Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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65426

Billing code 65426

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

Medicaid paid $702K on code 65426 from 2018 through 2024, to 27 providers — the #4,268 code in the file by dollars. 51% of it was billed in California.

28Total paid$702K
24GClaims1,169
Paid per claim line$600.78
33Providers billing it27
Box 32 · Location

Where 65426 is billed

  1. CACalifornia
    $362K
  2. NYNew York
    $153K
  3. NJNew Jersey
    $93K
  4. PRPuerto Rico
    $31K
  5. FLFlorida
    $28K
  6. MAMassachusetts
    $28K
  7. AZArizona
    $8.6K

The largest of 7 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 65426

#ProviderLocationClaimsPaid on 65426
1 River Drive Surgery Center, LLC Elmwood Park, NJ 198 $77K
2 Pacific Eye Institute, a Medical Group, INC. Upland, CA 83 $64K
3 New York Eye & Ear Infirmary New York City, NY 26 $62K
4 Empire Surgery Center Bakersfield, CA 65 $58K
5 Ace Eyecare INC Bakersfield, CA 103 $51K
6 Long Island Ambulatory Surgery Center, LLC Brentwood, NY 42 $44K
7 Bakersfield Eye Institute INC Bakersfield, CA 70 $41K
8 Magnolia Surgery Center Limited Partnership Westminster, CA 101 $39K
9 Bronx SC LLC Bronx, NY 30 $33K
10 Santa Lucia Surgical Center LLC Miami, FL 30 $28K
11 San Joaquin Laser and Surgery Center Stockton, CA 42 $25K
12 Massachusetts Eye and Ear Infirmary Boston, MA 12 $20K
13 California Retina Associates, LP Chula Vista, CA 53 $20K
14 Riverlakes Surgery Center LLC Bakersfield, CA 13 $19K
15 Vantage Surgery Center, L P Salinas, CA 15 $17K
16 Shervin Alborzain MD PC La Jolla, CA 39 $16K
17 Montalvo, Luis Arecibo, PR 39 $16K
18 Klein & Scannapiego, MD., PA Elizabeth, NJ 62 $16K
19 Ambulatory Surgery Center of Greater New York, LLC Bronx, NY 16 $14K
20 Tenet Healthsystem Desert INC. Palm Springs, CA 12 $10K
21 Clear Vision Ophthalmology PC Phoenix, AZ 16 $9K
22 Boston Medical Center Corporation Boston, MA 12 $7K
23 Martinez Lebron, Heriberto Guayama, PR 14 $6K
24 Centro Oftalmologico De Arecibo INC Arecibo, PR 28 $5K
25 Robles, Jorge Guayama, PR 21 $4K
26 Eduardo P Macias, MD, INC. Fontana, CA 14 $4K
27 Roberts, Bingjing New York, NY 13 $827.88