Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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11104

Billing code 11104

HHS publishes no description for this code; it is likely a state-specific local code.

Medicaid paid $9.03M on code 11104 from 2018 through 2024, to 276 providers — the #2,099 code in the file by dollars.

28Total paid$9.03M
24GClaims82,461
Paid per claim line$109.54
33Providers billing it276
Box 32 · Location

Where 11104 is billed

  1. CACalifornia
    $1.6M
  2. OHOhio
    $1.4M
  3. MAMassachusetts
    $883K
  4. MIMichigan
    $675K
  5. NYNew York
    $597K
  6. CTConnecticut
    $532K
  7. PAPennsylvania
    $525K
  8. VAVirginia
    $467K
  9. WAWashington
    $436K
  10. WVWest Virginia
    $316K
  11. NJNew Jersey
    $186K
  12. TXTexas
    $184K

The largest of 39 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.

Ranked

Top providers billing 11104

#ProviderLocationClaimsPaid on 11104
1 The Cleveland Clinic Foundation Cleveland, OH 2,169 $1.05M
2 State of Connecticut Farmington, CT 2,656 $453K
3 Brigham & Womens Hospital, INC. Boston, MA 762 $375K
4 Temple University Hospital, INC Philadelphia, PA 1,460 $371K
5 Umass Memorial Medical Center, INC. Worcester, MA 863 $365K
6 The Metrohealth System Cleveland, OH 798 $345K
7 Bobby Buka, M.D., P.C. New York, NY 2,096 $280K
8 Rector & Visitors of the University of Virginia Charlottesville, VA 431 $269K
9 University of Washington Seattle, WA 935 $259K
10 Beckley Dermatology INC. Beckley, WV 4,114 $250K
11 Regents of the University of Michigan Ann Arbor, MI 1,480 $228K
12 LA Laser Center, PC, a Professional Medical Corporation San Clemente, CA 3,630 $228K
13 Lags Spine and Sportscare Medical Centers INC Santa Maria, CA 4,185 $227K
14 Pacific Skin Institute Sacramento, CA 3,340 $213K
15 Henry Ford Health System Detroit, MI 1,180 $187K
16 Derm One, PLLC Bluefield, VA 2,456 $180K
17 Advanced Dermatology Surgical and Medical Group INC. Lakewood, CA 2,647 $173K
18 North Pacific Dermatology a Medical Corporation Mckinleyville, CA 655 $124K
19 Direct Dermatology Professionals PC Manteca, CA 1,593 $112K
20 Boston Medical Center Corporation Boston, MA 276 $102K
21 Mcclerklin, Patricia Columbia, SC 1,267 $101K
22 Oasis Dermatology Group, PLLC Mcallen, TX 1,154 $94K
23 Pinnacle Dermatology, SC Joliet, IL 1,289 $92K
24 Temple Faculty Practice Plan INC Philadelphia, PA 1,458 $89K
25 Modern Dermatology of Kentucky LLC Lexington, KY 1,559 $76K
26 Atlantic Dermatology Associates, LLC West Paterson, NJ 1,284 $74K
27 Kittay, Stuart Danbury, CT 1,170 $73K
28 Mary Imogene Bassett Hospital Cooperstown, NY 134 $67K
29 California Dermatology Institute PC Thousand Oaks, CA 872 $66K
30 Derm Bar MD Holdings LLC Coral Gables, FL 1,549 $66K
31 Metro Dermatology of Ny,pc Flushing, NY 517 $63K
32 The New York and Presbyterian Hospital New York, NY 96 $63K
33 Unm Hospital Albuquerque, NM 418 $58K
34 Advanced Dermatology & Skin Cancer Specialists Temecula, CA 554 $58K
35 Kentucky Dermatology and Skin Cancer Clinic, PSC Lexington, KY 1,335 $54K
36 Burke Dermatology, PA Newark, DE 652 $52K
37 M. Elena Kendall MD PA Coral Gables, FL 1,588 $51K
38 Doctors Dermatology and Associates Edinburg, TX 617 $51K
39 Harborview Medical Center Seattle, WA 150 $49K
40 Foothill Dermatology Medical Center Glendora, CA 565 $49K
41 Wenatchee Valley Hospital Wenatchee, WA 143 $47K
42 Omni Dermatology Incorporated Glendale, AZ 501 $46K
43 Wallace Medical Group, INC Beverly Hills, CA 568 $42K
44 Dermatology & Cosmetic Center PLLC Flint, MI 565 $40K
45 Anthony Huynh Medical Group,inc El Centro, CA 530 $40K
46 Hayes B. Gladstone, MD, PC. Danville, CA 239 $39K
47 Jeffrey Rapaport,md,pa Englewood Cliffs, NJ 439 $39K
48 Regents of the University of Michigan Ann Arbor, MI 1,455 $38K
49 Forrest Kenton Busch, D.O. P.C. Dyersburg, TN 745 $38K
50 Public Hospital Dist No 1 Skagit Mount Vernon, WA 119 $36K
51 University Physician Group Detroit, MI 528 $36K
52 Froedtert Memorial Lutheran Hospital, INC. Milwaukee, WI 303 $34K
53 Compass Dermatopathology, INC. San Diego, CA 287 $34K
54 Dermatology Division University of Utah Medical Center Salt Lake City, UT 454 $33K
55 SVC Dermatology PC Fenton, MI 448 $32K
56 Derm Texas LLC Dallas, TX 322 $32K
57 Central Washington Health Services Association Wenatchee, WA 131 $32K
58 Medical Associates of Englewood, PC Englewood, NJ 589 $30K
59 Henry Ford Health System Detroit, MI 1,125 $30K
60 Dermatology & Skin Surgery Center Battle Creek, MI 412 $27K
61 The Milton S Hershey Medical Center Hershey, PA 117 $24K
62 Silver Falls Dermatology, LLC Salem, OR 350 $23K
63 Dermatology Office PC Poplar Bluff, MO 685 $23K
64 Pacific Dermatology Institute Corona, CA 221 $23K
65 Mountain State Medical Specialties, PLLC Bridgeport, WV 318 $22K
66 Leavitt Medical Associates of Florida INC Heathrow, FL 271 $22K
67 A Comprehensive Dermatology Center Troy, MI 317 $21K
68 Nicolaides, Alexander Astoria, NY 183 $21K
69 Sovereign Medical Group LLC Oradell, NJ 173 $21K
70 West Virginia University Hospitals, INC Morgantown, WV 136 $20K
71 E. M. Dimitri, D.O. PMC Slidell, LA 367 $19K
72 Ho, Christopher Los Angeles, CA 212 $18K
73 Richard Lee Averitte JR PLLC Scottsdale, AZ 179 $18K
74 El Segundo Dermatology, INC. El Segundo, CA 257 $17K
75 Beth Israel Deaconess Medical Center, INC. Boston, MA 28 $17K
76 Lsuhn Billing LLC Lafayette, LA 193 $17K
77 Island Dermatology, INC Newport Beach, CA 227 $16K
78 Panzer Dermatology Associates Newark, DE 361 $16K
79 Adena Health System Chillicothe, OH 48 $16K
80 DR Mathias Zemel, LLC Paterson, NJ 179 $16K
81 Upstate Dermatology, PC Castleton, NY 127 $15K
82 Advanced Dermatology of Pennsylvania, PC Philadelphia, PA 285 $14K
83 Dermdox Dermatology Centers PC Sugarloaf, PA 300 $14K
84 Dermatology Associates, P.C. Indianapolis, IN 163 $13K
85 Midwest Center for Dermatology & Pathology, PLLC Clinton Township, MI 184 $13K
86 United Health Services Hospitals, INC. Binghamton, NY 25 $12K
87 Lusher, Frank Mission Hills, CA 190 $12K
88 University Physicians & Surgeons, INC Huntington, WV 146 $12K
89 Mid-Florida Dermatology Associates P.A. Orlando, FL 187 $12K
90 West Virginia University Medical Corporation Morgantown, WV 358 $12K
91 Group Health Plan, INC. Minneapolis, MN 111 $12K
92 Ochsner Lsu Health Shreveport - ST. Mary Medical Center, LLC Shreveport, LA 99 $12K
93 James Armile D.O. INC Boardman, OH 231 $11K
94 Az Dermatology LLC Mesa, AZ 106 $11K
95 Crutchfield Dermatology, P.A. Eagan, MN 144 $11K
96 Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA 98 $11K
97 City Medical of Upper East Side, PLLC Huntington, NY 85 $11K
98 Park Nicollet Clinic St Louis Park, MN 118 $11K
99 All Wellness Medical Center LLC Bullhead City, AZ 111 $10K
100 Dermio Dermatology, LLC Munster, IN 137 $10K