Medicaid Provider Spending

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

MOUNT AUBURN PROFESSIONAL SERVICES INC

NPI: 1992750996 · CAMBRIDGE, MA 02138 · Critical Care Medicine (Internal Medicine) Physician · NPI assigned 05/24/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SMITH, BRIAN controls 20+ related entities in our dataset. Read more

$1.73M
Total Medicaid Paid
50,711
Total Claims
43,618
Beneficiaries
67
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, BRIAN (CFO)
NPI Enumeration Date05/24/2006

Related Entities

Other providers sharing the same authorized official: SMITH, BRIAN

ProviderCityStateTotal Paid
MOUNT AUBURN HOSPITAL CAMBRIDGE MA $27.96M
CHILDREN AND TEEN DENTAL GROUP OF FLORIDA LAKELAND FL $11.61M
DELAWARE VALLEY MAXILLOFACIAL & ORAL SURGERY LLC PHILADELPHIA PA $4.88M
CHILDREN AND TEEN DENTAL GROUP OF ALABAMA TUSCALOOSA AL $2.84M
ABRIAL ADULT SERVICES, LLC RICHMOND VA $2.67M
BRIAN K. SMITH, D.D.S., M.D., INC. LAKEWOOD OH $1.92M
SLEEP MEDICINE SERVICES OF WESTERN MASSACHUSETTS LLC SPRINGFIELD MA $1.53M
ARKLATEX ORAL & MAXILLOFACIAL SURGERY A PARTNERSHIP OF PROFESSIONAL DE SHREVEPORT LA $991K
SOUTHWEST ALLEN COUNTY SCHOOLS FORT WAYNE IN $474K
CURRY COMMUNITY HEALTH GOLD BEACH OR $332K
CITY OF EATON EATON OH $236K
THE SIDELINE PHYSICAL THERAPY MARTIN TN $211K
UMASS MEMORIAL MEDICAL CENTER, INC. WORCESTER MA $202K
GALENA USD499 GALENA KS $169K
MOUNT AUBURN HOSPITAL WATERTOWN MA $144K
SMITH AUDIOLOGY CONSULTING, INC. AKRON OH $87K
SIREN FAMILY EYECARE, LLC SIREN WI $75K
GREYSTONE NEUROLOGY AND PAIN CENTERS, INC BIRMINGHAM AL $75K
VERSAILLES FAMILY MEDICINE, PLLC VERSAILLES KY $45K
SOUTHEAST ARKANSAS PHARMACIES LLC MONTICELLO AR $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,632 $187K
2019 6,658 $204K
2020 3,531 $113K
2021 6,442 $242K
2022 9,884 $418K
2023 10,546 $306K
2024 9,018 $256K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,391 10,721 $575K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,517 3,458 $255K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,330 6,806 $244K
99233 Prolong inpt eval add15 m 3,991 1,660 $123K
99239 Hospital discharge day management, more than 30 minutes 749 743 $57K
99232 Subsequent hospital care, per day, moderate complexity 2,823 1,267 $54K
99460 517 517 $51K
99397 719 717 $51K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 805 800 $46K
99284 Emergency department visit for the evaluation and management, high severity 608 602 $39K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 482 217 $29K
90460 Immunization administration through 18 years of age via any route, first or only component 1,663 1,646 $29K
99309 Subsequent nursing facility care, per day, low to moderate complexity 3,112 2,118 $25K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,127 1,113 $18K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,243 1,237 $13K
99215 Prolong outpt/office vis 192 186 $13K
99462 232 179 $10K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 125 122 $9K
90682 133 133 $9K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 194 193 $9K
97803 193 188 $8K
90662 278 277 $7K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 304 298 $6K
90480 107 107 $6K
99308 Subsequent nursing facility care, per day, straightforward 828 592 $4K
90715 105 105 $4K
90686 510 510 $4K
99283 Emergency department visit for the evaluation and management, moderate severity 80 78 $3K
36415 Collection of venous blood by venipuncture 2,612 2,528 $2K
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) 192 184 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 96 87 $2K
96127 618 605 $2K
83036 Hemoglobin; glycosylated (A1C) 472 471 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 150 58 $2K
90461 105 105 $2K
99442 148 135 $2K
99223 Prolong inpt eval add15 m 25 25 $1K
90674 64 63 $1K
99222 Initial hospital care, per day, moderate complexity 38 38 $1K
99443 90 78 $1K
99238 Hospital discharge day management, 30 minutes or less 45 40 $895.20
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 76 76 $783.03
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $660.13
G0444 Annual depression screening, 5 to 15 minutes 144 142 $653.89
51798 104 93 $624.32
90832 Psychotherapy, 30 minutes with patient 17 15 $611.63
99177 146 146 $584.85
90961 13 13 $500.40
99221 12 12 $342.11
99497 13 13 $249.47
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14 14 $232.59
S3005 Performance measurement, evaluation of patient self assessment, depression 25 25 $225.94
93971 25 25 $189.64
99000 1,071 1,048 $180.56
82962 231 225 $167.16
94760 178 167 $67.38
93000 14 12 $61.54
G0442 Annual alcohol misuse screening, 5 to 15 minutes 62 62 $48.51
81002 25 24 $45.28
99173 26 26 $38.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 169 168 $0.00
36416 106 101 $0.00
90656 31 31 $0.00
90661 64 64 $0.00
99310 Prolong nursin fac eval 15m 93 70 $0.00
91321 15 15 $0.00
90670 12 12 $0.00