Medicaid Provider Spending

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

EVANS MEDICAL FOUNDATION, INC.

NPI: 1912954124 · BOSTON, MA 02118 · Gastroenterology Physician · NPI assigned 05/31/2006

$37.72M
Total Medicaid Paid
1,162,281
Total Claims
914,917
Beneficiaries
116
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWAIKAR, SUSHRUT (INTERIM PRESIDENT)
NPI Enumeration Date05/31/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 156,615 $5.16M
2019 167,021 $5.41M
2020 148,954 $5.15M
2021 162,501 $5.46M
2022 175,462 $6.15M
2023 188,704 $5.66M
2024 163,024 $4.73M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 283,637 275,287 $11.32M
99233 Prolong inpt eval add15 m 127,034 50,920 $6.16M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 34,706 16,157 $3.59M
99232 Subsequent hospital care, per day, moderate complexity 89,428 38,477 $2.96M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 74,705 73,150 $2.15M
99215 Prolong outpt/office vis 38,783 36,363 $2.10M
99223 Prolong inpt eval add15 m 15,240 14,940 $1.46M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 296,268 220,654 $1.44M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 36,378 36,079 $1.24M
99239 Hospital discharge day management, more than 30 minutes 12,647 12,387 $645K
99222 Initial hospital care, per day, moderate complexity 7,520 7,354 $479K
99220 4,865 4,836 $445K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,600 4,584 $375K
90961 3,916 3,907 $315K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 3,385 3,372 $312K
99309 Subsequent nursing facility care, per day, low to moderate complexity 13,551 10,570 $196K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,188 2,162 $173K
99231 Subsequent hospital care, per day, straightforward or low complexity 8,755 4,107 $159K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,211 1,193 $157K
99350 Prolong home eval add 15m 5,051 4,382 $148K
99205 Prolong outpt/office vis 1,125 1,122 $129K
99217 3,087 3,065 $117K
99443 6,102 5,816 $107K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 875 870 $91K
99219 1,200 1,186 $85K
99407 2,619 2,448 $83K
99238 Hospital discharge day management, 30 minutes or less 2,157 2,118 $79K
99310 Prolong nursin fac eval 15m 3,675 2,822 $72K
99221 1,361 1,335 $64K
95810 Polysomnography; sleep staging with 4 or more additional parameters 854 851 $58K
99442 5,046 4,897 $57K
20610 2,733 2,309 $56K
93351 1,067 1,064 $55K
99292 908 404 $52K
93272 2,980 2,967 $44K
76536 2,845 2,831 $44K
93971 3,029 2,876 $35K
77080 8,816 8,726 $35K
43235 498 494 $33K
91200 3,910 3,905 $33K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 651 651 $32K
45380 Colonoscopy, flexible; with biopsy, single or multiple 382 378 $32K
94726 4,906 4,892 $31K
99226 526 424 $30K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 662 660 $28K
94060 3,625 3,612 $24K
93016 1,689 1,685 $24K
93970 1,368 1,223 $24K
99349 1,011 822 $23K
94729 4,726 4,711 $22K
95811 334 331 $22K
99306 Prolong nursin fac eval 15m 575 567 $20K
90966 185 182 $18K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 400 398 $18K
90962 245 242 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 735 715 $17K
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) 4,616 4,393 $16K
G0318 Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99345, 99350 for home or residence evaluation and management services). (do not report g0318 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99417). (do not report g0318 for any time unit less than 15 minutes) 420 380 $15K
90935 Hemodialysis procedure with single evaluation by a physician 523 299 $14K
93295 872 862 $14K
93298 1,045 1,036 $10K
93227 530 530 $9K
93321 1,937 1,899 $8K
93923 797 775 $7K
94010 1,470 1,462 $7K
93294 750 744 $7K
93280 479 475 $6K
93880 312 311 $6K
93308 475 441 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 67 64 $5K
99441 747 724 $4K
93325 2,177 2,138 $4K
93228 462 460 $3K
99348 117 100 $3K
93018 351 349 $3K
99236 Prolong inpt eval add15 m 25 25 $3K
G0008 Administration of influenza virus vaccine 480 406 $2K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 212 210 $2K
99225 62 54 $2K
20611 104 104 $2K
90662 323 277 $2K
76604 132 105 $2K
90694 118 109 $2K
99201 74 73 $2K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 86 67 $2K
94618 133 133 $2K
99417 Prolong home eval add 15m 30 26 $1K
99402 43 42 $1K
99356 294 168 $1K
99497 74 65 $1K
93282 53 53 $931.80
76377 42 40 $922.40
91322 57 57 $813.12
90480 57 57 $761.32
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 37 37 $661.85
90653 54 54 $558.00
91010 13 13 $557.09
20605 34 31 $503.26
76937 60 58 $386.37
11721 26 24 $370.45
76376 70 68 $370.38
93284 14 14 $355.77
99152 182 171 $310.28
99451 12 12 $290.74
93289 16 16 $285.61
91065 36 36 $206.61
99316 15 15 $193.87
36410 38 38 $168.44
99358 Prolong nursin fac eval 15m 16 12 $156.92
95251 12 12 $135.67
99318 31 31 $76.07
93922 13 13 $47.92
99337 21 14 $19.50
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 22 22 $12.44
99153 Mod sedat endo service >5yrs 15 12 $10.79
M1207 Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety 223 221 $0.00