Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NEWTON-WELLESLEY HOSPITAL

NPI: 1992737761 · NEWTON, MA 02462 · Family Medicine Physician · NPI assigned 07/06/2006

$36.31M
Total Medicaid Paid
1,246,184
Total Claims
1,095,904
Beneficiaries
357
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCDERMOTT, VINCENT (SENIOR VP OF FINANCE/CFO)
NPI Enumeration Date07/06/2006

Related Entities

Other providers sharing the same authorized official: MCDERMOTT, VINCENT

ProviderCityStateTotal Paid
MARTHA'S VINEYARD HOSPITAL, INC. OAK BLUFFS MA $50.35M
MASS GENERAL BRIGHAM MEDICAL GROUP, INC. SALEM NH $758K
MARTHA'S VINEYARD HOSPITAL, INC. OAK BLUFFS MA $94K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 144,958 $3.92M
2019 147,887 $4.12M
2020 139,043 $3.75M
2021 199,480 $5.73M
2022 224,784 $7.04M
2023 216,263 $5.61M
2024 173,769 $6.14M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
96361 Intravenous infusion, hydration; each additional hour 13,867 12,419 $5.09M
99283 Emergency department visit for the evaluation and management, moderate severity 33,444 30,844 $4.60M
99284 Emergency department visit for the evaluation and management, high severity 29,782 27,594 $4.52M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 14,044 13,072 $2.40M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 9,404 8,273 $1.23M
G0378 Hospital observation service, per hour 9,212 6,746 $895K
74177 Computed tomography, abdomen and pelvis; with contrast material 7,595 7,170 $866K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,756 5,312 $775K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 13,208 11,839 $761K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 5,908 5,428 $743K
70450 Computed tomography, head or brain; without contrast material 6,820 6,372 $692K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 5,013 4,720 $627K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,232 3,788 $568K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,303 4,095 $549K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 10,777 4,802 $529K
S9485 Crisis intervention mental health services, per diem 829 768 $490K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,995 2,884 $340K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 9,202 8,252 $321K
77063 Screening digital breast tomosynthesis, bilateral 4,788 4,750 $308K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 555 530 $302K
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 9,129 7,942 $286K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 70,055 58,594 $270K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 7,123 6,774 $237K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 11,463 10,392 $232K
87631 2,416 2,337 $224K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,653 1,099 $206K
76830 Ultrasound, transvaginal 2,793 2,690 $202K
71046 Radiologic examination, chest; 2 views 14,805 14,069 $202K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,347 1,290 $190K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 10,584 9,366 $181K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,231 1,181 $168K
71275 Computed tomographic angiography, chest, with contrast material 1,188 1,124 $165K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 6,601 6,405 $163K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 17,700 15,890 $163K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 6,442 6,248 $156K
84443 Thyroid stimulating hormone (TSH) 20,812 20,127 $154K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,163 2,034 $143K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,539 1,300 $142K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 147 144 $137K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 702 670 $136K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,669 2,000 $131K
59025 Fetal non-stress test 678 430 $130K
J3490 Unclassified drugs 8,528 6,137 $129K
ATP15 16,097 12,677 $129K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 5,111 2,406 $123K
80048 Basic metabolic panel (calcium, ionized) 63,869 51,808 $121K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 109 106 $115K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 6,511 5,803 $113K
96375 Therapeutic injection; each additional sequential IV push 10,826 9,354 $112K
93971 1,074 1,007 $108K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,286 432 $103K
45380 Colonoscopy, flexible; with biopsy, single or multiple 134 131 $101K
84484 13,148 11,525 $100K
90791 Psychiatric diagnostic evaluation 1,984 1,807 $99K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 6,656 6,523 $92K
76770 707 687 $92K
83880 5,818 5,362 $91K
74176 Computed tomography, abdomen and pelvis; without contrast material 744 707 $90K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 256 253 $90K
83690 19,437 17,629 $80K
87070 12,099 11,495 $76K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 4,954 4,847 $76K
76642 896 796 $74K
70496 523 503 $72K
93308 449 433 $71K
85027 22,810 19,795 $70K
83036 Hemoglobin; glycosylated (A1C) 16,461 16,138 $68K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,077 1,004 $67K
ATP08 12,724 10,208 $66K
84702 5,673 4,910 $65K
77067 Screening mammography, bilateral, including computer-aided detection 4,791 4,753 $64K
83735 19,179 15,065 $63K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 2,926 2,885 $61K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,819 1,717 $60K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 2,970 2,944 $60K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,211 3,735 $59K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,200 5,007 $56K
87086 Culture, bacterial; quantitative colony count, urine 12,585 11,650 $56K
97161 1,264 1,211 $55K
81001 31,517 28,919 $55K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 209 204 $54K
81025 10,388 9,688 $54K
88305 Level IV - Surgical pathology, gross and microscopic examination 6,813 4,311 $53K
0002A 1,478 1,417 $49K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,108 566 $48K
0001A 1,569 1,505 $48K
82728 7,129 6,844 $47K
70551 Magnetic resonance imaging, brain; without contrast material 284 275 $46K
81513 673 642 $45K
80050 General health panel 3,264 3,179 $45K
71045 Radiologic examination, chest; single view 6,284 5,813 $43K
ATP14 8,432 7,061 $42K
80076 37,271 32,651 $38K
83605 5,659 5,063 $38K
86803 4,414 4,354 $38K
87040 3,930 3,558 $37K
ATP17 7,200 6,458 $37K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 735 706 $37K
82607 5,752 5,621 $36K
80053 Comprehensive metabolic panel 25,925 22,682 $36K
73502 1,320 1,261 $35K
87660 2,237 2,138 $35K
97803 504 462 $34K
97162 800 760 $34K
86140 10,484 9,558 $33K
83970 2,129 2,071 $33K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 24,719 21,780 $28K
83550 6,756 6,537 $28K
72100 1,945 1,884 $27K
86618 1,378 1,296 $27K
87077 6,085 5,748 $27K
85610 13,172 9,949 $26K
86850 3,588 3,237 $25K
87186 5,413 5,088 $24K
87480 1,504 1,425 $23K
87510 1,505 1,426 $23K
86780 2,470 2,424 $23K
83540 7,234 6,977 $23K
73562 1,591 1,419 $22K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,687 1,588 $22K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 912 822 $22K
80061 Lipid panel 20,999 20,571 $22K
84439 5,285 5,066 $22K
76536 258 252 $22K
73630 1,653 1,509 $22K
71250 568 532 $22K
J1650 Injection, enoxaparin sodium, 10 mg 1,396 733 $22K
86481 368 363 $21K
73610 1,474 1,349 $21K
85379 3,467 3,248 $20K
97535 Self-care/home management training, each 15 minutes 596 461 $20K
J7050 Infusion, normal saline solution, 250 cc 7,684 4,936 $20K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 473 410 $20K
93975 288 271 $20K
84153 2,076 2,041 $19K
77065 Tomosynthesis, mammo 522 465 $18K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 94 79 $18K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 837 752 $18K
93017 289 284 $18K
ATP16 2,385 1,796 $18K
J2405 Injection, ondansetron hydrochloride, per 1 mg 13,089 10,793 $17K
82784 2,108 2,027 $17K
ATP03 4,092 3,683 $16K
85652 10,269 9,511 $15K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 66 64 $15K
73030 1,164 1,055 $15K
77080 324 318 $14K
82746 2,241 2,183 $14K
97530 Therapeutic activities, direct patient contact, each 15 minutes 535 336 $13K
20553 75 70 $13K
J1885 Injection, ketorolac tromethamine, per 15 mg 12,637 10,308 $13K
76801 139 120 $13K
72125 Computed tomography, cervical spine; without contrast material 2,011 1,865 $13K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 708 678 $12K
87481 685 656 $12K
73130 852 746 $11K
93976 87 79 $11K
82570 5,533 5,208 $11K
87340 1,608 1,582 $11K
74183 69 67 $11K
74018 509 480 $10K
84403 654 638 $10K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 13,406 12,437 $10K
J9999 Not otherwise classified, antineoplastic drugs 274 204 $10K
ATP18 1,852 1,676 $9K
82803 527 483 $9K
J2704 Injection, propofol, 10 mg 7,837 6,801 $9K
ATP11 1,852 1,662 $8K
83516 952 926 $8K
97165 179 170 $8K
82043 4,236 4,095 $8K
84146 709 680 $8K
73564 379 321 $8K
74019 823 770 $8K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 5,629 5,025 $8K
62323 18 16 $8K
J2250 Injection, midazolam hydrochloride, per 1 mg 6,864 6,181 $7K
J3010 Injection, fentanyl citrate, 0.1 mg 7,936 6,427 $7K
J1170 Injection, hydromorphone, up to 4 mg 2,384 1,691 $7K
84480 1,122 1,078 $7K
86900 3,595 3,246 $7K
86901 3,598 3,247 $7K
96415 51 37 $6K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,062 2,511 $6K
77066 Tomosynthesis, mammo 183 176 $6K
90715 342 329 $6K
85007 3,178 2,631 $6K
J0690 Injection, cefazolin sodium, 500 mg 3,734 3,016 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,661 1,539 $6K
90686 444 420 $6K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,448 3,211 $5K
85730 1,187 1,086 $5K
ATP09 995 744 $5K
97116 179 119 $5K
99215 Prolong outpt/office vis 51 50 $5K
83001 421 410 $5K
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,268 1,829 $5K
86038 648 629 $4K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 46 45 $4K
84100 7,459 5,872 $4K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 27 26 $4K
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 1,194 1,116 $4K
73110 357 321 $4K
86762 395 390 $4K
J2060 Injection, lorazepam, 2 mg 3,168 2,606 $4K
ATP07 798 730 $4K
87205 1,648 1,561 $4K
83883 436 415 $4K
36415 Collection of venous blood by venipuncture 33,614 27,555 $4K
86706 479 472 $3K
87046 232 219 $3K
76819 Fetal biophysical profile; without non-stress testing 164 130 $3K
84425 257 251 $3K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 51 48 $3K
81003 2,335 2,240 $3K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,159 773 $3K
77062 24 24 $3K
80164 846 737 $3K
J2270 Injection, morphine sulfate, up to 10 mg 2,443 1,944 $2K
0004A 64 63 $2K
82670 134 126 $2K
97802 24 24 $2K
80179 190 180 $2K
20610 14 13 $2K
88307 30 24 $2K
82550 2,865 2,599 $2K
87427 246 219 $2K
84156 1,170 1,015 $2K
76870 40 39 $2K
ATP10 460 418 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 15 14 $2K
70498 481 462 $2K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 864 724 $2K
84145 2,189 2,026 $2K
84165 384 365 $1K
J1644 Injection, heparin sodium, per 1000 units 416 203 $1K
ATP04 296 258 $1K
87045 231 219 $1K
J3475 Injection, magnesium sulfate, per 500 mg 393 331 $1K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 178 113 $1K
82150 420 374 $1K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 54 53 $1K
87641 97 95 $1K
70486 77 76 $1K
73140 110 106 $1K
ATP02 401 325 $1K
88304 290 269 $1K
88342 283 260 $1K
83002 92 75 $1K
84550 1,977 1,842 $1K
76882 13 13 $1K
J7999 Compounded drug, not otherwise classified 197 119 $1K
86141 169 161 $1K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 931 802 $1K
73560 150 135 $1K
84402 50 49 $1K
72170 87 79 $1K
80299 65 64 $969.96
87807 103 98 $952.52
87501 27 27 $950.46
87640 96 95 $908.75
J7120 Ringers lactate infusion, up to 1000 cc 482 454 $852.84
83615 1,729 1,415 $850.63
82378 129 111 $841.68
J2795 Injection, ropivacaine hydrochloride, 1 mg 212 201 $763.52
86769 31 31 $758.34
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 40 40 $722.82
80178 285 257 $655.07
87081 166 162 $653.61
83020 56 54 $600.34
86308 161 158 $595.08
0031A 31 27 $567.80
81002 677 623 $542.73
86431 167 164 $522.95
J0171 Injection, adrenalin, epinephrine, 0.1 mg 235 217 $493.41
93298 38 38 $491.30
80143 79 70 $460.32
0064A 12 12 $458.70
87449 70 64 $399.99
J1030 Injection, methylprednisolone acetate, 40 mg 248 242 $387.36
87209 30 29 $348.92
84460 799 725 $345.27
83521 12 12 $343.33
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 1,642 1,508 $328.74
73080 31 29 $315.19
71271 12 12 $310.72
87324 56 51 $294.29
J1630 Injection, haloperidol, up to 5 mg 346 325 $282.58
86765 30 29 $279.09
87338 25 25 $278.96
82533 49 37 $267.66
85045 133 125 $265.12
72040 44 43 $241.94
86677 28 25 $237.09
82962 2,999 2,662 $202.26
86704 27 27 $180.71
87177 30 29 $172.70
73590 30 27 $172.18
82040 552 521 $163.47
82565 523 464 $154.53
86787 12 12 $152.75
82950 65 64 $152.66
86235 12 12 $147.24
83993 13 12 $138.48
87207 25 24 $120.34
86334 47 43 $115.20
96376 1,801 1,651 $114.71
93296 12 12 $109.88
83721 27 26 $104.40
84450 782 691 $100.08
86376 12 12 $92.89
83921 13 13 $84.80
94664 39 38 $82.12
73660 12 12 $78.83
82248 542 444 $77.65
82947 79 75 $62.74
74175 14 13 $40.12
82977 26 26 $25.62
Q3014 Telehealth originating site facility fee 57 53 $17.52
82310 12 12 $10.66
J1171 Injection, hydromorphone, 0.1 mg 27 13 $4.40
99152 419 394 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 2,445 2,313 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 181 168 $0.00
J3370 Injection, vancomycin hcl, 500 mg 66 25 $0.00
S0028 Injection, famotidine, 20 mg 188 146 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 151 143 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 260 244 $0.00
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 60 59 $0.00
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 16 16 $0.00
91300 1,900 1,594 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 1,358 1,049 $0.00
84155 26 26 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 13 12 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 13 12 $0.00
77061 13 13 $0.00
C9113 Injection, pantoprazole sodium, per vial 20 12 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 12 12 $0.00
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg 15 13 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 3,229 2,899 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 814 700 $0.00
J8540 Dexamethasone, oral, 0.25 mg 961 708 $0.00
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 264 259 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 23 23 $0.00
G0008 Administration of influenza virus vaccine 42 42 $0.00
S0020 Injection, bupivicaine hydrochloride, 30 ml 130 103 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 49 46 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 62 56 $0.00
80320 300 233 $0.00
80069 43 38 $0.00
G0103 Prostate cancer screening; prostate specific antigen test (psa) 28 27 $0.00
99153 Mod sedat endo service >5yrs 85 79 $0.00
C1769 Guide wire 13 12 $0.00
80329 20 20 $0.00
J1790 Injection, droperidol, up to 5 mg 14 13 $0.00
73090 12 12 $0.00
J3480 Injection, potassium chloride, per 2 meq 21 14 $0.00