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

Osborne, Terry

Osborne, Terry was paid $412K by Medicaid between Jan 2018 and Sep 2024, across 7 billing codes. Its largest line is G0470, Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit — 58% of everything it billed.

33Billing provider infoOSBORNE, TERRY
FITCHBURG, MA 01420
33aNPI1811194913assigned 07/02/2007
33bProvider typePsychiatry Physician
28Total paid$412K
24GClaims4,964
24DCodes billed7
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Psychiatry Physician providers in Massachusetts

Rank by total paid#40 of 290
Median peer was paid$44K
This provider vs. median9.4×

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$10K$20K2018201920202021202220232024
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
2018783$65K
2019204$11K
2020708$54K
2021707$58K
2022788$62K
20231,214$110K
2024incomplete560$51K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit 58% 1,620 1,461 $237K
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 22% 2,574 2,411 $90K
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 12% 232 204 $49K
T1040 Medicaid certified community behavioral health clinic services, per diem 7.7% 248 175 $32K
G0467 Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit <1% 67 59 $3K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 115 81 $998.21
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 108 102 $122.41

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.