Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › CAMBRIDGE › CAMBRIDGE PUBLIC HEALTH COMMISSION

CAMBRIDGE PUBLIC HEALTH COMMISSION

NPI: 1932313228 · CAMBRIDGE, MA 02139 · General Acute Care Hospital · NPI assigned 05/09/2007

$9.04M
Total Medicaid Paid
193,861
Total Claims
162,810
Beneficiaries
341
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTEPHEN, NICOLE (INTERIM DIRECTOR MEDICAL STAFF SRV.)
NPI Enumeration Date05/09/2007

Related Entities

Other providers sharing the same authorized official: STEPHEN, NICOLE

ProviderCityStateTotal Paid
CAMBRIDGE PUBLIC HEALTH COMMISSION CAMBRIDGE MA $352.57M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 43,453 $2.30M
2019 79,603 $5.44M
2020 5,782 $164K
2021 4,183 $61K
2022 5,838 $77K
2023 25,686 $378K
2024 29,316 $626K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 25,064 22,421 $1.64M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,080 13,800 $1.41M
90834 Psychotherapy, 45 minutes with patient 17,384 8,860 $1.20M
99284 Emergency department visit for the evaluation and management, high severity 8,330 8,216 $582K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 5,523 5,488 $342K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,539 3,489 $299K
99283 Emergency department visit for the evaluation and management, moderate severity 1,889 1,774 $261K
90791 Psychiatric diagnostic evaluation 1,506 1,497 $169K
90792 Psychiatric diagnostic evaluation with medical services 1,485 1,466 $155K
96361 Intravenous infusion, hydration; each additional hour 288 279 $149K
99215 Prolong outpt/office vis 1,391 1,276 $144K
90853 Group psychotherapy (other than of a multiple-family group) 4,061 1,739 $107K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 614 516 $98K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 27,989 22,136 $92K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 863 290 $90K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 670 591 $88K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,238 810 $85K
99232 Subsequent hospital care, per day, moderate complexity 1,992 836 $75K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 631 630 $73K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 561 561 $69K
J2315 Injection, naltrexone, depot form, 1 mg 42 42 $69K
99282 Emergency department visit for the evaluation and management, low to moderate severity 366 358 $68K
99309 Subsequent nursing facility care, per day, low to moderate complexity 4,295 3,568 $62K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 543 521 $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 1,285 710 $60K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,195 2,177 $52K
90832 Psychotherapy, 30 minutes with patient 1,077 838 $48K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 364 362 $43K
20610 618 547 $42K
59025 Fetal non-stress test 171 115 $40K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 790 720 $38K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 269 76 $37K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 532 204 $32K
71046 Radiologic examination, chest; 2 views 4,719 4,635 $30K
70450 Computed tomography, head or brain; without contrast material 1,612 1,573 $29K
74177 Computed tomography, abdomen and pelvis; with contrast material 431 428 $29K
77063 Screening digital breast tomosynthesis, bilateral 975 968 $28K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 193 172 $28K
99222 Initial hospital care, per day, moderate complexity 422 381 $27K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 274 273 $27K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 110 88 $26K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 169 158 $26K
17110 61 54 $25K
99239 Hospital discharge day management, more than 30 minutes 544 500 $24K
92015 Determination of refractive state 2,703 2,684 $24K
99231 Subsequent hospital care, per day, straightforward or low complexity 461 168 $23K
99233 Prolong inpt eval add15 m 764 323 $22K
90836 544 331 $22K
90847 Family psychotherapy with the patient present, 50 minutes 270 187 $22K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 709 699 $22K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 711 700 $19K
45380 Colonoscopy, flexible; with biopsy, single or multiple 36 36 $19K
86480 205 205 $18K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 83 81 $18K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 26 26 $17K
76700 Ultrasound, abdominal, real time with image documentation; complete 135 134 $17K
76830 Ultrasound, transvaginal 87 87 $16K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 191 190 $15K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 450 397 $14K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 87 87 $13K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 341 340 $13K
76642 69 65 $13K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 16 16 $13K
71045 Radiologic examination, chest; single view 3,582 3,224 $13K
92588 59 58 $12K
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 15 13 $12K
58300 32 31 $12K
97161 114 113 $12K
11981 26 26 $12K
76801 77 72 $11K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 391 390 $11K
90715 166 165 $11K
93971 42 41 $11K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 210 209 $11K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 13 13 $10K
90651 38 38 $10K
88305 Level IV - Surgical pathology, gross and microscopic examination 776 764 $10K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 15 15 $10K
99443 536 371 $10K
80048 Basic metabolic panel (calcium, ionized) 938 852 $10K
99308 Subsequent nursing facility care, per day, straightforward 791 673 $10K
90734 184 184 $10K
80050 General health panel 574 568 $9K
83036 Hemoglobin; glycosylated (A1C) 745 743 $9K
76819 Fetal biophysical profile; without non-stress testing 82 52 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,595 1,585 $8K
86803 241 239 $8K
84443 Thyroid stimulating hormone (TSH) 475 472 $8K
11721 1,037 1,029 $8K
J1050 Injection, medroxyprogesterone acetate, 1 mg 95 95 $8K
76536 37 37 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 590 570 $7K
99223 Prolong inpt eval add15 m 141 137 $7K
90887 163 134 $7K
85027 947 907 $6K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 84 78 $6K
74176 Computed tomography, abdomen and pelvis; without contrast material 24 23 $6K
99219 89 41 $6K
97802 76 76 $6K
88142 252 252 $5K
90714 79 79 $5K
80061 Lipid panel 626 622 $5K
83655 364 362 $5K
87070 539 522 $5K
93017 35 34 $5K
97803 61 56 $4K
73630 223 194 $4K
97162 42 42 $4K
93975 160 158 $4K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 63 40 $4K
81025 685 659 $4K
82274 140 140 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 549 510 $4K
20550 15 12 $4K
99385 49 49 $4K
77067 Screening mammography, bilateral, including computer-aided detection 1,005 1,001 $4K
11720 913 907 $4K
90746 61 61 $4K
80053 Comprehensive metabolic panel 302 300 $4K
76770 22 22 $4K
12001 13 13 $4K
92557 27 27 $4K
96118 19 12 $4K
83735 518 474 $4K
76705 Ultrasound, abdominal, real time with image documentation; limited 18 18 $4K
94060 24 24 $3K
86592 340 339 $3K
H0031 Mental health assessment, by non-physician 220 220 $3K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 165 165 $3K
82607 208 207 $3K
82728 194 193 $3K
73130 108 90 $3K
86003 31 31 $3K
73610 147 138 $3K
88182 13 13 $3K
71250 37 37 $3K
99442 292 169 $3K
87086 Culture, bacterial; quantitative colony count, urine 341 328 $3K
92083 61 61 $3K
84703 137 129 $3K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 99 99 $3K
90846 Family psychotherapy without the patient present, 50 minutes 36 29 $3K
99310 Prolong nursin fac eval 15m 145 126 $3K
90472 Immunization administration, each additional vaccine (list separately) 851 834 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 40 40 $2K
76870 15 15 $2K
71260 Computed tomography, thorax, diagnostic; with contrast material 24 24 $2K
73030 91 79 $2K
81003 786 744 $2K
86706 122 122 $2K
90882 88 59 $2K
73562 135 118 $2K
87536 42 42 $2K
87340 182 181 $2K
86140 99 94 $2K
84484 177 164 $2K
87338 36 36 $2K
92567 67 67 $2K
73564 69 56 $2K
92133 66 66 $2K
87522 Neg quan hep c or qual rna 55 54 $2K
97530 Therapeutic activities, direct patient contact, each 15 minutes 21 13 $2K
83880 50 49 $2K
99381 13 13 $2K
97165 14 14 $2K
94729 24 24 $2K
94726 23 23 $2K
82948 545 444 $2K
88184 13 13 $2K
96127 173 173 $2K
73110 57 52 $2K
84153 75 75 $2K
86762 87 87 $2K
88185 13 13 $1K
83690 207 201 $1K
86850 115 110 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 125 124 $1K
93225 33 32 $1K
84702 83 65 $1K
99349 33 29 $1K
82570 198 195 $1K
84439 117 115 $1K
80076 282 271 $1K
87186 122 118 $1K
83540 154 154 $1K
86787 71 70 $1K
86038 52 51 $1K
77062 12 12 $1K
83550 110 110 $1K
87505 16 16 $1K
83516 56 55 $1K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 12 12 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 42 42 $1K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 12 12 $991.20
86704 55 54 $984.02
85610 246 182 $972.06
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 591 549 $933.00
72100 20 20 $907.30
83721 91 91 $887.78
90460 Immunization administration through 18 years of age via any route, first or only component 142 142 $885.00
94664 17 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 81 78 $871.78
86235 19 17 $860.76
82043 157 157 $844.25
99188 84 84 $817.12
83021 38 38 $797.05
72052 13 13 $756.10
83718 83 83 $748.56
82950 123 123 $739.14
87517 20 19 $732.43
86735 36 36 $726.64
88304 38 38 $725.12
84403 31 27 $723.66
81001 214 204 $722.01
73590 18 17 $718.28
82105 37 37 $716.02
87209 31 29 $692.95
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 76 76 $687.80
73080 21 17 $680.48
88341 22 22 $679.80
86617 12 12 $676.77
82565 87 79 $671.89
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 27 27 $652.27
86765 43 43 $646.86
73565 30 30 $642.62
83605 56 54 $638.58
84146 32 30 $637.80
88342 45 45 $629.16
87480 30 30 $620.40
87510 30 30 $620.40
87660 30 30 $620.40
11056 86 84 $616.86
73502 16 16 $567.06
83970 14 14 $504.99
93294 88 88 $488.96
87077 83 83 $483.72
99350 Prolong home eval add 15m 13 12 $473.49
85651 113 108 $461.05
86618 12 12 $459.51
90691 15 15 $444.49
85018 170 170 $438.05
86900 120 114 $426.71
82040 39 35 $425.79
82951 12 12 $389.34
90474 261 260 $380.95
J1644 Injection, heparin sodium, per 1000 units 64 38 $378.40
86901 120 114 $365.91
93226 13 13 $364.08
90732 12 12 $349.25
77065 Tomosynthesis, mammo 13 13 $345.00
J2250 Injection, midazolam hydrochloride, per 1 mg 127 125 $331.10
J3010 Injection, fentanyl citrate, 0.1 mg 135 133 $331.10
86160 12 12 $324.50
84460 112 104 $323.64
83026 114 113 $320.91
84156 53 47 $306.80
84450 86 79 $306.12
73140 20 20 $302.44
G0127 Trimming of dystrophic nails, any number 72 72 $299.71
87040 16 16 $290.57
87177 31 29 $289.69
83001 15 15 $288.73
93000 26 26 $285.74
J0690 Injection, cefazolin sodium, 500 mg 56 52 $283.80
86682 13 13 $264.02
87205 58 54 $258.49
86430 20 20 $257.78
71275 Computed tomographic angiography, chest, with contrast material 13 13 $257.25
82746 15 15 $248.66
77080 303 301 $246.48
98968 26 13 $227.24
86708 16 15 $210.39
84480 16 15 $208.24
85730 43 43 $205.46
82550 35 34 $200.46
86376 12 12 $191.54
85007 47 44 $190.22
88312 21 21 $181.28
85379 17 17 $180.31
J1885 Injection, ketorolac tromethamine, per 15 mg 279 258 $141.90
92579 13 13 $140.91
72125 Computed tomography, cervical spine; without contrast material 19 18 $135.92
99451 12 12 $125.33
80178 12 12 $124.19
11719 95 95 $109.82
51798 34 34 $104.83
69210 12 12 $104.83
84550 42 37 $104.52
J0696 Injection, ceftriaxone sodium, per 250 mg 47 45 $94.60
92134 40 38 $85.05
87210 15 14 $66.00
85045 13 12 $56.11
85013 13 12 $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) 13 13 $52.82
93976 13 13 $48.28
J1170 Injection, hydromorphone, up to 4 mg 49 41 $47.30
J1200 Injection, diphenhydramine hcl, up to 50 mg 65 58 $47.30
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 19 19 $47.30
84100 45 39 $29.09
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 192 191 $23.97
99173 16 16 $8.55
76376 92 92 $2.16
90697 24 23 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 440 414 $0.00
J8540 Dexamethasone, oral, 0.25 mg 15 13 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 109 107 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 21 21 $0.00
96375 Therapeutic injection; each additional sequential IV push 175 161 $0.00
94761 308 296 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 146 144 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 38 38 $0.00
96376 30 28 $0.00
J2060 Injection, lorazepam, 2 mg 39 34 $0.00
J7050 Infusion, normal saline solution, 250 cc 43 22 $0.00
J1630 Injection, haloperidol, up to 5 mg 26 24 $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 81 77 $0.00
36415 Collection of venous blood by venipuncture 12 12 $0.00
90680 22 21 $0.00
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 286 267 $0.00
94760 26 23 $0.00
99406 26 26 $0.00
G0463 Hospital outpatient clinic visit for assessment and management of a patient 86 58 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 64 60 $0.00
90677 28 27 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 3,009 2,293 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 45 36 $0.00
A4618 Breathing circuits 69 68 $0.00
96160 35 35 $0.00
87481 208 207 $0.00
87150 88 88 $0.00
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 35 35 $0.00
0502F 131 112 $0.00
99401 46 45 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 13 13 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 18 18 $0.00
77066 Tomosynthesis, mammo 13 13 $0.00
81329 15 15 $0.00
J1020 Injection, methylprednisolone acetate, 20 mg 13 13 $0.00
90633 16 16 $0.00
A4628 Oral and/or oropharyngeal suction catheter, each 13 13 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 53 51 $0.00