Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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95816

Billing code 95816

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

Medicaid paid $101.72M on code 95816 from 2018 through 2024, to 1,839 providers — the #702 code in the file by dollars.

28Total paid$101.72M
24GClaims795,114
Paid per claim line$127.94
33Providers billing it1,839
Box 32 · Location

Where 95816 is billed

  1. $19M
  2. $11M
  3. $8.1M
  4. $7.9M
  5. $7.3M
  6. $6.6M
  7. $4.6M
  8. $4.1M
  9. $3.5M
  10. $2.9M
  11. $2.7M
  12. $2.3M

The largest of 53 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 95816

#ProviderLocationClaimsPaid on 95816
1 Rafael Villalobos MD PA Brownsville, TX 6,119 $1.77M
2 Shaun S. Varghese, M.D., PLLC Shenandoah, TX 5,536 $1.72M
3 Jose Serruya, M.D.P.C. Woodside, NY 3,627 $1.54M
4 University of Kentucky Lexington, KY 4,479 $1.43M
5 North Shore-Lij Medical PC Great Neck, NY 4,272 $1.43M
6 The Cooper Health System Camden, NJ 3,730 $1.39M
7 Mimbela, Rafael Brownsville, TX 4,054 $1.34M
8 Abc Neurology, P.L.L.C. Yuma, AZ 9,339 $1.30M
9 Ebadi, Sedigheh Orlando, FL 5,095 $1.25M
10 Janda, Mahajan & Balsiger PLLC Las Vegas, NV 12,032 $1.24M
11 Epilepsy & Neurophysiology Medical Consultants PA Hackensack, NJ 3,896 $1.21M
12 Leonardo Garcia M.D., PA Mcallen, TX 4,167 $1.18M
13 Prisma Health Medical Group-Midlands Columbia, SC 4,551 $1.14M
14 The Neurology Group INC Pomona, CA 4,205 $1.10M
15 Capernaum Medical Center for Kids PLLC Lakeland, FL 7,201 $1.09M
16 Eriver Neurology of New York. LLC Fishkill, NY 3,632 $1.07M
17 Associated Specialists, INC. Bridgeport, WV 6,484 $1.06M
18 Virginia Commonwealth University Health System Authority Richmond, VA 2,532 $923K
19 Phoenix Neurological Institute, INC Chandler, AZ 3,207 $909K
20 Mao, Yongming Edison, NJ 3,403 $822K
21 True North Medical Group PC Merrick, NY 1,825 $799K
22 Marton, Freddie Cedarhurst, NY 3,761 $782K
23 Ahmed, Zia Elmhurst, NY 3,016 $780K
24 Phoenix Neurology and Sleep Medicine PLLC Goodyear, AZ 3,117 $762K
25 HMH Hospitals Corporation Neptune, NJ 1,436 $744K
26 Phoenix Children's Hospital Phoenix, AZ 3,194 $737K
27 Arizona Neurology Associates PLLC Sun City, AZ 2,929 $719K
28 Bustamante, Martha Hialeah, FL 1,991 $717K
29 Vernier, Eric Tampa, FL 2,189 $691K
30 George Wang,md,llc Mesa, AZ 2,845 $658K
31 Kern County Neurological Medical Group, INC Bakersfield, CA 1,955 $654K
32 Variety Children's Hospital Miami, FL 2,216 $649K
33 Nyu Langone Hospitals New York, NY 1,980 $629K
34 Az Integrated Neuro Spine & Pain LLC Sun City, AZ 2,609 $626K
35 Advanced Neurology PC Brooklyn, NY 2,293 $617K
36 Bai, Chun Brooklyn, NY 2,847 $608K
37 Tri-County Community Clinic, LLC Portageville, MO 4,561 $561K
38 Glendale Neurological Associates P C Farmington Hills, MI 2,730 $555K
39 Neuroscience Consultants LLP Medley, FL 1,187 $550K
40 Complete Neurological Care PC Forest Hills, NY 2,295 $532K
41 Neuro Network Partners Miami, FL 1,662 $530K
42 Spectrum Health Hospitals Grand Rapids, MI 3,602 $528K
43 VHS Childrens Hospital of Michigan INC Detroit, MI 3,982 $509K
44 Teresella Gondolo, MDPC Jackson Heights, NY 2,624 $504K
45 Josephson Wallack Munshower Neurology PC Indianapolis, IN 4,874 $488K
46 Umass Memorial Medical Center, INC. Worcester, MA 2,200 $487K
47 Prentice Mitri & Hijazin Downey, CA 8,517 $484K
48 Boston Medical Center Corporation Boston, MA 1,586 $481K
49 State of Mississippi - University of Mississippi Medical Center Jackson, MS 5,359 $480K
50 Aguilar, Lorenzo Modesto, CA 3,696 $469K
51 Acevedo, Jose New York, NY 2,004 $459K
52 Community Care Physicians, PLLC Latham, NY 2,059 $451K
53 Childrens Hospital of Philadelphia Philadelphia, PA 3,281 $446K
54 Angels Neurological Centers PC Abington, MA 3,369 $438K
55 The Neuron Clinic GP Temecula, CA 1,110 $433K
56 Children's Hospital Washington, DC 1,037 $431K
57 Duran-Soriano, Maria Elmhurst, NY 1,160 $420K
58 Garrido, Jose Aibonito, PR 1,740 $394K
59 Medical University Hospital Authority Charleston, SC 1,899 $391K
60 Wilson C Sy MD PA Edinburg, TX 1,379 $389K
61 Children's Hospital Medical Center Cincinnati, OH 1,915 $379K
62 Privia Medical Group Arizona, LLC Phoenix, AZ 1,246 $378K
63 Neurology & Headache Clinic PLLC Charleston, WV 2,585 $374K
64 Childrens Hospital of the Kings Daughters INC Norfolk, VA 1,528 $369K
65 Subhash Shah MD PA Wichita, KS 3,249 $365K
66 Hon, Jade Yun New York, NY 1,520 $359K
67 Mir Neurology Center PA Hagerstown, MD 1,305 $351K
68 CMC Dept of Medicine Group PA Camden, NJ 2,167 $342K
69 Mcpherson Medical & Diagnostic, LLC Steele, MO 2,405 $336K
70 Vasconcellos, Elza Miami, FL 730 $335K
71 Rashmi Gupta MD PC Southfield, MI 1,658 $334K
72 Vanderbilt University Medical Center Nashville, TN 4,225 $330K
73 Daisy Borroto MD PA Miami, FL 1,631 $321K
74 Regents of the University of Michigan Ann Arbor, MI 2,227 $315K
75 Lee Memorial Health System Ft Myers, FL 2,031 $315K
76 Bridge Medical Consultants INC San Jose, CA 1,239 $312K
77 Children's Hospital of Wisconsin, INC. Milwaukee, WI 1,688 $310K
78 Islam, Mohammed Elmhurst, NY 1,201 $308K
79 Five Towns Neurology, PC Woodmere, NY 1,316 $306K
80 Ahmed, Omar New York, NY 4,493 $302K
81 Wemind Institute P.A, Miami, FL 724 $302K
82 M.A.Nayer, M.D.,P.C. Bullhead City, AZ 1,359 $301K
83 Providence Health & Services - Wa Spokane, WA 1,278 $293K
84 Pacifica Healthcare Providers LLC Las Vegas, NV 1,142 $289K
85 MH Mission Hospital, LLLP Asheville, NC 1,679 $289K
86 Neurology & Pain Medicine INC Florida City, FL 1,061 $287K
87 Norton Hospitals INC Louisville, KY 1,832 $284K
88 Neuro Care of Louisiana, LLC Covington, LA 2,605 $281K
89 Ayala, Ricardo Tallahassee, FL 514 $281K
90 Florida Pediatric Associates LLC St Petersburg, FL 802 $279K
91 University of South Alabama Mobile, AL 742 $276K
92 Morton I Hyson M D Prof Corp Las Vegas, NV 1,523 $275K
93 NY Medical Health Care Diagnostic, PC Brooklyn, NY 904 $270K
94 East County Neurology Associates, INC. La Mesa, CA 819 $270K
95 Child Neurology Center of Orlando, P.A. Orlando, FL 403 $267K
96 Montefiore Medical Center Bronx, NY 1,108 $265K
97 Tallahassee Neurological Clinic Tallahassee, FL 857 $264K
98 Mecklenburg Neurology Group Concord, NC 3,130 $263K
99 Morris Medical Office,pc Bronx, NY 858 $260K
100 Covenant Medical Center, INC. Saginaw, MI 2,437 $258K