Physician
Brigham and Women's Physicians Organization
Brigham and Women's Physicians Organization was paid $13K by Medicaid between Feb 2019 and Nov 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 81% of everything it billed.
33Billing provider infoBRIGHAM AND WOMEN'S PHYSICIANS ORGANIZATION
BOSTON, MA 02115
BOSTON, MA 02115
33aNPI1821205576assigned 05/16/2007
33bProvider typeHematology & Oncology Physician
28Total paid$13K
24GClaims1,838
24DCodes billed7
24AFirst – last monthFeb 2019 – Nov 2024
Compared with peers
Next to other Hematology & Oncology Physician providers in Massachusetts
Rank by total paid#9 of 25
Median peer was paid$6K
This provider vs. median2.0×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 127 | $688.08 | |
| 2020 | 283 | $3K | |
| 2021 | 197 | $792.79 | |
| 2022 | 261 | $2K | |
| 2023 | 302 | $2K | |
| 2024incomplete | 668 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 81% | 1,482 | 1,454 | $10K |
| 99397 | 7.1% | 14 | 14 | $909.84 | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.3% | 40 | 39 | $556.17 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.3% | 139 | 131 | $549.64 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.3% | 48 | 42 | $290.58 |
| 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% | 102 | 99 | $119.78 |
| 99443 | 0% | 13 | 12 | $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 officialJOHNSTON, WILLIAM (CFO)
| Provider | Location | Paid |
|---|---|---|
| Kenosha Unified School District No. 1 | Kenosha, WI | $4.85M |
| Brigham and Womens Physicians Organization INC | Boston, MA | $2.04M |
| Brigham and Womens Physicians Organization INC | Boston, MA | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.