Medicaid Provider Spending

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

UMASS MEMORIAL MEDICAL CENTER, INC.

NPI: 1831461086 · WORCESTER, MA 01655 · Specialty Pharmacy · NPI assigned 02/03/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SMITH, BRIAN controls 20+ related entities in our dataset. Read more

$202K
Total Medicaid Paid
6,192
Total Claims
6,109
Beneficiaries
7
Codes Billed
2020-07
First Month
2024-07
Last Month

Provider Details

Authorized OfficialSMITH, BRIAN (DIRECTOR, SPECIALTY PHARMACY)
NPI Enumeration Date02/03/2012

Related Entities

Other providers sharing the same authorized official: SMITH, BRIAN

ProviderCityStateTotal Paid
MOUNT AUBURN HOSPITAL CAMBRIDGE MA $27.96M
CHILDREN AND TEEN DENTAL GROUP OF FLORIDA LAKELAND FL $11.61M
DELAWARE VALLEY MAXILLOFACIAL & ORAL SURGERY LLC PHILADELPHIA PA $4.88M
CHILDREN AND TEEN DENTAL GROUP OF ALABAMA TUSCALOOSA AL $2.84M
ABRIAL ADULT SERVICES, LLC RICHMOND VA $2.67M
BRIAN K. SMITH, D.D.S., M.D., INC. LAKEWOOD OH $1.92M
MOUNT AUBURN PROFESSIONAL SERVICES INC CAMBRIDGE MA $1.73M
SLEEP MEDICINE SERVICES OF WESTERN MASSACHUSETTS LLC SPRINGFIELD MA $1.53M
ARKLATEX ORAL & MAXILLOFACIAL SURGERY A PARTNERSHIP OF PROFESSIONAL DE SHREVEPORT LA $991K
SOUTHWEST ALLEN COUNTY SCHOOLS FORT WAYNE IN $474K
CURRY COMMUNITY HEALTH GOLD BEACH OR $332K
CITY OF EATON EATON OH $236K
THE SIDELINE PHYSICAL THERAPY MARTIN TN $211K
GALENA USD499 GALENA KS $169K
MOUNT AUBURN HOSPITAL WATERTOWN MA $144K
SMITH AUDIOLOGY CONSULTING, INC. AKRON OH $87K
SIREN FAMILY EYECARE, LLC SIREN WI $75K
GREYSTONE NEUROLOGY AND PAIN CENTERS, INC BIRMINGHAM AL $75K
VERSAILLES FAMILY MEDICINE, PLLC VERSAILLES KY $45K
SOUTHEAST ARKANSAS PHARMACIES LLC MONTICELLO AR $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 574 $352.96
2021 478 $18K
2022 1,536 $62K
2023 2,301 $83K
2024 1,303 $39K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4239 Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 3,590 3,556 $122K
K0553 Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 1,978 1,967 $79K
K0554 Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system 36 36 $757.38
E2103 Non-adjunctive, non-implanted continuous glucose monitor or receiver 14 14 $284.99
Q0511 Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period 122 120 $144.00
Q0512 Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period 199 175 $105.60
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 253 241 $103.36