Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › BOSTON › TUFTS MEDICAL CENTER, INC.

TUFTS MEDICAL CENTER, INC.

NPI: 1851337141 · BOSTON, MA 02111 · Children's Hospital · NPI assigned 06/22/2006

$3.81M
Total Medicaid Paid
58,871
Total Claims
55,089
Beneficiaries
135
Codes Billed
2018-07
First Month
2022-03
Last Month

Provider Details

Authorized OfficialDONOVAN, STEVE (DIRECTOR OF FINANCIAL PLANNING)
NPI Enumeration Date06/22/2006

Related Entities

Other providers sharing the same authorized official: DONOVAN, STEVE

ProviderCityStateTotal Paid
TUFTS MEDICAL CENTER, INC. BOSTON MA $164.34M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,909 $404K
2019 14,800 $1.06M
2020 9,660 $642K
2021 23,978 $1.32M
2022 6,524 $386K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,960 4,753 $731K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,894 4,621 $689K
99283 Emergency department visit for the evaluation and management, moderate severity 1,567 1,517 $307K
99215 Prolong outpt/office vis 2,026 1,931 $289K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,784 1,765 $274K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,757 1,752 $242K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 2,155 2,024 $177K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,216 1,212 $148K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,038 894 $127K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,652 1,530 $69K
99205 Prolong outpt/office vis 506 504 $66K
99284 Emergency department visit for the evaluation and management, high severity 361 353 $65K
92567 1,012 1,002 $58K
76770 303 299 $53K
99282 Emergency department visit for the evaluation and management, low to moderate severity 241 237 $44K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 170 166 $37K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 139 108 $35K
92015 Determination of refractive state 815 815 $35K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 89 88 $31K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 1,190 1,092 $28K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 108 106 $27K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 390 383 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 119 109 $15K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 142 142 $14K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,078 1,815 $13K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 36 36 $11K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 105 46 $11K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 81 81 $10K
93325 68 66 $9K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 981 960 $9K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 14 14 $9K
0002A 159 159 $7K
0001A 157 157 $7K
J3010 Injection, fentanyl citrate, 0.1 mg 942 899 $7K
96361 Intravenous infusion, hydration; each additional hour 15 13 $6K
92060 165 165 $6K
G0378 Hospital observation service, per hour 64 28 $6K
84443 Thyroid stimulating hormone (TSH) 444 441 $6K
92587 25 25 $5K
83735 1,072 887 $5K
0071A 131 131 $5K
0072A 123 123 $5K
71046 Radiologic examination, chest; 2 views 136 133 $5K
91307 261 245 $4K
97803 75 72 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 75 73 $4K
86140 926 823 $4K
92557 26 26 $4K
80051 449 426 $3K
97010 38 18 $3K
0004A 82 82 $3K
85027 638 596 $3K
80048 Basic metabolic panel (calcium, ionized) 474 367 $3K
76700 Ultrasound, abdominal, real time with image documentation; complete 14 14 $3K
72081 399 392 $3K
J2405 Injection, ondansetron hydrochloride, per 1 mg 875 815 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 141 138 $3K
84439 306 304 $2K
85652 859 821 $2K
83540 338 330 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $2K
82728 169 164 $2K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 83 60 $2K
83690 283 267 $1K
82247 1,134 1,005 $1K
84466 149 149 $1K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 25 23 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 77 76 $1K
82784 130 129 $1K
83036 Hemoglobin; glycosylated (A1C) 150 149 $903.72
73630 28 27 $871.66
92579 138 138 $854.56
83516 78 78 $810.75
82248 1,271 1,130 $787.50
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 23 23 $736.23
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 23 23 $736.23
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 31 30 $696.85
72100 13 13 $689.00
36415 Collection of venous blood by venipuncture 1,903 1,805 $672.09
82565 697 662 $671.04
85730 170 152 $652.50
82040 133 127 $629.62
86850 99 91 $628.14
J1885 Injection, ketorolac tromethamine, per 15 mg 141 122 $623.09
92083 12 12 $605.16
80061 Lipid panel 64 64 $604.96
73610 54 51 $598.19
90686 19 19 $569.33
82150 124 118 $561.45
80053 Comprehensive metabolic panel 44 26 $488.58
84450 1,303 1,168 $446.57
92133 12 12 $437.06
85610 173 154 $429.75
83970 13 13 $414.15
84460 1,303 1,170 $411.72
88305 Level IV - Surgical pathology, gross and microscopic examination 251 249 $393.55
84702 27 26 $370.98
83615 1,021 869 $360.41
85007 188 171 $344.09
84156 108 106 $322.45
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 19 17 $285.30
73130 13 13 $275.60
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 12 12 $263.64
86900 99 91 $234.78
86901 99 91 $234.78
73522 172 169 $216.45
84075 1,133 1,005 $215.85
81001 86 83 $214.66
80069 27 27 $194.12
86803 14 14 $182.14
73560 13 13 $169.67
87086 Culture, bacterial; quantitative colony count, urine 28 25 $169.28
84484 16 14 $156.57
87340 15 15 $141.30
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 39 35 $139.92
84520 694 657 $113.64
82550 211 203 $113.29
85046 27 26 $104.56
82043 20 20 $95.04
81003 52 52 $88.15
84100 829 662 $82.90
82570 20 20 $75.52
84703 15 15 $75.46
81002 14 13 $33.41
82947 363 349 $32.82
91300 328 302 $0.00
82310 19 16 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 21 21 $0.00
84550 58 36 $0.00
94760 1,111 1,092 $0.00
88342 66 65 $0.00
96375 Therapeutic injection; each additional sequential IV push 23 17 $0.00
93320 37 36 $0.00
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 71 31 $0.00
88304 25 25 $0.00