Physician
Boston MFM, LLC
Boston MFM, LLC was paid $1.75M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 22% of everything it billed.
33Billing provider infoBOSTON MFM, LLC
BROOKLINE, MA 02445
BROOKLINE, MA 02445
33aNPI1881902492assigned 09/16/2010
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$1.75M
24GClaims44,274
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in Massachusetts
Rank by total paid#2 of 27
Median peer was paid$33K
This provider vs. median53×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 11,046 | $470K | |
| 2019 | 9,015 | $362K | |
| 2020 | 9,480 | $380K | |
| 2021 | 7,316 | $273K | |
| 2022 | 3,664 | $133K | |
| 2023 | 1,087 | $38K | |
| 2024incomplete | 2,666 | $93K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 22% | 11,536 | 9,615 | $377K |
| 76819 | Fetal biophysical profile; without non-stress testing | 15% | 8,771 | 6,283 | $260K |
| 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 | 12% | 3,665 | 3,036 | $212K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 11% | 2,590 | 2,495 | $186K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 7.1% | 3,267 | 3,093 | $123K |
| 76813 | 6.4% | 2,486 | 2,435 | $112K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 5.2% | 3,299 | 2,751 | $92K |
| 76801 | 5.2% | 2,436 | 2,364 | $91K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.0% | 1,070 | 897 | $87K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.6% | 1,486 | 1,338 | $62K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.8% | 1,187 | 1,158 | $49K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.6% | 803 | 790 | $46K |
6 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 549 | $18K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 142 | $14K |
| 76820 | <1% | 691 | $13K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 160 | $4K |
| 76821 | <1% | 124 | $3K | |
| 99201 | <1% | 12 | $414.12 |
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 officialHAMAR, BENJAMIN (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Boston Maternal-Fetal Medicine, LLC | Brookline, MA | $490K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.