Physician
Bumc Otolaryngologic Foundation, INC.
Bumc Otolaryngologic Foundation, INC. was paid $2.60M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoBUMC OTOLARYNGOLOGIC FOUNDATION, INC.
BOSTON, MA 02118
BOSTON, MA 02118
33aNPI1942257159assigned 05/31/2006
33bProvider typeOtolaryngology Physician
28Total paid$2.60M
24GClaims56,069
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Otolaryngology Physician providers in Massachusetts
Rank by total paid#2 of 90
Median peer was paid$14K
This provider vs. median189×
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
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 | 7,534 | $346K | |
| 2019 | 8,617 | $390K | |
| 2020 | 7,150 | $367K | |
| 2021 | 8,269 | $372K | |
| 2022 | 8,317 | $357K | |
| 2023 | 9,264 | $421K | |
| 2024incomplete | 6,918 | $352K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 28% | 13,936 | 13,621 | $729K |
| 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 | 19% | 5,696 | 5,673 | $496K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 11,750 | 11,498 | $380K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 5,998 | 5,951 | $289K |
| 31575 | 7.8% | 4,817 | 4,755 | $204K | |
| 31579 | 4.4% | 1,609 | 1,585 | $114K | |
| 31231 | 4.4% | 2,825 | 2,788 | $113K | |
| 69210 | 2.3% | 3,363 | 3,204 | $61K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.2% | 846 | 833 | $58K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 1.5% | 174 | 173 | $38K |
| 99205 | Prolong outpt/office vis | 1.3% | 327 | 326 | $33K |
| 99223 | Prolong inpt eval add15 m | <1% | 151 | 146 | $19K |
10 more codes
| 92504 | <1% | 3,234 | $18K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 467 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 550 | $10K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 110 | $9K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 37 | $6K |
| 99221 | <1% | 61 | $4K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 25 | $3K |
| 99443 | <1% | 54 | $1K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 12 | $575.89 |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 27 | $483.84 |
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 officialGRILLONE, GREGORY (PRESIDENT)