Physician
Pratt Surgical Associates INC
Pratt Surgical Associates INC was paid $123K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 27% of everything it billed.
33Billing provider infoPRATT SURGICAL ASSOCIATES INC
BOSTON, MA 02111
BOSTON, MA 02111
33aNPI1912944182assigned 05/31/2006
33bProvider typeSurgical Critical Care Physician
28Total paid$123K
24GClaims3,175
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
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
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 | 749 | $13K | |
| 2019 | 173 | $5K | |
| 2020 | 417 | $31K | |
| 2021 | 218 | $4K | |
| 2022 | 363 | $15K | |
| 2023 | 356 | $14K | |
| 2024incomplete | 899 | $41K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 27% | 360 | 120 | $33K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 833 | 802 | $24K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 16% | 261 | 261 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.9% | 338 | 335 | $6K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 4.5% | 280 | 139 | $6K |
| 99292 | 4.4% | 43 | 13 | $5K | |
| 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 | 3.8% | 160 | 150 | $5K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.1% | 57 | 26 | $4K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.8% | 127 | 84 | $3K |
| 46221 | 2.7% | 51 | 51 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.9% | 42 | 40 | $2K |
| 93880 | 1.8% | 142 | 140 | $2K |
7 more codes
| 93971 | 1.7% | 213 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | 1.6% | 50 | $2K |
| 93970 | 1.5% | 125 | $2K | |
| 46600 | 1.1% | 53 | $1K | |
| 99223 | Prolong inpt eval add15 m | <1% | 15 | $1K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 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) | <1% | 12 | $42.26 |
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)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.