Medicaid Provider Spending

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

PRATT SURGICAL ASSOCIATES INC

NPI: 1912944182 · BOSTON, MA 02111 · Surgical Critical Care Physician · NPI assigned 05/31/2006

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

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

$123K
Total Medicaid Paid
3,175
Total Claims
2,635
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGALLEGOS, EDWARD (DIRECTOR)
NPI Enumeration Date05/31/2006

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 NEUROLOGY ASSOCIATES, INC BOSTON MA $279K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 749 $13K
2019 173 $5K
2020 417 $31K
2021 218 $4K
2022 363 $15K
2023 356 $14K
2024 899 $41K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 360 120 $33K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 833 802 $24K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 261 261 $20K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 338 335 $6K
99231 Subsequent hospital care, per day, straightforward or low complexity 280 139 $6K
99292 43 13 $5K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 160 150 $5K
99233 Prolong inpt eval add15 m 57 26 $4K
99232 Subsequent hospital care, per day, moderate complexity 127 84 $3K
46221 51 51 $3K
99215 Prolong outpt/office vis 42 40 $2K
93880 142 140 $2K
93971 213 207 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 50 50 $2K
93970 125 124 $2K
46600 53 53 $1K
99223 Prolong inpt eval add15 m 15 15 $1K
99222 Initial hospital care, per day, moderate complexity 13 13 $573.90
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) 12 12 $42.26