BAYSTATE MEDICAL CENTER, INC.
NPI: 1972936623
· SPRINGFIELD, MA 01107
· 3336C0003X
$156K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
250 |
$11K |
| 2021 |
475 |
$20K |
| 2022 |
901 |
$37K |
| 2023 |
1,048 |
$40K |
| 2024 |
1,260 |
$48K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4239 |
Non-adju cgm supply allow |
1,792 |
1,779 |
$79K |
| K0553 |
Ther cgm supply allowance |
1,351 |
1,284 |
$65K |
| J7503 |
Tacrol envarsus ex rel oral |
43 |
38 |
$7K |
| Q0511 |
Sup fee antiem,antica,immuno |
572 |
546 |
$3K |
| A9276 |
Disposable sensor, cgm sys |
16 |
15 |
$2K |
| Q0512 |
Px sup fee anti-can sub pres |
90 |
77 |
$268.80 |
| A4253 |
Blood glucose/reagent strips |
26 |
26 |
$169.74 |
| J7518 |
Mycophenolic acid |
44 |
43 |
$0.00 |