Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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94004

Billing code 94004

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

Medicaid paid $14.07M on code 94004 from 2018 through 2024, to 44 providers — the #1,781 code in the file by dollars. 91% of it was billed in Pennsylvania.

28Total paid$14.07M
24GClaims158,655
Paid per claim line$88.65
33Providers billing it44
Box 32 · Location

Where 94004 is billed

  1. $13M
  2. $721K
  3. $122K
  4. $95K
  5. $84K
  6. $56K
  7. $54K
  8. $29K
  9. $24K
  10. $10K
  11. $7.3K
  12. $1.3K

The largest of 15 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 94004

#ProviderLocationClaimsPaid on 94004
1 Fox Subacute at Mechanicsburg, LLC Mechanicsburg, PA 19,304 $3.54M
2 Fox Subacute at South Philadelphia LLC Philadelphia, PA 16,552 $2.88M
3 Fox Subacute at Clara Burke Plymouth Meeting, PA 11,443 $2.52M
4 Fox Nursing Home Corp Warrington, PA 9,805 $1.36M
5 Tulip Special Care, LLC Philadelphia, PA 7,003 $1.34M
6 Montgomery SNF Operator LLC Plymouth Meeting, PA 6,242 $462K
7 Lifebridge Community Pulmonology, LLC Pikesville, MD 20,290 $455K
8 Pulmonary Medical Consultants INC Darby, PA 10,332 $336K
9 Plymouth Healthcare Associates, LLC Plymouth Meeting, PA 749 $310K
10 Pulmonary and Critical Care Associates of Baltimore, P.A. Towson, MD 6,855 $157K
11 Trudoc LLC Clifton, NJ 7,297 $122K
12 Thomas B Hazlehurst, M.D. Daly City, CA 11,038 $95K
13 Your Good Health, LLC East Ridge, TN 6,145 $80K
14 X-El Pulmonary Care Timonium, MD 4,723 $80K
15 Pike Medical Consultants PC Indianapolis, IN 2,540 $43K
16 125 Holly Road Operations LLC Hamburg, PA 25 $36K
17 Abdel-Hadi, Mazen Joliet, IL 4,572 $33K
18 NMS Wellness LLC Hyattsville, MD 1,363 $30K
19 Bristol Hospital Multi Specialty Group, INC Bristol, CT 4,430 $28K
20 Transitions Healthcare Washington PA, LLC Washington, PA 37 $22K
21 Grant, Robert Jupiter, FL 807 $21K
22 Brahmakulam, Francis Darby, PA 655 $20K
23 Conestoga View Nursing LP Lancaster, PA 41 $18K
24 Porter Physician Services LLC Valparaiso, IN 1,143 $12K
25 Pillai, Ajay Darby, PA 401 $11K
26 Capitol Care Medical Associates Washington, DC 610 $10K
27 Najjar, M Maher Northlake, IL 431 $8K
28 Medical Chest Associates PA Houston, TX 1,197 $7K
29 Montgomery County Pulmonary and Sleep Consultants PC East Norriton, PA 231 $7K
30 Geller, Steven Schaumburg, IL 213 $6K
31 MD Total Care, LLC Chattanooga, TN 397 $4K
32 Intensive Care Experts Health Network LLC Hallandale Beach, FL 109 $2K
33 Hanif, Nadeem Rockford, IL 210 $2K
34 Beard, Glenn Chicago, IL 98 $2K
35 Huang, Doris Chicago, IL 75 $2K
36 Aventura at Prospect, LLC Prospect Park, PA 50 $2K
37 Pueblo Pulmonary Associates Pueblo, CO 413 $1K
38 Inpatient Consultants of North Carolina, PC Charlotte, NC 202 $1K
39 Ahluwalia, Mukesh Mesa, AZ 43 $978.80
40 Casino, Joseph Stamford, CT 261 $821.09
41 Faibussowitsch, Ilja Chicago, IL 21 $636.93
42 Villegas-Garcia, Juan-Fernando Chicago, IL 29 $538.34
43 Pulmonary Physicians of South Florida LLC Miami, FL 134 $375.21
44 Sayegh, Osama Yonkers, NY 139 $0.00