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Medical Associates of Ebnhc

Clinic/Center, Community Health·East Boston, MA·NPI: 1255451597Share

Compared to Clinic/Center, Community Health Peers

Total spending distribution among 8 providers in this specialty

P25MedianP75P90

This provider's total spending of $179.3M is at the 75th percentile among 8 Clinic/Center, Community Health providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$179.3M

$179,326,388

Total Claims

3.0M

Beneficiaries

2.7M

1.1 claims/patient

Avg Cost/Claim

$59

#534 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Medical Associates of Ebnhc is a Clinic/Center, Community Health provider based in East Boston, MA. From the 2018–2024 period, this provider received $179.3M in Medicaid payments across 3.0M claims.

Why This Matters

This provider received $179.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 22,415 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 37% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$22.2M
+17%
2019
$25.9M
-4%
2020
$24.8M
+34%
2021
$33.3M
+16%
2022
$38.6M
-47%
2023
$20.6M
-32%
2024
$13.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 30% of total spending.

99213Top 5%

Office/outpatient visit, est. patient, low-mod complexity

$52.9M

516K claims · 29.5%

Your Cost: $102.56/claim|Median: $37.81
2.7× median
99214Top 10%

Office/outpatient visit, est. patient, mod-high complexity

$23.4M

232K claims · 13.0%

Your Cost: $100.71/claim|Median: $53.41
1.9× median
99283Top 25%

Emergency dept visit, moderate complexity

$10.1M

83K claims · 5.6%

Your Cost: $120.93/claim|Median: $42.48
2.9× median
99212Top 10%

Office/outpatient visit, low complexity

$9.8M

108K claims · 5.5%

Your Cost: $90.73/claim|Median: $25.06
3.6× median
99284Top 25%

Emergency dept visit, high complexity

$6.4M

53K claims · 3.6%

Your Cost: $121.39/claim|Median: $69.51
1.8× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$4.5M

44K claims · 2.5%

Your Cost: $103.43/claim|Median: $69.35
1.5× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$4.1M

40K claims · 2.3%

Your Cost: $102.69/claim|Median: $75.18
1.4× median
99282Top 25%

Emergency dept visit, low complexity

$3.9M

36K claims · 2.2%

Your Cost: $109.37/claim|Median: $37.72
2.9× median
96361Top 5%

IV infusion, hydration, each additional hour

$3.9M

9K claims · 2.2%

Your Cost: $454.09/claim|Median: $38.92
11.7× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$3.9M

21K claims · 2.1%

Your Cost: $185.76/claim|Median: $85.65
2.2× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$3.3M

45K claims · 1.8%

Your Cost: $72.26/claim|Median: $47.08
1.5× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$3.0M

31K claims · 1.7%

Your Cost: $96.84/claim|Median: $74.82
1.3× median
99211Top 10%

Office/outpatient visit, minimal complexity

$2.4M

39K claims · 1.4%

Your Cost: $62.75/claim|Median: $12.93
4.8× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$2.4M

24K claims · 1.4%

Your Cost: $102.04/claim|Median: $80.15
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$2.0M

19K claims · 1.1%

Your Cost: $106.03/claim|Median: $74.09
1.4× median
99203Top 25%

Office/outpatient visit, new patient, low-mod complexity

$1.7M

19K claims · 0.9%

Your Cost: $86.89/claim|Median: $57.85
1.5× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$1.7M

3K claims · 0.9%

Your Cost: $505.62/claim|Median: $786.43
0.6× median
99395Normal range

Preventive medicine, established patient, age 18-39

$1.4M

22K claims · 0.8%

Your Cost: $66.73/claim|Median: $72.71
0.9× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$1.4M

110K claims · 0.8%

Your Cost: $13.02/claim|Median: $9.80
1.3× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$1.2M

18K claims · 0.7%

Your Cost: $68.38/claim|Median: $59.72
1.1× median
96110Top 10%

Developmental screening, per standardized instrument

$1.2M

36K claims · 0.7%

Your Cost: $33.21/claim|Median: $9.10
3.6× median
92012Top 25%

Ophthalmological exam, intermediate, established patient

$1.1M

18K claims · 0.6%

Your Cost: $64.05/claim|Median: $38.23
1.7× median
92340Top 10%

Fitting of spectacles, except for aphakia

$1.1M

26K claims · 0.6%

Your Cost: $44.10/claim|Median: $19.46
2.3× median
99396Normal range

Preventive medicine, established patient, age 40-64

$1.1M

17K claims · 0.6%

Your Cost: $66.95/claim|Median: $76.06
0.9× median
90651Top 10%

HPV vaccine, 9-valent

$1.1M

13K claims · 0.6%

Your Cost: $81.74/claim|Median: $8.93
9.2× median
96365Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$1.1M

9K claims · 0.6%

Your Cost: $119.74/claim|Median: $54.77
2.2× median
76856Normal range

Ultrasound, pelvic, complete

$925K

13K claims · 0.5%

Your Cost: $69.99/claim|Median: $47.58
1.5× median
92551Top 1%

Screening audiometry, pure tone, air only

$915K

8K claims · 0.5%

Your Cost: $120.19/claim|Median: $6.61
18.2× median
71046Top 25%

Chest X-ray, 2 views

$848K

39K claims · 0.5%

Your Cost: $21.71/claim|Median: $8.92
2.4× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$763K

8K claims · 0.4%

Your Cost: $90.42/claim|Median: $71.00
1.3× median

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