Physician
Mount Auburn Professional Services INC
Mount Auburn Professional Services INC was paid $1.73M by Medicaid between Jan 2018 and Dec 2024, across 67 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoMOUNT AUBURN PROFESSIONAL SERVICES INC
CAMBRIDGE, MA 02138
CAMBRIDGE, MA 02138
33aNPI1992750996assigned 05/24/2006
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$1.73M
24GClaims50,711
24DCodes billed67
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Massachusetts
Rank by total paid#1 of 16
Median peer was paid$8K
This provider vs. median214×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SMITH, BRIAN controls 20+ related entities in our dataset. Read more
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 | 4,632 | $187K | |
| 2019 | 6,658 | $204K | |
| 2020 | 3,531 | $113K | |
| 2021 | 6,442 | $242K | |
| 2022 | 9,884 | $418K | |
| 2023 | 10,546 | $306K | |
| 2024incomplete | 9,018 | $256K |
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 | 33% | 11,391 | 10,721 | $575K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 15% | 3,517 | 3,458 | $255K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 7,330 | 6,806 | $244K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 7.1% | 3,991 | 1,660 | $123K |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.3% | 749 | 743 | $57K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.1% | 2,823 | 1,267 | $54K |
| 99460 | 2.9% | 517 | 517 | $51K | |
| 99397 | 2.9% | 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 | 2.7% | 805 | 800 | $46K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 2.2% | 608 | 602 | $39K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.7% | 482 | 217 | $29K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.7% | 1,663 | 1,646 | $29K |
55 more codes
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.4% | 3,112 | $25K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 1,127 | $18K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,243 | $13K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 192 | $13K |
| 99462 | <1% | 232 | $10K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 125 | $9K |
| 90682 | <1% | 133 | $9K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 194 | $9K |
| 97803 | <1% | 193 | $8K | |
| 90662 | <1% | 278 | $7K | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 304 | $6K |
| 90480 | <1% | 107 | $6K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 828 | $4K |
| 90715 | <1% | 105 | $4K | |
| 90686 | <1% | 510 | $4K | |
| 99283 | Emergency room visit (moderate) | <1% | 80 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,612 | $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) | <1% | 192 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 96 | $2K |
| 96127 | <1% | 618 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 472 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 150 | $2K |
| 90461 | <1% | 105 | $2K | |
| 99442 | <1% | 148 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 25 | $1K |
| 90674 | <1% | 64 | $1K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 38 | $1K |
| 99443 | <1% | 90 | $1K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 45 | $895.20 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 76 | $783.03 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $660.13 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 144 | $653.89 |
| 51798 | <1% | 104 | $624.32 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 17 | $611.63 |
| 99177 | <1% | 146 | $584.85 | |
| 90961 | <1% | 13 | $500.40 | |
| 99221 | <1% | 12 | $342.11 | |
| 99497 | <1% | 13 | $249.47 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | $232.59 |
| S3005 | Performance measurement, evaluation of patient self assessment, depression | <1% | 25 | $225.94 |
| 93971 | <1% | 25 | $189.64 | |
| 99000 | <1% | 1,071 | $180.56 | |
| 82962 | <1% | 231 | $167.16 | |
| 94760 | <1% | 178 | $67.38 | |
| 93000 | <1% | 14 | $61.54 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 62 | $48.51 |
| 81002 | <1% | 25 | $45.28 | |
| 99173 | <1% | 26 | $38.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 169 | $0.00 |
| 36416 | 0% | 106 | $0.00 | |
| 90656 | 0% | 31 | $0.00 | |
| 90661 | 0% | 64 | $0.00 | |
| 99310 | Prolong nursin fac eval 15m | 0% | 93 | $0.00 |
| 91321 | 0% | 15 | $0.00 | |
| 90670 | 0% | 12 | $0.00 |
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 officialSMITH, BRIAN (CFO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.