Medicaid Provider Spending

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

PRATT NEUROLOGY ASSOCIATES, INC

NPI: 1841237617 · BOSTON, MA 02111 · Neurology Physician · NPI assigned 06/01/2006

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

Authorized official GALLEGOS, EDWARD controls 20+ related entities in our dataset. Read more

$279K
Total Medicaid Paid
5,619
Total Claims
5,027
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGALLEGOS, EDWARD (D)
NPI Enumeration Date06/01/2006

Related Entities

Other providers sharing the same authorized official: GALLEGOS, EDWARD

ProviderCityStateTotal Paid
PRATT PEDIATRIC ASSOCIATES INC BOSTON MA $7.66M
PRATT OPHTHALMOLOGY ASSOCIATES INC BOSTON MA $2.95M
PRATT OB/GYN ASSOCIATES, INC BOSTON MA $2.62M
PRATT MEDICAL GROUP, INC BOSTON MA $2.18M
PRATT RADIOLOGY ASSOCIATES, INC BOSTON MA $1.58M
PRATT PATHOLOGY ASSOCIATES, INC BOSTON MA $1.47M
PRATT MED/SURG DERMATOLOGY ASSOCIATES INC BOSTON MA $851K
CARDIOVASCULAR CENTER AT TUFTS MEDICAL CENTER, INC. BOSTON MA $721K
PRATT MEDICAL GROUP, INC BOSTON MA $705K
PRATT ORTHOPAEDIC ASSOCIATES, INC BOSTON MA $566K
PRATT OTOLARYNGOLOGY- HEAD & NECK SURGERY ASSOCIATES INC BOSTON MA $536K
PRATT PSYCHIATRIC ASSOCIATES, INC BOSTON MA $346K
PRATT MEDICAL GROUP, INC BOSTON MA $269K
PRATT MEDICAL GROUP, INC BOSTON MA $247K
PRATT MEDICAL GROUP, INC BOSTON MA $240K
PRATT UROLOGY ASSOCIATES, INC BOSTON MA $204K
PRATT ANESTHESIOLOGY ASSOCIATES, INC BOSTON MA $197K
PRATT MEDICAL GROUP, INC BOSTON MA $141K
PRATT MEDICAL GROUP, INC BOSTON MA $127K
PRATT SURGICAL ASSOCIATES INC BOSTON MA $123K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 535 $24K
2019 751 $34K
2020 624 $30K
2021 608 $29K
2022 633 $39K
2023 1,252 $67K
2024 1,216 $56K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,784 1,764 $68K
99215 Prolong outpt/office vis 921 911 $55K
99205 Prolong outpt/office vis 611 607 $51K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 253 71 $25K
99233 Prolong inpt eval add15 m 427 196 $21K
99223 Prolong inpt eval add15 m 231 227 $19K
95816 388 376 $9K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 353 347 $7K
95720 40 25 $5K
95951 25 14 $4K
95886 147 146 $4K
99232 Subsequent hospital care, per day, moderate complexity 81 41 $2K
95819 76 71 $2K
64615 24 24 $2K
99443 77 76 $2K
95782 14 14 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 91 41 $1K
99222 Initial hospital care, per day, moderate complexity 13 13 $348.15
95885 24 24 $310.72
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) 39 39 $66.88