Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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42821

Billing code 42821

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

Medicaid paid $2.73M on code 42821 from 2018 through 2024, to 46 providers — the #3,028 code in the file by dollars. 38% of it was billed in Ohio.

28Total paid$2.73M
24GClaims2,603
Paid per claim line$1K
33Providers billing it46
Box 32 · Location

Where 42821 is billed

  1. $1.0M
  2. $559K
  3. $288K
  4. $227K
  5. $155K
  6. $107K
  7. $103K
  8. $45K
  9. $38K
  10. $35K
  11. $30K
  12. $22K

The largest of 19 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 42821

#ProviderLocationClaimsPaid on 42821
1 Children's Hospital Medical Center Cincinnati, OH 296 $414K
2 Phoenix Children's Hospital Phoenix, AZ 175 $375K
3 Nationwide Children's Hospital Columbus, OH 232 $285K
4 Dayton Children's Hospital Dayton, OH 154 $255K
5 State of Mississippi - University of Mississippi Medical Center Jackson, MS 108 $193K
6 VHS Childrens Hospital of Michigan INC Detroit, MI 104 $162K
7 ST. Joseph's Outpatient Surgery Center, LLC Phoenix, AZ 311 $157K
8 Multicare Health System Tacoma, WA 64 $109K
9 Scottish Rite Children's Medical Center Atlanta, GA 76 $103K
10 University of Kentucky Lexington, KY 58 $94K
11 Children's Hospital Medical Center of Akron Akron, OH 41 $88K
12 North Mississippi Ambulatory Surgery Center LLC Tupelo, MS 120 $87K
13 Arkansas Childrens Hospital Little Rock, AR 81 $38K
14 Spectrum Health Hospitals Grand Rapids, MI 25 $34K
15 VHS Physicians of Michigan Southfield, MI 173 $29K
16 Columbia Surgical Specialists, PS Spokane, WA 81 $27K
17 Texas Health Huguley, INC. Burleson, TX 12 $27K
18 Ou Medicine INC. Oklahoma City, OK 12 $23K
19 Yale New Haven Hospital New Haven, CT 18 $22K
20 ST Lukes Regional Medical Center Boise, ID 12 $21K
21 Children's Hospital of Wisconsin, INC. Milwaukee, WI 26 $20K
22 Peacehealth Vancouver, WA 13 $19K
23 Surgery Center of Peoria, LLC Peoria, AZ 27 $15K
24 Miami Children's Hospital Ambulatory Surgery Center, LLC Miami, FL 15 $15K
25 Pediatric Surgery Center -Odessa, LLC Odessa, FL 12 $12K
26 Pikeville Medical Center INC Pikeville, KY 16 $10K
27 Stillwater Medical Center Authority Stillwater, OK 13 $10K
28 Charleston Ent Associates, LLC Charleston, SC 25 $10K
29 Surgical Elite of Avondale, LLC Avondale, AZ 15 $8K
30 Lowery A. Woodall Outpatient Surgery Facility, LLC Hattiesburg, MS 17 $8K
31 Southern Baptist Hospital of Florida INC Jacksonville, FL 30 $8K
32 Viewmont Surgery Center, LLC Hickory, NC 12 $7K
33 Osu Center for Health Sciences Stillwater, OK 12 $6K
34 Board of Regents of the University of Oklahoma - Ou Physicians Oklahoma City, OK 12 $6K
35 Valley Children's Medical Group Modesto, CA 29 $4K
36 Tennessee Ear, Nose & Throat Consultants, PC Knoxville, TN 14 $4K
37 Biltmore Ear Nose and Throat, PC Phoenix, AZ 16 $3K
38 Allergy Ear Nose & Throat Associates of Texas Burleson, TX 12 $3K
39 Pikeville Medical Center INC. Pikeville, KY 16 $3K
40 Hebert Medical Group, Apmc Eunice, LA 28 $3K
41 Ear Nose and Throat Consultants PC Southfield, MI 12 $2K
42 Otolaryngology Consultants of Memphis, P.C. Memphis, TN 12 $2K
43 Loma Linda University Children's Hospital Loma Linda, CA 12 $972.00
44 Valley Children's Hospital Madera, CA 14 $934.39
45 Hanford Community Hospital Hanford, CA 15 $493.74
46 Prisma Health-Upstate Greenville, SC 25 $0.00