Home › Billing code 99204
99204
Doctor's office visit, new patient (more involved)
Official descriptor: Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity
Medicaid paid $2.98B on code 99204 from 2018 through 2024, to 42,686 providers — the #65 code in the file by dollars.
28Total paid$2.98B
24GClaims32,379,031
Paid per claim line$92.03
33Providers billing it42,686
Box 32 · Location
Where 99204 is billed
The largest of 54 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 99204
| # | Provider | Location | Claims | Paid on 99204 |
|---|---|---|---|---|
| 1 | City Medical of Upper East Side, PLLC | New York, NY | 262,867 | $29.09M |
| 2 | Fast Pace Medical Clinic PLLC | Spring Hill, TN | 230,143 | $16.84M |
| 3 | Montefiore Medical Center | Bronx, NY | 104,761 | $15.83M |
| 4 | North Shore-Lij Medical PC | Great Neck, NY | 88,048 | $15.26M |
| 5 | Nextcare Arizona LLC | Tempe, AZ | 141,986 | $14.61M |
| 6 | MNR Industries, LLC | Bel Air, MD | 88,457 | $10.40M |
| 7 | Boston Medical Center Corporation | Boston, MA | 82,693 | $10.02M |
| 8 | Vanderbilt University Medical Center | Nashville, TN | 69,326 | $9.15M |
| 9 | Lsu Health Sciences Center Shreveport Faculty Group Practice | Shreveport, LA | 72,032 | $8.98M |
| 10 | New York University | Boynton Beach, FL | 52,775 | $8.52M |
| 11 | Planned Parenthood/Orange and San Bernardino Counties, INC. | Orange, CA | 33,782 | $8.50M |
| 12 | West Virginia University Medical Corporation | Morgantown, WV | 91,946 | $8.44M |
| 13 | Bobby Buka, M.D., P.C. | New York, NY | 48,045 | $8.26M |
| 14 | Seattle Children's Hospital | Seattle, WA | 62,202 | $8.13M |
| 15 | Medstar Urgent Care LLC | Baltimore, MD | 72,101 | $7.87M |
| 16 | Fastmed Urgent Care PC | Raleigh, NC | 74,341 | $7.74M |
| 17 | Rural Urgent Care LLC | Centre, AL | 104,236 | $6.83M |
| 18 | Calcasieu Urgent Care LLC | Lake Charles, LA | 89,412 | $6.70M |
| 19 | University Physicians Incorporated | Aurora, CO | 48,965 | $6.67M |
| 20 | Community Care Health Network LLC | Nashville, TN | 60,416 | $6.61M |
| 21 | VHS Physicians of Michigan | Southfield, MI | 79,187 | $6.58M |
| 22 | Urgent Care Medical Associates, LLC | Brookfield, CT | 55,840 | $6.35M |
| 23 | Spectrum Health Primary Care Partners | Grand Rapids, MI | 73,169 | $6.20M |
| 24 | Optum Medical Care of New Jersey PC | Secaucus, NJ | 47,667 | $6.11M |
| 25 | Duke City Urgent Care | Albuquerque, NM | 45,509 | $6.01M |
| 26 | Wellstreet of Georgia PC | Newnan, GA | 50,055 | $5.90M |
| 27 | Fast Pace Mississippi, PLLC | Ripley, MS | 95,789 | $5.73M |
| 28 | Ent and Allergy Associates LLP | Tarrytown, NY | 29,911 | $5.61M |
| 29 | Urgent Care Nevada, LLC | Henderson, NV | 58,921 | $5.54M |
| 30 | Adventist Health System/Sunbelt, INC. | Maitland, FL | 46,106 | $5.52M |
| 31 | CG Medical Associates INC | Cincinnati, OH | 80,800 | $5.45M |
| 32 | CMC Dept of Medicine Group PA | Camden, NJ | 23,619 | $5.36M |
| 33 | Wellstreet Urgent Care of Michigan | West Bloomfield, MI | 44,018 | $5.22M |
| 34 | Wellnow Urgent Care, PC | Liverpool, NY | 38,635 | $5.17M |
| 35 | Emergency Physicians Urgent Care INC | Bakersfield, CA | 47,125 | $5.14M |
| 36 | Ochsner Clinic LLC | New Orleans, LA | 60,684 | $5.13M |
| 37 | Nicklaus Children's Pediatric Specialists, LLC | Miami, FL | 39,152 | $5.09M |
| 38 | Community Physicians of Indiana INC | Indianapolis, IN | 58,507 | $5.07M |
| 39 | William Beaumont Hospital | Royal Oak, MI | 58,527 | $4.98M |
| 40 | Our Lady of the Lake Physician Group LLC | Baton Rouge, LA | 63,657 | $4.90M |
| 41 | Presbyterian Healthcare Services | Albuquerque, NM | 36,845 | $4.88M |
| 42 | Ou Health Partners, INC | Oklahoma City, OK | 23,573 | $4.86M |
| 43 | Childrens Specialty Group PLLC | Norfolk, VA | 37,391 | $4.82M |
| 44 | Southern California Emergency Medicine | San Bernardino, CA | 67,683 | $4.74M |
| 45 | Rector & Visitors of the University of Virginia | Charlottesville, VA | 23,081 | $4.70M |
| 46 | Patient First Richmond Medical Group PLLC | Glen Allen, VA | 40,356 | $4.64M |
| 47 | Fast Pace Kentucky PLLC | Franklin, KY | 64,520 | $4.51M |
| 48 | San Bernardino Medical Orthopaedic Group, INC. | Redlands, CA | 30,427 | $4.45M |
| 49 | Hulin Urgent Care Services LLC | New Iberia, LA | 53,328 | $4.45M |
| 50 | Nemours Children's Health, Downtown Orlando, Specialty Care | Orlando, FL | 21,023 | $4.43M |
| 51 | Children's Urgent Care, LLC | Birmingham, AL | 53,038 | $4.40M |
| 52 | University Pediatric Associates, INC. | Indianapolis, IN | 29,619 | $4.39M |
| 53 | Trustees of Columbia University in the City of New York | New York, NY | 23,817 | $4.36M |
| 54 | Hometown Urgent Care of Michigan, P.C. | Huber Heights, OH | 55,210 | $4.35M |
| 55 | Park Nicollet Clinic | St Louis Park, MN | 45,848 | $4.33M |
| 56 | Modern Physician Services PC | Brooklyn, NY | 41,022 | $4.31M |
| 57 | California Urgent Care Center Professional Corporation | Stockton, CA | 54,994 | $4.25M |
| 58 | Ut Lebonheur Pediatric Specialists, INC. | Memphis, TN | 34,617 | $4.22M |
| 59 | The Nemours Foundation | Wilmington, DE | 32,846 | $4.10M |
| 60 | UCSF Medical Group Business Services | San Francisco, CA | 28,060 | $4.07M |
| 61 | Cooper Surgical Associates, PA | Camden, NJ | 16,150 | $4.05M |
| 62 | University Family Physicians, INC. | Indianapolis, IN | 27,055 | $3.98M |
| 63 | Board of Regents of the University of Oklahoma - Ou Physicians | Oklahoma City, OK | 18,730 | $3.78M |
| 64 | Cooper Pediatric Specialists, PC | Camden, NJ | 13,413 | $3.76M |
| 65 | Group Health Plan, INC. | Minneapolis, MN | 40,964 | $3.74M |
| 66 | Franciscan Medical Group | Tacoma, WA | 46,817 | $3.72M |
| 67 | Michigan Healthcare Professionals PC | Farmington Hills, MI | 40,096 | $3.72M |
| 68 | Ear Nose and Throat Associates of San Diego a Medical Corp | La Mesa, CA | 22,806 | $3.66M |
| 69 | Velocity Urgent Care, LLC | Williamsburg, VA | 35,450 | $3.51M |
| 70 | New York Network Ipa INC | Brooklyn, NY | 23,501 | $3.47M |
| 71 | Williams Medical Group Practice, LLC | Lawton, OK | 27,052 | $3.47M |
| 72 | University Physician Group | Detroit, MI | 39,486 | $3.46M |
| 73 | Louisiana State University School of Med in New Orleans Faculty Grou | New Orleans, LA | 26,119 | $3.44M |
| 74 | Convenient Care LLC | Baton Rouge, LA | 37,574 | $3.44M |
| 75 | Kevin J. Pelton MD, INC. | Los Angeles, CA | 32,473 | $3.41M |
| 76 | Nora Urgent Care LLC | Indianapolis, IN | 46,985 | $3.39M |
| 77 | Urgent Care at Children's, INC. | Brookhaven, GA | 21,434 | $3.36M |
| 78 | Beth Israel Medical Center | Brooklyn, NY | 21,542 | $3.35M |
| 79 | Practice Associates Medical Group | Morristown, NJ | 37,923 | $3.29M |
| 80 | Marque Medical Clinic, INC. | Newport Beach, CA | 43,491 | $3.28M |
| 81 | New York Queens Medicine and Surgery, P.C. | Fresh Meadows, NY | 17,951 | $3.28M |
| 82 | Medcare Express - North Charleston LLC | Charleston, SC | 29,987 | $3.26M |
| 83 | DR Douglas Mehaffie MD LLC | Gretna, LA | 39,696 | $3.25M |
| 84 | Nextcare New Mexico LLC | Albuquerque, NM | 22,733 | $3.24M |
| 85 | Advanced Urgent Care LLC | Brighton, CO | 26,010 | $3.23M |
| 86 | Orthovirginia, INC. | North Chesterfield, VA | 32,412 | $3.19M |
| 87 | Icco, LLC | Eugene, OR | 29,095 | $3.12M |
| 88 | PSF PLLC | Louisville, KY | 34,999 | $3.07M |
| 89 | Banner Physician Super Specialists Arizona LLC | Phoenix, AZ | 23,940 | $3.06M |
| 90 | Advanced Dermatology PC | New Hyde Park, NY | 20,338 | $3.04M |
| 91 | Crossroads Urgent Care PLLC | Murfreesboro, TN | 45,428 | $3.04M |
| 92 | Peachtree Immediate Care FP, LLC | Hiram, GA | 26,784 | $3.00M |
| 93 | Campbell Clinic, PC | Germantown, TN | 22,121 | $2.97M |
| 94 | C a H Managment Company, LLC | Knoxville, TN | 30,724 | $2.92M |
| 95 | Florida Hospital Medical Group INC | Orlando, FL | 18,823 | $2.88M |
| 96 | Lansing Urgent Care PLC | Lansing, MI | 31,063 | $2.86M |
| 97 | Bronson Methodist Hospital | Kalamazoo, MI | 35,689 | $2.86M |
| 98 | Cardiovascular Institute of San Diego INC | Chula Vista, CA | 22,126 | $2.85M |
| 99 | New York City Health and Hospitals Corporation | New York, NY | 17,927 | $2.77M |
| 100 | Florida Ent Associates, INC. | West Miami, FL | 20,818 | $2.76M |