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

Atrius Health, INC.

Atrius Health, INC. was paid $14.51M by Medicaid between Jan 2018 and Dec 2024, across 282 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.

33Billing provider infoATRIUS HEALTH, INC.
BOSTON, MA 02215
33aNPI1871639914assigned 01/29/2007
33bProvider typeClinical Social Worker
28Total paid$14.51M
24GClaims476,569
24DCodes billed282
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Social Worker providers in Massachusetts

Rank by total paid#1 of 541
Median peer was paid$29K
This provider vs. median503×

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.

Box 24A · Dates of service

Paid by month

$0$500K$1.0M2018201920202021202220232024
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
201819,308$481K
201947,491$667K
202026,992$404K
202130,880$502K
202234,125$603K
2023165,367$5.68M
2024incomplete152,406$6.18M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 25% 74,044 68,273 $3.63M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.2% 69,222 66,501 $1.20M
77067 Screening mammography, bilateral, including computer-aided detection 5.9% 5,549 5,372 $860K
88305 Level IV - Surgical pathology, gross and microscopic examination 4.6% 4,716 4,597 $673K
92340 Fitting of spectacles, except for aphakia; monofocal 4.5% 22,392 19,196 $650K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 3.6% 10,505 9,303 $525K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3.1% 6,843 6,326 $454K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 2.5% 3,789 2,318 $366K
J0585 Injection, onabotulinumtoxina, 1 unit 1.9% 343 279 $279K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.9% 3,274 3,240 $270K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1.9% 1,704 1,452 $269K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 1.7% 2,015 984 $252K
270 more codes
77063 Screening digital breast tomosynthesis, bilateral 1.7% 4,840 $242K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.6% 9,969 $236K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1.6% 2,843 $232K
99204 Doctor's office visit, new patient (more involved) 1.6% 2,657 $228K
71046 Radiologic examination, chest; 2 views 1.5% 7,502 $214K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.3% 2,303 $192K
76830 Ultrasound, transvaginal 1.3% 1,113 $185K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1.3% 1,262 $183K
99215 Doctor's office visit, returning patient (complex) 1.3% 3,319 $183K
76819 Fetal biophysical profile; without non-stress testing 1.0% 1,193 $146K
93000 <1% 12,118 $137K
31231 <1% 601 $127K
92015 Determination of refractive state <1% 11,039 $126K
96127 <1% 6,822 $122K
64483 <1% 486 $94K
92567 <1% 2,879 $84K
76801 <1% 500 $83K
97803 <1% 1,468 $77K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 3,872 $72K
92134 <1% 3,299 $69K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 504 $67K
92557 <1% 1,030 $63K
92341 <1% 1,690 $60K
90739 <1% 198 $59K
80061 Lipid panel <1% 8,411 $58K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 2,123 $54K
83036 Hemoglobin; glycosylated (A1C) <1% 10,704 $52K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 2,784 $51K
73630 <1% 1,278 $47K
20610 <1% 803 $46K
90792 Psychiatric diagnostic evaluation with medical services <1% 409 $42K
97802 <1% 380 $41K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 167 $40K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 10,352 $39K
99397 <1% 1,579 $39K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 55 $36K
76642 <1% 329 $36K
86003 <1% 171 $35K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 561 $35K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 249 $33K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 631 $32K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 15,557 $32K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,601 $31K
87428 <1% 267 $31K
90686 <1% 4,748 $28K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 445 $28K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 293 $27K
73562 <1% 699 $26K
64615 <1% 364 $26K
76813 <1% 150 $26K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 542 $24K
97161 <1% 382 $23K
90791 Psychiatric diagnostic evaluation <1% 180 $23K
76536 <1% 173 $22K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 5,622 $21K
99188 <1% 389 $20K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 1,002 $20K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 51 $20K
80053 Comprehensive metabolic panel <1% 3,801 $20K
90656 <1% 1,259 $18K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 114 $17K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 281 $17K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 1,062 $16K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 1,689 $15K
90480 <1% 534 $15K
87081 <1% 1,188 $13K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 31 $13K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 447 $12K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 369 $12K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 245 $12K
90832 Psychotherapy session, about 30 minutes <1% 206 $12K
84443 Thyroid stimulating hormone (TSH) <1% 3,096 $11K
90662 <1% 2,178 $11K
97164 <1% 329 $11K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 172 $10K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 1,125 $10K
97162 <1% 167 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 519 $10K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 341 $9K
71271 <1% 59 $9K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 1,433 $9K
69210 <1% 343 $9K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 1,025 $9K
90853 Group psychotherapy (other than of a multiple-family group) <1% 329 $9K
90694 <1% 419 $9K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 2,270 $8K
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 292 $8K
91320 <1% 268 $8K
84165 <1% 546 $8K
73030 <1% 258 $8K
11721 <1% 589 $8K
86704 <1% 667 $7K
99232 Hospital visit by a doctor, follow-up day <1% 271 $7K
0012A <1% 443 $7K
87340 <1% 701 $7K
85027 <1% 3,901 $7K
90847 Family psychotherapy with the patient present, 50 minutes <1% 78 $6K
90674 <1% 129 $6K
86706 <1% 650 $6K
83970 <1% 1,466 $6K
73130 <1% 150 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 886 $6K
G0008 Administration of influenza virus vaccine <1% 3,814 $5K
81025 <1% 343 $5K
82728 <1% 1,534 $5K
77080 <1% 253 $5K
84466 <1% 1,756 $5K
97535 Self-care/home management training, each 15 minutes <1% 167 $5K
20553 <1% 86 $5K
87086 Culture, bacterial; quantitative colony count, urine <1% 2,176 $5K
0011A <1% 453 $5K
94729 <1% 83 $5K
36415 Collection of venous blood by venipuncture <1% 14,259 $4K
94726 <1% 83 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 515 $4K
70551 Magnetic resonance imaging, brain; without contrast material <1% 12 $4K
94060 <1% 84 $4K
90677 <1% 155 $4K
82565 <1% 4,626 $4K
80048 Basic metabolic panel (calcium, ionized) <1% 3,604 $4K
88141 <1% 77 $4K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 41 $4K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 39 $4K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 252 $3K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 69 $3K
86140 <1% 676 $3K
73502 <1% 91 $3K
82607 <1% 1,874 $3K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 52 $3K
73610 <1% 69 $3K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 70 $3K
90653 <1% 256 $3K
95886 <1% 14 $3K
82785 <1% 105 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 315 $3K
85651 <1% 759 $3K
83540 <1% 1,765 $2K
92060 <1% 30 $2K
97035 <1% 148 $2K
92555 <1% 76 $2K
0001A <1% 125 $2K
92579 <1% 36 $2K
88342 <1% 28 $2K
0002A <1% 104 $2K
83655 <1% 95 $2K
83735 <1% 1,434 $2K
80305 <1% 294 $2K
92133 <1% 91 $2K
59025 Fetal non-stress test <1% 19 $2K
86780 <1% 78 $2K
80051 <1% 1,719 $2K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 1,063 $2K
ATP08 <1% 1,548 $2K
82570 <1% 3,155 $2K
72100 <1% 45 $2K
76770 <1% 12 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 78 $2K
ATP14 <1% 1,202 $2K
99308 Subsequent nursing facility care, per day, straightforward <1% 133 $2K
82043 <1% 2,905 $1K
90472 Immunization administration, each additional vaccine (list separately) <1% 2,914 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 70 $1K
86803 <1% 57 $1K
97165 <1% 12 $1K
0071A <1% 25 $1K
67028 Intravitreal injection of a pharmacologic agent <1% 26 $1K
90961 <1% 76 $1K
ATP03 <1% 758 $1K
0072A <1% 22 $1K
73140 <1% 27 $990.05
80503 <1% 30 $960.36
99223 Prolong inpt eval add15 m <1% 14 $863.01
93296 <1% 51 $843.76
J1010 Injection, methylprednisolone acetate, 1 mg <1% 91 $791.17
90836 <1% 14 $786.64
G0009 Administration of pneumococcal vaccine <1% 106 $724.67
73110 <1% 14 $714.84
88341 <1% 12 $699.23
92285 <1% 28 $692.64
0124A <1% 56 $688.05
80076 <1% 276 $676.73
77089 <1% 134 $672.01
99443 <1% 92 $666.79
86580 <1% 46 $661.51
88304 <1% 12 $626.81
20552 <1% 13 $601.24
82310 <1% 1,234 $599.31
85610 <1% 3,164 $582.25
90620 <1% 15 $579.30
ATP02 <1% 459 $568.54
ATP07 <1% 359 $563.06
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 49 $563.04
0064A <1% 37 $547.08
84460 <1% 756 $537.15
84520 <1% 848 $496.99
99442 <1% 159 $490.00
84100 <1% 1,155 $486.20
ATP04 <1% 392 $442.57
86850 <1% 26 $425.23
84132 <1% 808 $416.50
ATP11 <1% 369 $400.84
83880 <1% 125 $396.87
93295 <1% 13 $378.25
ATP05 <1% 363 $376.65
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler <1% 27 $345.28
82040 <1% 796 $335.38
92083 <1% 12 $334.92
0004A <1% 28 $321.09
81003 <1% 1,998 $315.34
87807 <1% 13 $300.30
ATP09 <1% 334 $293.60
ATP15 <1% 292 $272.25
82120 <1% 27 $265.86
ATP17 <1% 386 $252.31
95117 <1% 17 $242.06
90661 <1% 548 $240.00
84436 <1% 25 $220.86
87210 <1% 27 $217.27
90785 <1% 14 $212.94
84479 <1% 25 $208.10
83718 <1% 14 $194.94
87220 <1% 27 $189.82
ATP06 <1% 186 $177.76
84439 <1% 65 $175.36
87186 <1% 263 $166.69
83986 <1% 27 $159.10
87077 <1% 342 $145.28
84156 <1% 77 $144.96
86901 <1% 26 $130.23
86900 <1% 26 $130.23
81002 <1% 806 $120.98
82465 <1% 14 $103.68
ATP10 <1% 147 $98.56
99441 <1% 27 $80.03
99307 <1% 14 $69.36
ATP12 <1% 146 $65.10
82947 <1% 26 $58.20
98967 <1% 25 $50.02
0031A <1% 18 $45.87
J1756 Injection, iron sucrose, 1 mg <1% 28 $42.00
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) <1% 116 $42.00
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) <1% 14 $38.72
98966 <1% 12 $38.00
81001 <1% 47 $37.86
96160 <1% 16 $36.54
84550 <1% 49 $31.65
80069 <1% 15 $28.50
ATP18 <1% 79 $21.94
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 38 $21.21
84295 <1% 67 $19.72
G0127 Trimming of dystrophic nails, any number <1% 13 $19.24
90688 <1% 26 $19.17
ATP13 <1% 12 $10.89
82948 <1% 28 $5.04
90680 0% 77 $0.00
90698 0% 52 $0.00
90474 0% 40 $0.00
91301 0% 234 $0.00
91305 0% 15 $0.00
91307 0% 49 $0.00
90651 0% 12 $0.00
0054A 0% 13 $0.00
91322 0% 12 $0.00
90670 0% 175 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 215 $0.00
91321 0% 156 $0.00
91300 0% 103 $0.00
91312 0% 53 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 0% 12 $0.00
90633 0% 14 $0.00

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 officialANDREOLI, CHRISTOPHER (PRESIDENT)