Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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43259

Billing code 43259

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

Medicaid paid $1.60M on code 43259 from 2018 through 2024, to 54 providers — the #3,499 code in the file by dollars. 46% of it was billed in California.

28Total paid$1.60M
24GClaims7,089
Paid per claim line$225.84
33Providers billing it54
Box 32 · Location

Where 43259 is billed

  1. CACalifornia
    $729K
  2. CTConnecticut
    $382K
  3. NMNew Mexico
    $181K
  4. KYKentucky
    $66K
  5. MIMichigan
    $61K
  6. ALAlabama
    $47K
  7. NENebraska
    $37K
  8. WAWashington
    $25K
  9. NCNorth Carolina
    $16K
  10. AZArizona
    $14K
  11. MOMissouri
    $8.7K
  12. NYNew York
    $7.0K

The largest of 21 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 43259

#ProviderLocationClaimsPaid on 43259
1 University of California Irvine Orange, CA 1,532 $455K
2 Yale New Haven Hospital New Haven, CT 391 $292K
3 Unm Hospital Albuquerque, NM 288 $120K
4 Uc Regents Orange, CA 744 $105K
5 Hartford Hospital Hartford, CT 90 $88K
6 University of Kentucky Lexington, KY 102 $61K
7 Unm Medical Group INC Albuquerque, NM 446 $60K
8 Western Bariatric, a Medical Corporation San Bernardino, CA 261 $60K
9 Spectrum Health Primary Care Partners Grand Rapids, MI 383 $37K
10 Faith Regional Physician Services, LLC Norfolk, NE 96 $37K
11 Anniston Digestive Health PC Anniston, AL 406 $33K
12 Regents of the University of California San Diego, CA 212 $23K
13 Regents of the University of California San Diego, CA 204 $21K
14 Henry Ford Health System Detroit, MI 160 $15K
15 Sutter Bay Medical Foundation Sacramento, CA 104 $13K
16 Providence Health & Services Washington Spokane, WA 150 $13K
17 Dignity Health Medical Foundation Stockton, CA 69 $12K
18 Providence Health & Services - Wa Spokane, WA 44 $12K
19 Faculty Physicians and Surgeons of Llusm Loma Linda, CA 72 $11K
20 Cumberland County Hospital System INC Fayetteville, NC 151 $11K
21 Eloubeidi Gastroenterology and Associates INC Oxford, AL 125 $10K
22 Ies Medical Group, INC. San Francisco, CA 151 $10K
23 Faculty Physicians and Surgeons of Llusm Redlands, CA 66 $9K
24 Henry Ford Health System Detroit, MI 24 $9K
25 Boone Physician Services, LLC Columbia, MO 94 $9K
26 Banner - University Physician Specialists LLC Phoenix, AZ 35 $6K
27 Owensboro Health INC Owensboro, KY 30 $5K
28 Arizona Centers for Digestive Health LLC Gilbert, AZ 77 $5K
29 University Physician Associates of New Jersey INC Newark, NJ 25 $5K
30 Umass Memorial Medical Center, INC. Worcester, MA 16 $4K
31 The Health Care Authority of the City of Anniston Anniston, AL 27 $4K
32 Cumberland County Hospital System INC Fayetteville, NC 18 $4K
33 John Muir Physician Network Walnut Creek, CA 25 $4K
34 Adventist Health System-Sunbelt, INC Orlando, FL 138 $3K
35 Mount Carmel Health System Columbus, OH 15 $3K
36 Yuma Gastro LLC Yuma, AZ 15 $3K
37 North Shore-Lij Medical PC Great Neck, NY 12 $3K
38 Parkview Health System,inc. Fort Wayne, IN 26 $3K
39 New Orleans Physician Services INC Marrero, LA 40 $3K
40 Maimonides Medical Center - MMC Gastroenterology FPP Brooklyn, NY 12 $2K
41 Premier Gastroenterology of Texas PA Dallas, TX 15 $2K
42 Li, Jianjun Brooklyn, NY 12 $2K
43 Singh, Ajaypal Chicago, IL 17 $2K
44 Wilmington Gastroenterology Associates,pa Wilmington, NC 23 $2K
45 Ochsner Clinic LLC New Orleans, LA 12 $2K
46 Pacific Central Coast Health Centers San Luis Obispo, CA 13 $2K
47 Faculty Physicians and Surgeons of Llusm Loma Linda, CA 12 $1K
48 Yale University New Haven, CT 13 $1K
49 Adventist Health Physicians Network Bakersfield, CA 16 $1K
50 Franklin Medical Group, PC Waterbury, CT 13 $985.87
51 Sutter Bay Medical Foundation Orinda, CA 27 $558.30
52 Adventist Health Physicians Network Hanford, CA 12 $242.17
53 Community Foundation Medical Group Fresno, CA 16 $0.00
54 Prisma Health-Upstate Greenville, SC 12 $0.00