Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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86580

Billing code 86580

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

Medicaid paid $15.20M on code 86580 from 2018 through 2024, to 3,932 providers — the #1,729 code in the file by dollars. 36% of it was billed in Alaska.

28Total paid$15.20M
24GClaims2,143,523
Paid per claim line$7.09
33Providers billing it3,932
Box 32 · Location

Where 86580 is billed

  1. $5.5M
  2. $2.7M
  3. $1.8M
  4. $622K
  5. $541K
  6. $431K
  7. $392K
  8. $357K
  9. $240K
  10. $228K
  11. $218K
  12. $209K

The largest of 51 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 86580

#ProviderLocationClaimsPaid on 86580
1 Yukon-Kuskokwim Health Corporation Bethel, AK 6,583 $3.73M
2 Yukon-Kuskokwim Health Corporation Bethel, AK 2,640 $983K
3 Yukon Kuskokwim Health Corporation Emmonak, AK 601 $301K
4 South Coast Pediatrics Santa Ana, CA 63,266 $286K
5 Patient First Richmond Medical Group PLLC Glen Allen, VA 7,404 $265K
6 Maniilaq Association Kotzebue, AK 395 $218K
7 Manhattan Pediatrics Associates New York, NY 17,812 $162K
8 Permanente Medical Group INC Stockton, CA 24,642 $98K
9 Yao, Qikai Elmhurst, NY 9,215 $96K
10 Nie, Guo Brooklyn, NY 9,564 $95K
11 Lew, Mark Brooklyn, NY 11,761 $94K
12 Minuteclinic LLC Rockville, MD 8,907 $88K
13 Minuteclinic Diagnostic of Virginia LLC Leesburg, VA 12,428 $88K
14 Yukon Kuskokwim Health Corporation Aniak, AK 274 $85K
15 Bronxcare Health System Bronx, NY 3,284 $77K
16 Southcentral Foundation Anchorage, AK 645 $77K
17 Pioneer Health Group LLC Louisa, KY 14,094 $70K
18 Briggs Family Pediatrics, PC Bronx, NY 9,690 $70K
19 Nyu Langone Hospitals Brooklyn, NY 3,235 $67K
20 Marc Roberts M.D. P.A. Newark, NJ 22,223 $62K
21 Valley Pediatric Health El Centro, CA 15,826 $57K
22 The Brookdale Hospital Medical Center Brooklyn, NY 2,026 $55K
23 Neopeds Medical Services Bronx, NY 5,452 $53K
24 Family Health Centers, INC. Louisville, KY 8,788 $51K
25 Kindcare Pediatric Center LLC Passaic, NJ 7,402 $50K
26 Yukon Kuskokwim Health Corporation Toksook Bay, AK 71 $50K
27 New Horizon Pediatric Care P.C. Southfield, MI 9,330 $49K
28 Linsangan, Ma Gladys Tumon, GU 4,089 $47K
29 The Metrohealth System Cleveland, OH 2,133 $46K
30 Ahmed, Zaheer Brooklyn, NY 6,206 $45K
31 Gupta, Indranil Astoria, NY 7,871 $45K
32 Mary Imogene Bassett Hospital Cooperstown, NY 3,003 $45K
33 Panjwani, Reshma Hempstead, NY 12,277 $45K
34 Ali M. Awada M.D. INC. Hawthorne, CA 13,519 $44K
35 Confederated Tribes of the Goshute Reservation Ibapah, UT 97 $43K
36 Cheng, Ye Brooklyn, NY 4,437 $41K
37 RBK Pediatrics PC Commack, NY 4,808 $41K
38 Karimi, Afsoon Darien, IL 8,164 $41K
39 Basel Khatib, M.D., P.C. Dearborn, MI 7,905 $40K
40 Wang, Zhao Brooklyn, NY 3,754 $40K
41 Aswad, Ghassan Chicago, IL 7,995 $39K
42 Raymonville Pediatrics Raymondville, TX 5,044 $38K
43 Maritza I. Irizarry MD INC Phoenix, AZ 5,597 $38K
44 Braverman, Juana Norcross, GA 4,737 $37K
45 Childrens Clinic LLC Metairie, LA 7,593 $36K
46 Minuteclinic Diagnostic of Ohio LLC Hilliard, OH 6,520 $35K
47 Garcia, Antonio Tamuning, GU 3,535 $35K
48 Passaic Pediatrics PA Passaic, NJ 4,694 $34K
49 Imperial Valley Family Care Medical Group Apc Imperial, CA 9,573 $34K
50 Flushing Hospital & Medical Center Flushing, NY 1,760 $34K
51 Plainfield Pediatrics PA Plainfield, NJ 7,724 $34K
52 Li Hong Pediatrics PLLC Brooklyn, NY 3,710 $33K
53 Norman, David Belleville, IL 6,963 $33K
54 Boston Children's Health Physicians, LLP Hawthorne, NY 3,037 $32K
55 Government of Guam Department of Administration Dededo, GU 2,854 $32K
56 Henry Ford Health System Detroit, MI 3,989 $32K
57 Wadsworth Medical, PC New York, NY 4,181 $31K
58 DR Mednik Medical Practice PC Jackson Heights, NY 5,152 $31K
59 Saint Peter's University Hospital New Brunswick, NJ 2,577 $31K
60 Action Transportation, INC. Schenectady, NY 3,949 $30K
61 Zambrano, Camilo Homestead, FL 8,590 $30K
62 1043389042 3,726 $30K
63 Prymed Medical Care, INC Ciales, PR 3,828 $30K
64 Doctors on Duty Medical Group, INC Salinas, CA 8,729 $30K
65 Everest Urgent Care Upper Darby, PA 642 $29K
66 Wallach, Nancy Richmond Hill, NY 3,496 $29K
67 Omni Family Health Bakersfield, CA 8,388 $28K
68 Jamaica Hospital Richmond Hill, NY 2,162 $28K
69 Yao, Tito Chicago, IL 5,737 $28K
70 Mark B. Lew, MD, LLC Brooklyn, NY 5,545 $28K
71 Quality Addiction Management INC Green Bay, WI 3,825 $28K
72 Manning Regional Healthcare Center Manning, IA 875 $27K
73 Andrews Adade MD, PC Stamford, CT 4,670 $27K
74 Schenectady Family Health Services, INC. Schenectady, NY 1,681 $27K
75 Southeast Alaska Regional Health Consortium Sitka, AK 95 $27K
76 Kids Care Pediatric Associates, PC Elmont, NY 3,875 $27K
77 Turning Point, INC. Paterson, NJ 6,623 $26K
78 Nie Medical Office PC Brooklyn, NY 3,262 $26K
79 Permanente Medical Group INC Richmond, CA 17,016 $26K
80 County of Macomb Mount Clemens, MI 4,816 $26K
81 Homestead Pediatric Associates, INC. Homestead, FL 10,408 $26K
82 Chinatown True Care Medical PLLC New York, NY 2,951 $25K
83 Yukon Kuskokwim Health Corporation Hooper Bay, AK 97 $25K
84 Optum Medical Care of New Jersey PC Secaucus, NJ 3,709 $25K
85 Hansuvadha, Kasemsant Oxnard, CA 6,061 $24K
86 Minuteclinic Diagnostic of Massachusetts LLC Medway, MA 3,902 $24K
87 Orange Medical Care PC Newburgh, NY 2,755 $24K
88 Domingo, Melchor Bronx, NY 2,919 $23K
89 Chinatown Global Pediatrics P.C. New York, NY 2,449 $23K
90 Community Pediatric Clinic, INC. Santa Fe Springs, CA 6,054 $23K
91 Brownsville Childrens Clinic P.A. Brownsville, TX 3,086 $22K
92 County of Sangamon Springfield, IL 4,649 $22K
93 Washington Park Pediatrics Newark, NJ 8,993 $22K
94 Boston Medical Center Corporation Boston, MA 2,542 $21K
95 Shukla, Manish Chicago, IL 4,287 $21K
96 Syracuse Community Health Center, INC. Syracuse, NY 1,182 $21K
97 Riverside Pediatrics Yonkers, NY 2,021 $21K
98 Minuteclinic Diagnostic of Michigan PC Northville, MI 3,662 $21K
99 Ahmed, Makin Collinsville, IL 4,617 $21K
100 County of ST Louis Division of Fiscal Management Saint Louis, MO 3,199 $21K