Medicaid Provider Spending

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

STEWARD MEDICAL GROUP, INC

NPI: 1821349317 · DARTMOUTH, MA 02747 · Gastroenterology Physician · NPI assigned 09/25/2012

$34.64M
Total Medicaid Paid
1,704,026
Total Claims
1,583,946
Beneficiaries
342
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCALLUM, MICHAEL (SMG CEO)
Parent OrganizationSTEWARD HEALTH CARE SYSTEM, LLC
NPI Enumeration Date09/25/2012

Related Entities

Other providers sharing the same authorized official: CALLUM, MICHAEL

ProviderCityStateTotal Paid
STEWARD EMERGENCY PHYSICIANS, INC AYER MA $58.82M
STEWARD MEDICAL GROUP, INC BRIGHTON MA $8.35M
STEWARD MEDICAL GROUP, INC BRIGHTON MA $4.92M
STEWARD MEDICAL GROUP, INC BOSTON MA $3.53M
UROLOGY CONSULTANTS OF NS SALEM MA $394K
STEWARD MEDICAL GROUP, INC. BRIGHTON MA $225K
STEWARD MEDICAL GROUP, INC DARTMOUTH MA $142K
STEWARD RADIOLOGY PHYSICIANS OF PENNSYLVANIA INC SHARON PA $253.35

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 189,847 $5.17M
2019 232,441 $5.48M
2020 197,590 $4.81M
2021 224,472 $5.25M
2022 317,246 $6.09M
2023 333,752 $4.55M
2024 208,678 $3.27M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 265,095 254,986 $12.04M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 199,210 192,020 $7.33M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16,570 16,471 $1.47M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10,467 10,455 $745K
77067 Screening mammography, bilateral, including computer-aided detection 12,873 8,827 $714K
90460 Immunization administration through 18 years of age via any route, first or only component 29,609 28,637 $660K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9,682 9,654 $656K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9,035 8,704 $650K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 10,378 10,283 $613K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 4,831 4,820 $424K
76830 Ultrasound, transvaginal 5,726 3,819 $330K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,734 4,724 $320K
99232 Subsequent hospital care, per day, moderate complexity 16,188 6,557 $297K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 16,771 9,051 $291K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 2,280 2,189 $289K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 28,776 28,676 $274K
77063 Screening digital breast tomosynthesis, bilateral 12,818 8,785 $244K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 7,996 7,953 $242K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 6,280 3,037 $230K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,835 4,068 $221K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,432 6,194 $201K
J1756 Injection, iron sucrose, 1 mg 6,011 2,853 $179K
J0585 Injection, onabotulinumtoxina, 1 unit 412 264 $177K
84443 Thyroid stimulating hormone (TSH) 21,033 20,701 $173K
51798 25,540 24,854 $166K
87480 8,848 8,671 $164K
87660 8,847 8,671 $162K
87510 8,754 8,581 $161K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 3,727 3,691 $152K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 36,717 35,111 $139K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 4,995 4,928 $137K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 691 458 $135K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,191 1,175 $128K
71046 Radiologic examination, chest; 2 views 11,007 7,706 $117K
96127 34,066 29,419 $116K
99215 Prolong outpt/office vis 1,573 1,531 $108K
83036 Hemoglobin; glycosylated (A1C) 24,277 24,018 $108K
90461 9,445 9,418 $107K
92557 3,334 3,293 $106K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,040 1,037 $98K
93000 13,998 13,648 $95K
80050 General health panel 5,686 5,631 $93K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,271 1,270 $91K
99223 Prolong inpt eval add15 m 1,432 1,376 $90K
59025 Fetal non-stress test 2,843 2,243 $84K
76642 2,187 1,246 $76K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,175 1,168 $75K
76536 1,694 1,212 $74K
76770 2,019 1,573 $73K
69210 3,276 3,180 $72K
52000 896 886 $70K
99222 Initial hospital care, per day, moderate complexity 2,100 2,037 $66K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,133 1,128 $66K
ATP14 13,837 13,571 $66K
92567 4,591 4,525 $65K
99407 2,121 1,997 $64K
90961 1,476 1,472 $61K
74177 Computed tomography, abdomen and pelvis; with contrast material 577 440 $57K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 27 27 $57K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,201 3,139 $54K
95024 743 741 $53K
90935 Hemodialysis procedure with single evaluation by a physician 2,930 1,396 $51K
80053 Comprehensive metabolic panel 41,934 41,059 $49K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,197 4,175 $48K
82607 6,949 6,885 $48K
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use) 867 312 $48K
20610 2,247 1,987 $45K
81003 37,691 36,294 $45K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,342 2,150 $43K
99442 5,005 4,469 $42K
ATP17 8,656 8,634 $41K
77065 Tomosynthesis, mammo 1,226 819 $39K
ATP03 6,246 6,235 $39K
95117 4,693 2,194 $37K
54150 485 485 $36K
73630 3,356 1,751 $36K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,377 2,309 $36K
99205 Prolong outpt/office vis 377 368 $36K
97161 853 850 $36K
36415 Collection of venous blood by venipuncture 69,268 63,833 $33K
80061 Lipid panel 36,172 35,787 $32K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 593 538 $32K
81025 4,915 4,819 $31K
82728 3,734 3,629 $30K
73130 2,404 1,158 $29K
97162 740 739 $29K
90674 1,560 1,538 $29K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,411 1,944 $28K
64615 440 405 $28K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 2,365 2,273 $28K
95912 318 205 $28K
99443 2,762 2,634 $27K
73562 2,291 1,300 $27K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 205 128 $25K
84702 1,794 1,436 $25K
S3005 Performance measurement, evaluation of patient self assessment, depression 2,287 2,270 $22K
92579 781 772 $22K
94150 2,119 622 $22K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 725 669 $22K
84153 2,928 2,905 $21K
73030 2,107 1,322 $21K
77080 1,958 1,501 $21K
76705 Ultrasound, abdominal, real time with image documentation; limited 561 371 $18K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 326 236 $18K
84439 3,136 3,084 $18K
99308 Subsequent nursing facility care, per day, straightforward 741 367 $17K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 4,666 4,627 $16K
82570 7,141 7,043 $16K
71271 276 210 $16K
82043 6,436 6,349 $16K
20611 361 337 $15K
94729 794 552 $15K
74183 93 66 $14K
73610 1,149 593 $14K
93295 710 702 $14K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 4,805 3,585 $14K
J0897 Injection, denosumab, 1 mg 40 39 $13K
71250 312 252 $13K
95886 309 196 $13K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 308 304 $13K
85027 3,910 3,855 $13K
93971 341 257 $13K
94060 655 442 $13K
93296 1,243 1,225 $12K
86140 3,772 3,705 $12K
81001 7,360 7,022 $12K
82962 10,569 10,046 $12K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,339 1,149 $12K
76801 180 127 $12K
99336 998 924 $11K
94727 790 549 $11K
73110 846 445 $11K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 139 139 $11K
83550 2,053 2,026 $10K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 99 63 $10K
99381 107 107 $10K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,001 981 $10K
95811 199 196 $10K
93298 793 772 $10K
72100 751 506 $10K
29848 30 28 $10K
31575 149 145 $9K
G0297 Low dose ct scan (ldct) for lung cancer screening 203 169 $9K
11102 210 203 $9K
ATP08 2,512 2,366 $9K
94010 690 446 $9K
93923 216 179 $9K
95115 1,783 783 $9K
95251 684 653 $8K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 565 539 $8K
83540 2,142 2,115 $8K
86141 1,131 1,120 $8K
31231 55 54 $7K
99188 260 259 $7K
99051 473 470 $7K
99385 63 63 $7K
85018 3,069 3,014 $7K
92555 463 454 $7K
J1040 Injection, methylprednisolone acetate, 80 mg 994 905 $6K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 40 40 $6K
85652 4,141 4,090 $6K
73502 525 404 $6K
77061 201 114 $6K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 631 364 $6K
99349 371 348 $6K
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 534 517 $6K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 118 75 $5K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 5,608 5,568 $5K
76700 Ultrasound, abdominal, real time with image documentation; complete 115 83 $5K
99233 Prolong inpt eval add15 m 235 118 $5K
99348 297 290 $5K
93880 98 80 $5K
93294 473 463 $5K
90715 142 141 $5K
70551 Magnetic resonance imaging, brain; without contrast material 41 25 $5K
90472 Immunization administration, each additional vaccine (list separately) 259 258 $5K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 666 577 $5K
99335 295 287 $4K
74018 493 354 $4K
92556 203 201 $4K
97803 415 401 $4K
G0008 Administration of influenza virus vaccine 1,367 1,129 $4K
36416 7,485 7,188 $4K
71260 Computed tomography, thorax, diagnostic; with contrast material 55 41 $4K
17110 57 55 $4K
ATP18 1,373 1,371 $4K
10022 40 40 $4K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 63 45 $3K
99307 129 69 $3K
0011A 181 181 $3K
83001 196 195 $3K
ATP15 795 770 $3K
93976 53 38 $3K
83002 195 194 $3K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 176 120 $3K
J1030 Injection, methylprednisolone acetate, 40 mg 556 505 $3K
90662 308 257 $3K
80048 Basic metabolic panel (calcium, ionized) 2,843 2,639 $3K
ATP07 554 538 $3K
95806 104 103 $3K
99397 44 43 $2K
1160F 53,702 49,351 $2K
83970 180 178 $2K
73140 151 80 $2K
82746 266 265 $2K
82950 486 482 $2K
0012A 132 132 $2K
82550 3,129 3,104 $2K
95816 21 15 $2K
97165 44 44 $2K
45380 Colonoscopy, flexible; with biopsy, single or multiple 25 25 $2K
73221 21 13 $2K
87631 15 15 $2K
92551 177 177 $2K
99221 97 91 $2K
96401 30 26 $1K
73560 176 124 $1K
93970 18 12 $1K
93458 12 12 $1K
ATP05 281 279 $1K
90962 21 21 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 323 303 $1K
83880 177 154 $1K
83735 591 559 $1K
76942 54 40 $1K
3078F 35,955 34,696 $1K
99406 227 219 $1K
70450 Computed tomography, head or brain; without contrast material 42 39 $1K
74176 Computed tomography, abdomen and pelvis; without contrast material 16 14 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 117 105 $998.97
3008F 55,381 52,987 $990.68
ATP04 186 186 $977.40
11100 23 23 $953.35
99497 119 112 $941.00
1036F 47,899 45,056 $927.06
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 16 12 $897.58
64483 12 12 $896.48
90661 42 42 $884.40
93299 78 78 $870.16
11900 35 27 $859.27
90620 27 26 $858.34
94760 1,201 1,140 $856.84
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 181 131 $854.88
10005 14 13 $824.88
83721 141 141 $748.46
92504 46 42 $748.01
85007 231 230 $744.82
96415 80 61 $734.62
0064A 41 41 $734.00
99173 70 70 $720.32
3074F 39,539 38,112 $714.95
99231 Subsequent hospital care, per day, straightforward or low complexity 109 74 $697.45
1159F 50,221 47,145 $669.02
ATP11 129 129 $665.03
A9585 Injection, gadobutrol, 0.1 ml 196 194 $638.90
82565 512 510 $591.04
97530 Therapeutic activities, direct patient contact, each 15 minutes 43 27 $549.38
84460 770 767 $548.29
90653 51 25 $505.96
ATP02 150 135 $504.78
20550 26 25 $501.42
87807 41 41 $469.86
3725F 15,061 14,774 $458.93
90746 12 12 $455.00
90836 58 55 $425.99
80076 290 283 $409.60
3288F 998 805 $398.18
J1010 Injection, methylprednisolone acetate, 1 mg 189 187 $380.62
99441 62 55 $351.46
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) 182 180 $334.82
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 16 15 $297.12
97802 12 12 $278.86
82947 639 626 $271.60
93227 28 26 $256.59
84450 212 211 $255.69
73600 30 16 $253.97
97035 21 12 $238.80
3079F 11,159 10,874 $237.01
90651 107 107 $232.13
1100F 227 212 $215.40
84520 216 215 $201.68
90970 184 44 $201.11
85379 30 30 $196.92
82040 149 149 $194.29
84484 40 40 $180.74
85610 80 66 $171.50
93225 13 12 $137.49
82951 13 13 $136.20
90834 Psychotherapy, 45 minutes with patient 22 12 $131.34
1101F 198 184 $130.27
90686 6,162 6,153 $98.75
84156 63 63 $98.38
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 14 14 $97.58
83718 12 12 $79.42
85014 55 54 $76.51
99495 15 14 $73.42
84132 203 202 $69.51
90832 Psychotherapy, 30 minutes with patient 14 12 $63.56
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) 57 52 $58.53
J7050 Infusion, normal saline solution, 250 cc 68 64 $58.31
ATP12 14 14 $55.80
86431 13 13 $55.00
90734 64 64 $53.37
87220 13 13 $52.80
87210 12 12 $52.80
82248 211 211 $47.36
84100 59 59 $42.71
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 18 14 $42.46
82465 13 13 $42.24
85730 22 13 $39.00
3075F 3,611 3,552 $34.76
85045 13 12 $33.95
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 12 12 $26.77
J7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg 89 80 $6.85
G0103 Prostate cancer screening; prostate specific antigen test (psa) 15 15 $1.20
G8510 Screening for depression is documented as negative, a follow-up plan is not required 756 750 $0.00
1034F 2,357 2,227 $0.00
3044F 813 767 $0.00
90723 1,426 1,425 $0.00
90680 1,406 1,405 $0.00
90697 47 47 $0.00
90716 106 106 $0.00
1126F 282 280 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 61 61 $0.00
90696 12 12 $0.00
3080F 97 93 $0.00
90619 48 48 $0.00
91301 119 118 $0.00
1125F 48 41 $0.00
90670 3,994 3,991 $0.00
90707 117 117 $0.00
90648 2,015 2,014 $0.00
3077F 291 280 $0.00
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 14 13 $0.00
90633 561 560 $0.00
0502F 31 28 $0.00
90710 13 13 $0.00
90649 12 12 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 14 14 $0.00
96160 12 12 $0.00
90700 14 14 $0.00
90685 13 13 $0.00