Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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85397

Billing code 85397

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

Medicaid paid $479K on code 85397 from 2018 through 2024, to 48 providers — the #4,628 code in the file by dollars. 27% of it was billed in Wisconsin.

28Total paid$479K
24GClaims21,672
Paid per claim line$22.10
33Providers billing it48
Box 32 · Location

Where 85397 is billed

  1. WIWisconsin
    $130K
  2. GAGeorgia
    $88K
  3. CACalifornia
    $84K
  4. MNMinnesota
    $48K
  5. OHOhio
    $27K
  6. TXTexas
    $21K
  7. NCNorth Carolina
    $18K
  8. MIMichigan
    $13K
  9. MSMississippi
    $10K
  10. MAMassachusetts
    $10K
  11. KYKentucky
    $7.9K
  12. ILIllinois
    $5.5K

The largest of 23 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 85397

#ProviderLocationClaimsPaid on 85397
1 Children's Hospital of Wisconsin, INC. Milwaukee, WI 4,175 $130K
2 Valley Children's Hospital Madera, CA 2,493 $61K
3 Mayo Collaborative Services, INC Rochester, MN 1,765 $45K
4 Scottish Rite Children's Medical Center Atlanta, GA 1,480 $42K
5 Arthur M. Blank Hospital, INC. Atlanta, GA 833 $23K
6 Egleston Children's Hospital at Emory University, INC. Atlanta, GA 774 $23K
7 Permanente Medical Group, INC. Richmond, CA 2,975 $20K
8 Laboratory Corporation of America Holdings Burlington, NC 1,358 $18K
9 Children's Health System of Texas Dallas, TX 56 $17K
10 Children's Hospital Medical Center of Akron Akron, OH 666 $16K
11 State of Mississippi - University of Mississippi Medical Center Jackson, MS 421 $10K
12 North Shore Medical Center, INC. Salem, MA 459 $9K
13 The Toledo Hospital Toledo, OH 598 $8K
14 Spectrum Health Hospitals Grand Rapids, MI 700 $7K
15 Norton Hospitals INC Louisville, KY 209 $5K
16 Quest Diagnostics LLC Il Wood Dale, IL 213 $5K
17 Regents of the University of Michigan Ann Arbor, MI 558 $5K
18 Texas Children's Hospital Houston, TX 38 $4K
19 Montefiore Medical Center Bronx, NY 236 $4K
20 Pathgroup Labs, LLC Nashville, TN 212 $4K
21 Mayo Clinic Rochester, MN 110 $3K
22 Norton Hospitals, INC Louisville, KY 111 $2K
23 Valley Children's Hospital Madera, CA 146 $2K
24 The Nemours Foundation Wilmington, DE 14 $2K
25 Children's Hospital Medical Center Cincinnati, OH 109 $2K
26 Medical University Hospital Authority Charleston, SC 25 $1K
27 The Children's Mercy Hospital Kansas City, MO 49 $1K
28 Albany Medical Center Hospital Albany, NY 64 $1K
29 Edward W Sparrow Hospital Association Lansing, MI 126 $1K
30 Joint Venture Hospital Laboratories Allen Park, MI 48 $1K
31 Baystate Medical Center INC Springfield, MA 52 $1K
32 Children's Hospital Colorado Aurora, CO 14 $1K
33 Upmc Children's Hospital of Pittsburgh Pittsburgh, PA 13 $778.41
34 Arthur G James Cancer Hospital and Research Institute Columbus, OH 14 $751.35
35 Mid America Clinical Laboratories, LLC Indianapolis, IN 53 $732.23
36 Yuma Regional Medical Center Yuma, AZ 12 $513.26
37 Stamford Hospital Stamford, CT 29 $394.38
38 Valley Children's Hospital Madera, CA 12 $337.83
39 Tarantino, Michael Peoria, IL 14 $259.28
40 Children's Hospital of Orange County Orange, CA 14 $208.70
41 High Desert Pathology Medical Group Victorville, CA 16 $182.62
42 Johns Hopkins All Children's Hospital, INC St Petersburg, FL 246 $154.07
43 Ashland Hospital Corporation Ashland, KY 12 $142.94
44 Orlando Health, INC. Orlando, FL 41 $39.84
45 Laboratory Corporation of America Holdings Burlington, NC 56 $0.00
46 Nationwide Children's Hospital Columbus, OH 13 $0.00
47 Shands Teaching Hospital and Clinics INC Gainesville, FL 28 $0.00
48 Permanente Medical Group INC Vallejo, CA 12 $0.00