Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Tufts Medical Center, Inc.

General Acute Care Hospital·Boston, MA·NPI: 1730132515Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $164.3M is at the 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$164.3M

$164,344,885

Total Claims

4.0M

Beneficiaries

3.4M

1.2 claims/patient

Avg Cost/Claim

$41

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

🔍 Analysis

Provider Overview

Tufts Medical Center, Inc. is a General Acute Care Hospital provider based in Boston, MA. From the 2018–2024 period, this provider received $164.3M in Medicaid payments across 4.0M claims.

Why This Matters

This provider received $164.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 20,543 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 12% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$25.3M
-8%
2019
$23.4M
-26%
2020
$17.4M
+37%
2021
$23.8M
+2%
2022
$24.3M
+14%
2023
$27.8M
-20%
2024
$22.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 11% of total spending.

99214Top 5%

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

$17.8M

125K claims · 10.8%

Your Cost: $142.12/claim|Median: $53.41
2.7× median
99213Top 5%

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

$15.7M

120K claims · 9.6%

Your Cost: $130.50/claim|Median: $37.81
3.5× median
99283Top 10%

Emergency dept visit, moderate complexity

$7.6M

49K claims · 4.6%

Your Cost: $153.58/claim|Median: $42.48
3.6× median
G0463Normal range

Hospital outpatient clinic visit

$6.5M

209K claims · 4.0%

Your Cost: $31.36/claim|Median: $26.41
1.2× median
99215Top 10%

Office/outpatient visit, high complexity

$5.5M

38K claims · 3.4%

Your Cost: $145.61/claim|Median: $74.09
2.0× median
99284Top 25%

Emergency dept visit, high complexity

$5.3M

34K claims · 3.2%

Your Cost: $153.69/claim|Median: $69.51
2.2× median
96361Top 5%

IV infusion, hydration, each additional hour

$5.1M

13K claims · 3.1%

Your Cost: $385.64/claim|Median: $38.92
9.9× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$4.6M

27K claims · 2.8%

Your Cost: $170.08/claim|Median: $85.65
2.0× median
99212Top 5%

Office/outpatient visit, low complexity

$4.5M

33K claims · 2.8%

Your Cost: $135.65/claim|Median: $25.06
5.4× median
96365Top 5%

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

$3.9M

17K claims · 2.4%

Your Cost: $233.91/claim|Median: $54.77
4.3× median
43239Top 5%

Upper GI endoscopy with biopsy

$3.4M

5K claims · 2.1%

Your Cost: $659.50/claim|Median: $151.68
4.3× median
45380Top 5%

Colonoscopy with biopsy

$3.3M

4K claims · 2.0%

Your Cost: $760.57/claim|Median: $200.68
3.8× median
G0378Normal range

Hospital observation service, per hour

$2.9M

26K claims · 1.8%

Your Cost: $111.08/claim|Median: $99.39
1.1× median
96413Top 10%

Chemotherapy administration, IV infusion, up to 1 hour

$2.8M

12K claims · 1.7%

Your Cost: $230.29/claim|Median: $75.28
3.1× median
99211Top 5%

Office/outpatient visit, minimal complexity

$2.5M

19K claims · 1.6%

Your Cost: $130.86/claim|Median: $12.93
10.1× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$2.1M

27K claims · 1.3%

Your Cost: $79.08/claim|Median: $47.08
1.7× median
99204Top 10%

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

$2.1M

13K claims · 1.3%

Your Cost: $158.15/claim|Median: $84.03
1.9× median
99203Top 5%

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

$2.0M

14K claims · 1.2%

Your Cost: $139.11/claim|Median: $57.85
2.4× median
U0003Normal range

Infectious disease detection (COVID-19)

$1.9M

30K claims · 1.2%

Your Cost: $64.32/claim|Median: $63.08
1.0× median
97110Top 25%

Therapeutic exercises, each 15 min

$1.5M

29K claims · 0.9%

Your Cost: $51.84/claim|Median: $24.49
2.1× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$1.4M

8K claims · 0.9%

Your Cost: $174.91/claim|Median: $54.68
3.2× median
70553Top 25%

MRI brain without contrast, then with contrast

$1.4M

5K claims · 0.8%

Your Cost: $301.53/claim|Median: $133.68
2.3× median
99282Top 25%

Emergency dept visit, low complexity

$1.3M

9K claims · 0.8%

Your Cost: $142.59/claim|Median: $37.72
3.8× median
45385Top 5%

Colonoscopy with polyp removal, snare technique

$1.3M

2K claims · 0.8%

Your Cost: $813.32/claim|Median: $255.17
3.2× median
59025Top 5%

Fetal non-stress test

$1.3M

5K claims · 0.8%

Your Cost: $256.59/claim|Median: $26.45
9.7× median
70450Top 25%

CT head/brain without contrast

$1.3M

11K claims · 0.8%

Your Cost: $123.48/claim|Median: $45.53
2.7× median
96415Top 10%

Chemotherapy infusion, each additional hour

$1.2M

3K claims · 0.7%

Your Cost: $435.52/claim|Median: $43.68
10.0× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$1.2M

21K claims · 0.7%

Your Cost: $56.19/claim|Median: $9.56
5.9× median
45378Top 5%

Colonoscopy, diagnostic

$1.0M

1K claims · 0.6%

Your Cost: $1,030.41/claim|Median: $225.49
4.6× median
96366Top 5%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$969K

3K claims · 0.6%

Your Cost: $310.26/claim|Median: $40.12
7.7× median

Other Top Providers in Massachusetts

View all →

Tempus Unlimited, Inc.

Voluntary or Charitable

$5.57B

Department of Developmental Services

Case Management

$1.35B

Commonwealth of Massachusets

Case Management

$1.14B

Commonwealth of Mass-dds

Case Management

$1.10B

Stavros Center for Independent Living Inc.

Case Management

$1.04B

Similar Providers

Other top providers in General Acute Care Hospital

Yale New Haven Hospital

New Haven, CT

$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

The Cleveland Clinic Foundation

Cleveland, OH

$863.5M

Nationwide Children's Hospital

Columbus, OH

$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

← All providersAll providers in Massachusetts →How we detect fraud →