Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › Billing code 99205

99205

Prolong outpt/office vis

Medicaid paid $498.86M on code 99205 from 2018 through 2024, to 10,992 providers — the #284 code in the file by dollars. 26% of it was billed in California.

28Total paid$498.86M
24GClaims3,665,382
Paid per claim line$136.10
33Providers billing it10,992
Box 32 · Location

Where 99205 is billed

  1. CACalifornia
    $132M
  2. NYNew York
    $38M
  3. MIMichigan
    $34M
  4. MDMaryland
    $21M
  5. NJNew Jersey
    $17M
  6. OHOhio
    $17M
  7. MAMassachusetts
    $15M
  8. FLFlorida
    $14M
  9. LALouisiana
    $13M
  10. AZArizona
    $13M
  11. PAPennsylvania
    $13M
  12. MNMinnesota
    $13M

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 99205

#ProviderLocationClaimsPaid on 99205
1 Inland Empire Autism Spectrum Disorder Assessment Center of Excellence San Bernardino, CA 7,384 $18.58M
2 Los Angeles County Department of Mental Health Los Angeles, CA 4,282 $5.34M
3 Children's Specialized Hospital New Brunswick, NJ 10,430 $4.84M
4 University of Pittsburgh Physicians Pittsburgh, PA 19,004 $4.50M
5 County of Riverside Riverside, CA 2,610 $4.29M
6 Boston Medical Center Corporation Boston, MA 28,908 $3.86M
7 Tobias Moeller-Bertram, MD Corporation Desert Clinic Pain Institute Rancho Mirage, CA 8,191 $3.58M
8 Arkansas Department of Health STD Little Rock, AR 25,553 $2.71M
9 William Beaumont Hospital Royal Oak, MI 24,474 $2.59M
10 Spectrum Health Primary Care Partners Grand Rapids, MI 23,085 $2.49M
11 Cooper Pediatric Specialists, PC Camden, NJ 6,157 $2.39M
12 North Shore-Lij Medical PC Great Neck, NY 10,671 $2.18M
13 Ideal Option, PLLC Pasco, WA 12,754 $2.12M
14 Park Nicollet Clinic St Louis Park, MN 16,777 $1.98M
15 The Nemours Foundation Wilmington, DE 12,777 $1.92M
16 Montefiore Medical Center Bronx, NY 10,372 $1.85M
17 University Physicians Incorporated Aurora, CO 10,860 $1.81M
18 Presbyterian Healthcare Services Albuquerque, NM 9,701 $1.77M
19 University Pediatric Associates, INC. Indianapolis, IN 9,129 $1.72M
20 University of Arkansas for Medical Sciences Little Rock, AR 14,533 $1.66M
21 Vanderbilt University Medical Center Nashville, TN 10,430 $1.61M
22 West Virginia University Medical Corporation Morgantown, WV 13,384 $1.58M
23 Northeast Health Services, LLC Taunton, MA 7,544 $1.43M
24 University of Alabama at Birmingham Birmingham, AL 1,545 $1.40M
25 BK Behavioral Health Center Laurel, MD 6,240 $1.38M
26 Michigan Healthcare Professionals PC Farmington Hills, MI 11,992 $1.38M
27 Boston Children's Health Physicians, LLP Hawthorne, NY 4,870 $1.32M
28 Sasaki Medical LLC Roseville, MN 7,664 $1.31M
29 Kelly, John Los Angeles, CA 3,503 $1.24M
30 Brightview, LLC Cincinnati, OH 6,093 $1.18M
31 County of Los Angeles Los Angeles, CA 10,957 $1.17M
32 Our Lady of the Lake Physician Group LLC Baton Rouge, LA 11,940 $1.15M
33 Mayo Clinic Rochester, MN 10,591 $1.13M
34 County of Stanislaus Modesto, CA 821 $1.13M
35 University Physician Group Detroit, MI 10,296 $1.12M
36 Linq Care INC Naperville, IL 7,133 $1.12M
37 UCSF Medical Group Business Services San Francisco, CA 5,910 $1.12M
38 New York University Boynton Beach, FL 6,037 $1.11M
39 New York City Health and Hospitals Corporation Brooklyn, NY 5,194 $1.10M
40 Group Health Plan, INC. Minneapolis, MN 10,218 $1.08M
41 The New York and Presbyterian Hospital New York, NY 5,373 $1.07M
42 The Brooklyn Hospital Center Brooklyn, NY 7,655 $1.07M
43 The Neurology Group INC Pomona, CA 6,126 $1.07M
44 The General Hospital Corporation Boston, MA 8,052 $1.05M
45 Neurological Institute of Los Angeles Beverly Hills, CA 6,952 $1.03M
46 County of Ventura Oxnard, CA 806 $1.02M
47 Liberty House Salem, OR 599 $1.01M
48 University Professional Services Portland, OR 6,705 $963K
49 Dana-Farber Cancer Institute, INC. Boston, MA 3,938 $954K
50 Community Care Physicians, PLLC Latham, NY 5,250 $943K
51 Mount Sinai Hospital New York, NY 5,663 $937K
52 University Pediatricians Detroit, MI 9,464 $933K
53 Maimonides Medical Center Brooklyn, NY 4,518 $915K
54 New York City Health and Hospitals Corporation New York, NY 4,561 $894K
55 New York City Health and Hospitals Corporation New York, NY 4,654 $879K
56 Rhode Island Hospital Providence, RI 3,752 $863K
57 Coleman Professional Services, INC. Kent, OH 4,383 $861K
58 New York City Health and Hospitals Corporation New York, NY 4,642 $837K
59 Ally Health Nursing and Medical Services INC Landover, MD 3,497 $835K
60 Bronson Methodist Hospital Kalamazoo, MI 8,168 $832K
61 Scottsdale Physicians Group PLC Scottsdale, AZ 3,496 $813K
62 Dankner Eye Associates P a Baltimore, MD 4,562 $807K
63 Medstar Washington Hospital Center Washington, DC 4,299 $805K
64 Providence Health & Services Washington Spokane, WA 5,068 $792K
65 Phoenix Group Home LLC Portsmouth, OH 3,745 $785K
66 State University of Iowa Iowa City, IA 5,842 $782K
67 The Neuron Clinic GP Temecula, CA 3,707 $781K
68 Arizona Arthritis & Rheumatology Associates P C Phoenix, AZ 6,590 $779K
69 Board of Regents of the University of Oklahoma - Ou Physicians Oklahoma City, OK 2,935 $771K
70 Fairview Express Care Saint Paul, MN 6,924 $770K
71 Riverside Neurology INC Riverside, CA 5,122 $762K
72 Texas Children's Physician Group Houston, TX 5,808 $761K
73 Trustees of Columbia University in the City of New York New York, NY 3,131 $753K
74 New York City Health and Hospitals Corporation Bronx, NY 3,865 $750K
75 Henry Ford Health System Detroit, MI 7,364 $743K
76 Los Angeles County Department of Mental Health Gardena, CA 498 $741K
77 Homan A. Zadeh, M.D., M.P.H., INC. Palm Springs, CA 3,365 $732K
78 Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA 4,375 $727K
79 Osu Center for Health Sciences Tulsa, OK 2,475 $717K
80 Stonewood Hills Oral Maxillofacial Surgery, INC. Broken Arrow, OK 3,692 $717K
81 Las Cruces Physician Practices, LLC Las Cruces, NM 3,729 $714K
82 Alnabelsi, Mohamad Rancho Mirage, CA 2,601 $713K
83 Nemours Children's Health, Downtown Orlando, Specialty Care Orlando, FL 2,780 $710K
84 Los Angeles County Department of Mental Health Los Angeles, CA 418 $704K
85 Los Angeles County Department of Mental Health Los Angeles, CA 539 $702K
86 Florida Hospital Medical Group INC Orlando, FL 4,185 $701K
87 Yadegar, Sasan Inglewood, CA 3,403 $696K
88 Beth Israel Medical Center Brooklyn, NY 4,119 $695K
89 Humboldt County Behavioral Health Eureka, CA 486 $691K
90 Capernaum Medical Center for Kids PLLC Lakeland, FL 8,174 $684K
91 County of Madera Madera, CA 464 $682K
92 Mid Atlantic Pemanente Medical Group Rockville, MD 2,890 $681K
93 Mario Carcamo MD INC Riverside, CA 3,601 $681K
94 Tufts Medical Center, INC. Boston, MA 4,439 $679K
95 New York City Health and Hospitals Corporation Bronx, NY 3,475 $674K
96 Coda, INC. Portland, OR 2,893 $669K
97 Children's Hospital Washington, DC 4,241 $668K
98 New Jersey Pediatric Neuroscience Institute, LLC Morristown, NJ 1,784 $665K
99 Elevate Recovery Centers LLC Glen Burnie, MD 2,958 $664K
100 Los Angeles County Department of Mental Health Chatsworth, CA 402 $662K