong nursin fac eval 15m <1% 130 $6K
46600 <1% 114 $6K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 41 $6K
15002 <1% 68 $6K
62370 <1% 510 $6K
88341 <1% 160 $6K
93880 <1% 461 $6K
17311 <1% 29 $6K
G0452 Molecular pathology procedure; physician interpretation and report <1% 355 $6K
95874 <1% 1,163 $6K
15852 <1% 465 $5K
74019 <1% 1,179 $5K
51600 <1% 146 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 209 $5K
54150 <1% 67 $5K
89060 <1% 738 $5K
77062 <1% 106 $5K
88312 <1% 96 $5K
94060 <1% 773 $5K
70486 <1% 171 $5K
36224 <1% 13 $4K
62323 <1% 100 $4K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery <1% 12 $4K
93280 <1% 388 $4K
72170 <1% 912 $4K
99253 <1% 28 $4K
88331 <1% 75 $4K
99292 <1% 125 $4K
20610 <1% 134 $4K
73110 <1% 669 $4K
93975 <1% 135 $4K
76506 <1% 168 $4K
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 77 $4K
72132 <1% 139 $4K
88300 <1% 980 $3K
70544 <1% 46 $3K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 43 $3K
86077 <1% 136 $3K
94726 <1% 533 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 40 $3K
72129 <1% 112 $3K
64643 <1% 168 $3K
77072 <1% 383 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 31 $3K
81003 <1% 3,595 $3K
90962 <1% 41 $3K
D0274 Bitewings - four radiographic images <1% 73 $3K
90870 <1% 164 $3K
31575 <1% 43 $3K
95924 <1% 50 $3K
90836 <1% 48 $3K
93228 <1% 175 $2K
97804 <1% 73 $2K
52000 <1% 24 $2K
76820 <1% 98 $2K
20611 <1% 71 $2K
73560 <1% 432 $2K
95819 <1% 69 $2K
74455 <1% 114 $2K
91122 <1% 23 $2K
90656 <1% 101 $2K
31579 <1% 26 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 430 $2K
93750 <1% 68 $2K
88368 <1% 98 $2K
93308 <1% 175 $2K
95251 <1% 66 $2K
90472 Immunization administration, each additional vaccine (list separately) <1% 121 $2K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 92 $2K
88313 <1% 148 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 89 $2K
00170 Anesthesia for intraoral procedures, including biopsy <1% 20 $2K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 12 $2K
D0272 Bitewings - two radiographic images <1% 53 $2K
95811 <1% 25 $2K
00813 <1% 25 $2K
99235 <1% 15 $2K
73590 <1% 320 $2K
00811 <1% 30 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 513 $1K
81002 <1% 873 $1K
93288 <1% 171 $1K
36558 <1% 14 $1K
G0124 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician <1% 56 $1K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 164 $1K
95923 <1% 50 $1K
91200 <1% 93 $1K
88360 <1% 25 $1K
99350 Prolong home eval add 15m <1% 79 $1K
99243 <1% 12 $1K
93299 <1% 98 $1K
70355 <1% 162 $1K
85060 <1% 80 $1K
01992 <1% 29 $1K
89320 <1% 102 $1K
95885 <1% 110 $1K
95913 <1% 12 $995.47
85097 <1% 45 $889.01
99306 Prolong nursin fac eval 15m <1% 13 $852.49
97597 <1% 77 $843.13
95718 <1% 14 $827.84
76821 <1% 26 $819.62
00812 <1% 13 $807.69
31500 <1% 14 $791.11
88356 <1% 15 $782.65
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 12 $750.23
70491 <1% 26 $745.67
72040 <1% 117 $712.47
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 52 $711.26
88321 <1% 14 $698.74
51741 <1% 232 $680.99
88381 <1% 63 $669.53
74420 <1% 69 $639.67
94727 <1% 149 $631.73
73700 <1% 18 $622.53
36620 <1% 29 $603.93
64642 <1% 12 $561.11
73562 <1% 107 $535.35
73140 <1% 82 $534.56
64645 <1% 25 $518.39
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 75 $510.26
D0150 Comprehensive oral evaluation - new or established patient <1% 12 $507.00
95873 <1% 74 $482.05
99349 <1% 46 $446.43
93314 <1% 13 $437.29
59025 Fetal non-stress test <1% 17 $420.69
88187 <1% 28 $419.48
74221 <1% 25 $395.27
95822 <1% 12 $378.36
74328 <1% 24 $371.09
95938 <1% 12 $361.79
93289 <1% 18 $348.93
74175 <1% 15 $348.51
99358 Prolong nursin fac eval 15m <1% 64 $334.03
76882 <1% 25 $325.20
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) <1% 132 $290.26
0298T <1% 39 $286.51
73090 <1% 57 $282.45
73070 <1% 34 $279.84
76827 <1% 13 $270.80
77061 <1% 12 $238.41
93042 <1% 158 $232.58
73080 <1% 55 $230.60
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 24 $225.94
93321 <1% 41 $225.59
74246 <1% 12 $207.96
77001 <1% 29 $203.53
76937 <1% 43 $197.42
73552 <1% 54 $196.74
36415 Collection of venous blood by venipuncture <1% 248 $168.93
77002 <1% 12 $156.12
94010 <1% 27 $132.41
76604 <1% 19 $128.99
78306 <1% 12 $115.53
72081 <1% 12 $113.41
99152 <1% 124 $87.52
73060 <1% 12 $55.65
J1010 Injection, methylprednisolone acetate, 1 mg <1% 14 $53.76
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 30 $49.00
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) <1% 51 $37.98
81001 <1% 12 $33.60
76376 <1% 25 $30.91
99442 <1% 15 $16.95
82962 <1% 13 $2.78
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 40 $2.05
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 9,097 $0.00
D0367 0% 12 $0.00
99354 0% 12 $0.00
D9612 0% 453 $0.00
G0008 Administration of influenza virus vaccine 0% 27 $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 officialDEL CARMEN, MARCELA (PRESIDENT & CEO)