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

Pratt Medical Group, INC

Pratt Medical Group, INC was paid $48K by Medicaid between Jan 2018 and Aug 2018, across 5 billing codes. Its largest line is 93010, Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only — 54% of everything it billed.

33Billing provider infoPRATT MEDICAL GROUP, INC
BOSTON, MA 02111
33aNPI1841510633assigned 06/03/2010
28Total paid$48K
24GClaims8,245
24DCodes billed5
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in Massachusetts

Rank by total paid#4 of 16
Median peer was paid$8K
This provider vs. median5.9×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official GALLEGOS, EDWARD controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
20188,245$48K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 54% 7,347 6,170 $25K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 37% 704 689 $17K
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 5.7% 98 90 $3K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 2.4% 70 12 $1K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1.7% 26 26 $811.61

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 officialGALLEGOS, EDWARD (DIRECTOR)
Same official

Other billing entities under GALLEGOS, EDWARD

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.