Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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43242

Billing code 43242

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

Medicaid paid $61K on code 43242 from 2018 through 2024, to 9 providers — the #6,498 code in the file by dollars. 28% of it was billed in Michigan.

28Total paid$61K
24GClaims258
Paid per claim line$234.58
33Providers billing it9
Box 32 · Location

Where 43242 is billed

  1. $17K
  2. $13K
  3. $12K
  4. $9.6K
  5. $5.4K
  6. $3.0K

The largest of 6 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 43242

#ProviderLocationClaimsPaid on 43242
1 Maimonides Medical Center Brooklyn, NY 12 $13K
2 Digestive Associates LLP North Las Vegas, NV 98 $12K
3 Spectrum Health Hospitals Grand Rapids, MI 14 $12K
4 University of California Irvine Orange, CA 27 $6K
5 Providence Health & Services - Wa Spokane, WA 14 $5K
6 Spectrum Health Primary Care Partners Grand Rapids, MI 42 $5K
7 Uc Regents Orange, CA 13 $4K
8 Cumberland County Hospital System INC Fayetteville, NC 26 $3K
9 Hussain, Syed Flushing, NY 12 $731.75