Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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85396

Billing code 85396

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

Medicaid paid $190K on code 85396 from 2018 through 2024, to 27 providers — the #5,479 code in the file by dollars. 31% of it was billed in Ohio.

28Total paid$190K
24GClaims15,408
Paid per claim line$12.33
33Providers billing it27
Box 32 · Location

Where 85396 is billed

  1. OHOhio
    $58K
  2. GUGuam
    $55K
  3. MOMissouri
    $25K
  4. TXTexas
    $21K
  5. SCSouth Carolina
    $12K
  6. WIWisconsin
    $10K
  7. ARArkansas
    $3.8K
  8. CACalifornia
    $2.8K
  9. ILIllinois
    $1.1K
  10. FLFlorida
    $183
  11. PAPennsylvania
    $84
  12. MIMichigan
    $62

The largest of 13 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 85396

#ProviderLocationClaimsPaid on 85396
1 The Cleveland Clinic Foundation Cleveland, OH 5,469 $58K
2 Guam Healthcare Development Incorporated Dededo, GU 700 $55K
3 The Curators of the University of Missouri Columbia, MO 1,005 $25K
4 Texas Childrens Hospital Houston, TX 1,831 $14K
5 Medical University Hospital Authority Charleston, SC 141 $11K
6 Great Lakes Pathologists SC West Allis, WI 1,337 $10K
7 Propath Associates, PLLC Dallas, TX 486 $7K
8 University of Arkansas for Medical Sciences Little Rock, AR 1,333 $2K
9 University of Arkansas for Medical Sciences Little Rock, AR 525 $2K
10 Pathology Associates Clovis, CA 748 $1K
11 Prime Healthcare Services - ST Francis LLC Lynwood, CA 66 $1K
12 Spartanburg Medical Center Spartanburg, SC 813 $873.41
13 Perlman, Elizabeth Chicago, IL 77 $646.61
14 Cedars-Sinai Medical Care Foundation Los Angeles, CA 41 $368.55
15 Wojcik, Eva Maywood, IL 65 $270.29
16 Gong, Shunyou Chicago, IL 24 $162.63
17 Integrated Regional Laboratories Pathology Services, LLC Atlantis, FL 140 $140.44
18 El Paso County Hospital District El Paso, TX 23 $112.60
19 West Penn Allegheny Health System INC. Pittsburgh, PA 12 $83.55
20 Joint Venture Hospital Laboratories Allen Park, MI 12 $62.32
21 San Juan Regional Medical Center, INC. Farmington, NM 13 $49.13
22 Integrated Regional Laboratories Pathology Services, LLC Kissimmee, FL 23 $30.07
23 Central Florida Pathology Associates PA Orlando, FL 37 $12.50
24 VHS Childrens Hospital of Michigan INC Detroit, MI 227 $0.00
25 Seventh-Day Adventists Loma Linda University Medical Center Loma Linda, CA 12 $0.00
26 Hurley Medical Center Flint, MI 234 $0.00
27 Osceola Regional Hospital, INC. Kissimmee, FL 14 $0.00