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

Cambridge Public Health Commission

Cambridge Public Health Commission was paid $9.04M by Medicaid between Jan 2018 and Dec 2024, across 341 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 18% of everything it billed.

33Billing provider infoCAMBRIDGE PUBLIC HEALTH COMMISSION
CAMBRIDGE, MA 02139
33aNPI1932313228assigned 05/09/2007
33bProvider typeGeneral Acute Care Hospital
28Total paid$9.04M
24GClaims193,861
24DCodes billed341
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Massachusetts

Rank by total paid#43 of 66
Median peer was paid$29.11M
This provider vs. median0.3×

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$1.0M$2.0M$3.0M2018201920202021202220232024
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
201843,453$2.30M
201979,603$5.44M
20205,782$164K
20214,183$61K
20225,838$77K
202325,686$378K
2024incomplete29,316$626K
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 18% 25,064 22,421 $1.64M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16% 16,080 13,800 $1.41M
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 13% 17,384 8,860 $1.20M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 6.4% 8,330 8,216 $582K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3.8% 5,523 5,488 $342K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.3% 3,539 3,489 $299K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 2.9% 1,889 1,774 $261K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 1.9% 1,506 1,497 $169K
90792 Psychiatric diagnostic evaluation with medical services 1.7% 1,485 1,466 $155K
96361 Intravenous infusion, hydration; each additional hour 1.6% 288 279 $149K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.6% 1,391 1,276 $144K
90853 Group psychotherapy (other than of a multiple-family group) 1.2% 4,061 1,739 $107K
329 more codes
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.1% 614 $98K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.0% 27,989 $92K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 863 $90K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 670 $88K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,238 $85K
99232 Hospital visit by a doctor, follow-up day <1% 1,992 $75K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 631 $73K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 561 $69K
J2315 Injection, naltrexone, depot form, 1 mg <1% 42 $69K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 366 $68K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 4,295 $62K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 543 $62K
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% 1,285 $60K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 2,195 $52K
90832 Psychotherapy session, about 30 minutes <1% 1,077 $48K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 364 $43K
20610 <1% 618 $42K
59025 Fetal non-stress test <1% 171 $40K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 790 $38K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 269 $37K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 532 $32K
71046 Radiologic examination, chest; 2 views <1% 4,719 $30K
70450 Computed tomography, head or brain; without contrast material <1% 1,612 $29K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 431 $29K
77063 Screening digital breast tomosynthesis, bilateral <1% 975 $28K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 193 $28K
99222 Initial hospital care, per day, moderate complexity <1% 422 $27K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 274 $27K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 110 $26K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 169 $26K
17110 <1% 61 $25K
99239 Hospital discharge day management, more than 30 minutes <1% 544 $24K
92015 Determination of refractive state <1% 2,703 $24K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 461 $23K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 764 $22K
90836 <1% 544 $22K
90847 Family psychotherapy with the patient present, 50 minutes <1% 270 $22K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 709 $22K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 711 $19K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 36 $19K
86480 <1% 205 $18K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 83 $18K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 26 $17K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 135 $17K
76830 Ultrasound, transvaginal <1% 87 $16K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 191 $15K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 450 $14K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 87 $13K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 341 $13K
76642 <1% 69 $13K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 16 $13K
71045 Radiologic examination, chest; single view <1% 3,582 $13K
92588 <1% 59 $12K
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg <1% 15 $12K
58300 <1% 32 $12K
97161 <1% 114 $12K
11981 <1% 26 $12K
76801 <1% 77 $11K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 391 $11K
90715 <1% 166 $11K
93971 <1% 42 $11K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 210 $11K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg <1% 13 $10K
90651 <1% 38 $10K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 776 $10K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 15 $10K
99443 <1% 536 $10K
80048 Basic metabolic panel (calcium, ionized) <1% 938 $10K
99308 Subsequent nursing facility care, per day, straightforward <1% 791 $10K
90734 <1% 184 $10K
80050 General health panel <1% 574 $9K
83036 Hemoglobin; glycosylated (A1C) <1% 745 $9K
76819 Fetal biophysical profile; without non-stress testing <1% 82 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,595 $8K
86803 <1% 241 $8K
84443 Thyroid stimulating hormone (TSH) <1% 475 $8K
11721 <1% 1,037 $8K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 95 $8K
76536 <1% 37 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 590 $7K
99223 Prolong inpt eval add15 m <1% 141 $7K
90887 <1% 163 $7K
85027 <1% 947 $6K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 84 $6K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 24 $6K
99219 <1% 89 $6K
97802 <1% 76 $6K
88142 <1% 252 $5K
90714 <1% 79 $5K
80061 Lipid panel <1% 626 $5K
83655 <1% 364 $5K
87070 <1% 539 $5K
93017 <1% 35 $5K
97803 <1% 61 $4K
73630 <1% 223 $4K
97162 <1% 42 $4K
93975 <1% 160 $4K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 63 $4K
81025 <1% 685 $4K
82274 <1% 140 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 549 $4K
20550 <1% 15 $4K
99385 <1% 49 $4K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,005 $4K
11720 <1% 913 $4K
90746 <1% 61 $4K
80053 Comprehensive metabolic panel <1% 302 $4K
76770 <1% 22 $4K
12001 <1% 13 $4K
92557 <1% 27 $4K
96118 <1% 19 $4K
83735 <1% 518 $4K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 18 $4K
94060 <1% 24 $3K
86592 <1% 340 $3K
H0031 Mental health assessment, by non-physician <1% 220 $3K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 165 $3K
82607 <1% 208 $3K
82728 <1% 194 $3K
73130 <1% 108 $3K
86003 <1% 31 $3K
73610 <1% 147 $3K
88182 <1% 13 $3K
71250 <1% 37 $3K
99442 <1% 292 $3K
87086 Culture, bacterial; quantitative colony count, urine <1% 341 $3K
92083 <1% 61 $3K
84703 <1% 137 $3K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 99 $3K
90846 Family psychotherapy without the patient present, 50 minutes <1% 36 $3K
99310 Prolong nursin fac eval 15m <1% 145 $3K
90472 Immunization administration, each additional vaccine (list separately) <1% 851 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 40 $2K
76870 <1% 15 $2K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 24 $2K
73030 <1% 91 $2K
81003 <1% 786 $2K
86706 <1% 122 $2K
90882 <1% 88 $2K
73562 <1% 135 $2K
87536 <1% 42 $2K
87340 <1% 182 $2K
86140 <1% 99 $2K
84484 <1% 177 $2K
87338 <1% 36 $2K
92567 <1% 67 $2K
73564 <1% 69 $2K
92133 <1% 66 $2K
87522 Neg quan hep c or qual rna <1% 55 $2K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 21 $2K
83880 <1% 50 $2K
99381 <1% 13 $2K
97165 <1% 14 $2K
94729 <1% 24 $2K
94726 <1% 23 $2K
82948 <1% 545 $2K
88184 <1% 13 $2K
96127 <1% 173 $2K
73110 <1% 57 $2K
84153 <1% 75 $2K
86762 <1% 87 $2K
88185 <1% 13 $1K
83690 <1% 207 $1K
86850 <1% 115 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 125 $1K
93225 <1% 33 $1K
84702 <1% 83 $1K
99349 <1% 33 $1K
82570 <1% 198 $1K
84439 <1% 117 $1K
80076 <1% 282 $1K
87186 <1% 122 $1K
83540 <1% 154 $1K
86787 <1% 71 $1K
86038 <1% 52 $1K
77062 <1% 12 $1K
83550 <1% 110 $1K
87505 <1% 16 $1K
83516 <1% 56 $1K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 12 $1K
99203 Doctor's office visit, new patient (routine) <1% 42 $1K
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 12 $991.20
86704 <1% 55 $984.02
85610 <1% 246 $972.06
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 591 $933.00
72100 <1% 20 $907.30
83721 <1% 91 $887.78
90460 Immunization administration through 18 years of age via any route, first or only component <1% 142 $885.00
94664 <1% 17 $884.46
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 <1% 81 $871.78
86235 <1% 19 $860.76
82043 <1% 157 $844.25
99188 <1% 84 $817.12
83021 <1% 38 $797.05
72052 <1% 13 $756.10
83718 <1% 83 $748.56
82950 <1% 123 $739.14
87517 <1% 20 $732.43
86735 <1% 36 $726.64
88304 <1% 38 $725.12
84403 <1% 31 $723.66
81001 <1% 214 $722.01
73590 <1% 18 $718.28
82105 <1% 37 $716.02
87209 <1% 31 $692.95
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) <1% 76 $687.80
73080 <1% 21 $680.48
88341 <1% 22 $679.80
86617 <1% 12 $676.77
82565 <1% 87 $671.89
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 27 $652.27
86765 <1% 43 $646.86
73565 <1% 30 $642.62
83605 <1% 56 $638.58
84146 <1% 32 $637.80
88342 <1% 45 $629.16
87480 <1% 30 $620.40
87510 <1% 30 $620.40
87660 <1% 30 $620.40
11056 <1% 86 $616.86
73502 <1% 16 $567.06
83970 <1% 14 $504.99
93294 <1% 88 $488.96
87077 <1% 83 $483.72
99350 Prolong home eval add 15m <1% 13 $473.49
85651 <1% 113 $461.05
86618 <1% 12 $459.51
90691 <1% 15 $444.49
85018 <1% 170 $438.05
86900 <1% 120 $426.71
82040 <1% 39 $425.79
82951 <1% 12 $389.34
90474 <1% 261 $380.95
J1644 Injection, heparin sodium, per 1000 units <1% 64 $378.40
86901 <1% 120 $365.91
93226 <1% 13 $364.08
90732 <1% 12 $349.25
77065 Tomosynthesis, mammo <1% 13 $345.00
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 127 $331.10
J3010 Injection, fentanyl citrate, 0.1 mg <1% 135 $331.10
86160 <1% 12 $324.50
84460 <1% 112 $323.64
83026 <1% 114 $320.91
84156 <1% 53 $306.80
84450 <1% 86 $306.12
73140 <1% 20 $302.44
G0127 Trimming of dystrophic nails, any number <1% 72 $299.71
87040 <1% 16 $290.57
87177 <1% 31 $289.69
83001 <1% 15 $288.73
93000 <1% 26 $285.74
J0690 Injection, cefazolin sodium, 500 mg <1% 56 $283.80
86682 <1% 13 $264.02
87205 <1% 58 $258.49
86430 <1% 20 $257.78
71275 Computed tomographic angiography, chest, with contrast material <1% 13 $257.25
82746 <1% 15 $248.66
77080 <1% 303 $246.48
98968 <1% 26 $227.24
86708 <1% 16 $210.39
84480 <1% 16 $208.24
85730 <1% 43 $205.46
82550 <1% 35 $200.46
86376 <1% 12 $191.54
85007 <1% 47 $190.22
88312 <1% 21 $181.28
85379 <1% 17 $180.31
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 279 $141.90
92579 <1% 13 $140.91
72125 Computed tomography, cervical spine; without contrast material <1% 19 $135.92
99451 <1% 12 $125.33
80178 <1% 12 $124.19
11719 <1% 95 $109.82
51798 <1% 34 $104.83
69210 <1% 12 $104.83
84550 <1% 42 $104.52
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 47 $94.60
92134 <1% 40 $85.05
87210 <1% 15 $66.00
85045 <1% 13 $56.11
85013 <1% 13 $54.20
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% 13 $52.82
93976 <1% 13 $48.28
J1170 Injection, hydromorphone, up to 4 mg <1% 49 $47.30
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 65 $47.30
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 19 $47.30
84100 <1% 45 $29.09
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 192 $23.97
99173 <1% 16 $8.55
76376 <1% 92 $2.16
90697 0% 24 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 0% 440 $0.00
J8540 Dexamethasone, oral, 0.25 mg 0% 15 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 109 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 0% 21 $0.00
96375 Therapeutic injection; each additional sequential IV push 0% 175 $0.00
94761 0% 308 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 146 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 0% 38 $0.00
96376 0% 30 $0.00
J2060 Injection, lorazepam, 2 mg 0% 39 $0.00
J7050 Infusion, normal saline solution, 250 cc 0% 43 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 26 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 0% 81 $0.00
36415 Collection of venous blood by venipuncture 0% 12 $0.00
90680 0% 22 $0.00
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 0% 286 $0.00
94760 0% 26 $0.00
99406 0% 26 $0.00
G0463 Hospital outpatient clinic visit for assessment and management of a patient 0% 86 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 64 $0.00
90677 0% 28 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 3,009 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 0% 45 $0.00
A4618 Breathing circuits 0% 69 $0.00
96160 0% 35 $0.00
87481 0% 208 $0.00
87150 0% 88 $0.00
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 0% 35 $0.00
0502F 0% 131 $0.00
99401 0% 46 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 13 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 0% 18 $0.00
77066 Tomosynthesis, mammo 0% 13 $0.00
81329 0% 15 $0.00
J1020 Injection, methylprednisolone acetate, 20 mg 0% 13 $0.00
90633 0% 16 $0.00
A4628 Oral and/or oropharyngeal suction catheter, each 0% 13 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 0% 53 $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 officialSTEPHEN, NICOLE (INTERIM DIRECTOR MEDICAL STAFF SRV.)
Same official

Other billing entities under STEPHEN, NICOLE

Full network →
ProviderLocationPaid
Cambridge Public Health CommissionCambridge, MA$352.57M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.