Providers
MICHAEL NATHAN BOGGS, M.D.
NPI 1891038824, individual, Wilton, NH, Psychiatry & Neurology, Psychiatry
5
Evidence tier
informational
- Medicaid dollars per patient on code 99214 ($141 per patient-month) sit in the top 5% of every provider billing that code.
score 35 of 100, rank 10075, $1.2M at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MICHAEL NATHAN BOGGS, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | March 27, 2013, last updated February 16, 2026 |
| Practice location | 192 WILSON RD, Wilton, NH 03086-5414, 978-254-1913 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 35.139038 OH) Psychiatry & Neurology, Psychiatry (2084P0800X, license 042.0013127 VT) Psychiatry & Neurology, Psychiatry (2084P0800X, license 18165 NH) Psychiatry & Neurology, Psychiatry (2084P0800X, license 285598 MA) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $1.5M | 58% | $141 | $60 (top 5% from $133) | 96th percentile | |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | $357K | 14% | $51 | $49 (top 5% from $109) | 53rd percentile | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $308K | 12% | $155 | $88 (top 5% from $210) | 86th percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $259K | 10% | $162 | $95 (top 5% from $171) | 93rd percentile | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $108K | 4% | $64 | $28 (top 5% from $147) | 86th percentile | |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $33K | 1% | $173 | $128 (top 5% from $249) | 74th percentile | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $13K | 0% | $59 | $67 (top 5% from $174) | 41st percentile | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $9K | 0% | $64 | $112 (top 5% from $313) | 23rd percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 385 | 65 | $54K | $185 | $178 | 1.0x | 2.4x (90th percentile 4.1x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 369 | 61 | $31K | $124 | $114 | 1.1x | 2.3x (90th percentile 3.8x) |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 148 | 33 | $6K | $59 | $58 | 1.0x | 2.1x (90th percentile 3.5x) |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 177 | 36 | $6K | $59 | $45 | 1.3x | 2.2x (90th percentile 3.8x) |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 21 | 21 | $3K | $235 | $216 | 1.1x | 2.6x (90th percentile 4.2x) |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 14 | 14 | $2K | $207 | $158 | 1.3x | 2.4x (90th percentile 3.9x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
2 providers in Hillsborough County, NH carry an indicator in the public record, with $33K at stake between them. The most common is part of a provider network, on 1 of them, followed by paid after a public list action on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | HANOVER HILL HEALTH CARE CENTER SERVICES INC. Manchester, NH, ranked 1669 | $689 |
|
| 5 | MANCHESTER UROLOGY ASSOCIATES PROFESSIONAL ASSOCIATION Manchester, NH, ranked 11824 | $33K |
Recent enforcement in NH
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJChargedJun 25, 2026
The District of New Hampshire and the New England Strike Force Charges Money Laundering Operation Tied to Nearly $3 Billion Dollar Health Care Fraud Scheme
Two alleged associates of a Transnational Criminal Organization were charged with conspiring to commit money laundering of proceeds from a nationwide scheme in which nearly $3 billion in fraudulent claims for durable medical equipment were submitted to Medicare using stolen identities of patients and doctors, with proceeds funneled through nominee-owned bank accounts to shell companies and overseas banks.
DOJChargedJun 23, 2026
Four Charged in New Hampshire as Part of National Health Care Fraud Takedown
Four defendants were charged in New Hampshire with fraudulent Medicare claims for durable medical equipment, money laundering of health care fraud proceeds, theft of a U.S. citizen's identity to obtain Medicare and Medicaid benefits, and a pharmacist's diversion of controlled substances.
DOJSentencedJan 28, 2026
Repeat Health Care Fraud Offender Sentenced for Defrauding New Hampshire Medicaid
Alonso, while on the HHS-OIG Exclusion List, provided psychotherapy services billed to New Hampshire Medicaid and caused claims to be submitted for counseling services not provided as represented, causing approximately $173,998 in payments.
DOJCivil settlementDec 10, 2025
Telehealth Company Agrees to Pay $300,000 to Resolve False Claims Act Allegations
LifeWorks Counseling Associates and its owner submitted claims and received reimbursement from Medicaid for services provided by Erik Alonso, who was excluded from federal health care programs at the time.
DOJPleaded guiltyOct 23, 2025
Repeat Offender Pleads Guilty to Health Care Fraud Scheme in New Hampshire
Alonso, an excluded psychotherapist, worked for a New Hampshire telehealth mental health provider and caused claims to be submitted to New Hampshire Medicaid for services he was barred from billing and for counseling services that were not provided as represented, causing payments of approximately $173,998.83.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.