Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › Billing code 99211

99211

Office or other outpatient visit for the evaluation and management of an established patient, minimal severity

Medicaid paid $1.73B on code 99211 from 2018 through 2024, to 20,174 providers — the #114 code in the file by dollars.

28Total paid$1.73B
24GClaims44,127,221
Paid per claim line$39.24
33Providers billing it20,174
Box 32 · Location

Where 99211 is billed

  1. $307M
  2. $176M
  3. $159M
  4. $134M
  5. $108M
  6. $93M
  7. $81M
  8. $78M
  9. $56M
  10. $53M
  11. $44M
  12. $43M

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 99211

#ProviderLocationClaimsPaid on 99211
1 DHHS Ihs Phoenix Area Whiteriver, AZ 163,967 $89.18M
2 Alaska Native Tribal Health Consortium Anchorage, AK 256,406 $73.54M
3 Baystate Medical Center INC Springfield, MA 495,590 $72.38M
4 DHHS, PHS, Naihs, Shiprock Hospital Shiprock, NM 144,914 $71.15M
5 The General Hospital Corporation Boston, MA 458,423 $52.16M
6 Brigham & Womens Hospital, INC. Boston, MA 372,174 $47.32M
7 Nyu Langone Hospitals Brooklyn, NY 488,964 $45.85M
8 Cherokee Indian Hospital Authority Cherokee, NC 88,881 $42.44M
9 New York Network Ipa INC Brooklyn, NY 1,427,961 $34.73M
10 University of Cincinnati Medical Center, LLC Cincinnati, OH 263,113 $26.05M
11 DHHS Ihs Phoenix Area Polacca, AZ 55,835 $25.62M
12 Yuma Regional Medical Center Yuma, AZ 390,685 $25.35M
13 Anadarko Indian Health Center Anadarko, OK 34,227 $19.83M
14 Froedtert Memorial Lutheran Hospital, INC. Milwaukee, WI 244,360 $17.36M
15 Martha's Vineyard Hospital, INC. Oak Bluffs, MA 51,754 $16.61M
16 Ohio State University Hospitals Columbus, OH 153,205 $16.61M
17 Brockton Hospital, INC. Brockton, MA 105,443 $15.48M
18 Medical University Hospital Authority Charleston, SC 233,261 $15.46M
19 Beth Israel Deaconess Medical Center, INC. Boston, MA 97,649 $14.10M
20 University of Kentucky Lexington, KY 267,242 $13.59M
21 Kent County Memorial Hospital Warwick, RI 67,320 $11.83M
22 Children's Health System of Texas Dallas, TX 193,728 $11.16M
23 Boston Medical Center Corporation Boston, MA 83,404 $10.06M
24 Umass Memorial Medical Center, INC. Worcester, MA 67,301 $9.49M
25 Galion Community Hospital Galion, OH 114,637 $9.38M
26 Public Health Trust of Miami Dade County Florida Miami, FL 103,557 $8.87M
27 Cook Children's Medical Center Fort Worth, TX 181,005 $8.38M
28 The Good Samaritan Hospital of Cincinnati, Ohio Cincinnati, OH 72,325 $8.16M
29 Aurora Health Care Metro, INC. Milwaukee, WI 127,585 $7.91M
30 Rector & Visitors of the University of Virginia Charlottesville, VA 37,717 $7.62M
31 Porter-Starke Services INC Valparaiso, IN 64,380 $7.51M
32 Crown Heights Medical, P.C. Monsey, NY 524,120 $7.16M
33 Community Urgent Care PC Brooklyn, NY 102,262 $6.50M
34 Steward ST. Annes Hospital Corporation Fall River, MA 46,047 $6.43M
35 Childrens Hospital of the Kings Daughters INC Norfolk, VA 29,828 $6.42M
36 PHS Indian Hospital Red Lake, MN 17,108 $6.07M
37 Mississippi Band of Choctaw Indians Choctaw, MS 11,627 $5.58M
38 Arctic Slope Native Association LTD Barrow, AK 19,144 $5.58M
39 Citizen Advocates, INC Malone, NY 54,674 $5.57M
40 Minuteclinic LLC Rockville, MD 352,161 $5.52M
41 Children's Hospital of Wisconsin, INC. Milwaukee, WI 38,930 $5.41M
42 Pioneer Health Group LLC Louisa, KY 386,424 $5.12M
43 Avita Ontario Hospital Ontario, OH 62,023 $5.05M
44 Cumberland Family Medical Center INC Burkesville, KY 378,942 $5.04M
45 Cambridge Public Health Commission Cambridge, MA 51,571 $4.82M
46 Wellspan Medical Group York, PA 70,684 $4.80M
47 Valley Children's Hospital Madera, CA 80,185 $4.76M
48 Lahey Clinic Hospital, INC. Burlington, MA 30,133 $4.66M
49 Baystate Wing Hospital Corporation Palmer, MA 29,402 $4.53M
50 Licking Memorial Hospital Newark, OH 37,002 $4.51M
51 Maniilaq Association Kotzebue, AK 21,748 $4.17M
52 Driscoll Childrens Hospital Corpus Christi, TX 34,183 $4.16M
53 Addiction Medical Facility, LLC Seaford, DE 178,901 $3.92M
54 Ascension Se Wisconsin Hospital, INC Milwaukee, WI 57,437 $3.88M
55 Children's Service Center Wilkes Barre, PA 45,855 $3.84M
56 Essen Medical Urgicare, PLLC Bronx, NY 42,711 $3.83M
57 Minuteclinic Diagnostic of New Jersey LLC Sewell, NJ 147,780 $3.83M
58 Teladoc Health Medical Group, P.A. Lewisville, TX 93,881 $3.81M
59 Gila River Health Care Corporation Sacaton, AZ 47,056 $3.54M
60 T J Samson Community Hospital Glasgow, KY 85,564 $3.49M
61 San Carlos Apache Healthcare Corporation Peridot, AZ 33,970 $3.45M
62 Health Care for the Homeless, INC Baltimore, MD 22,361 $3.44M
63 Fond Du Lac Reservation Business Committee Cloquet, MN 8,021 $3.42M
64 Hsp40248f Salinas, CA 92,058 $3.29M
65 Children's Hospital New Orleans, LA 107,167 $3.17M
66 West Chester Hospital LLC West Chester, OH 33,334 $3.15M
67 Safe Harbor Behavioral Health of Upmc Hamot Erie, PA 27,441 $3.08M
68 Josef Schenker MD PC Middle Village, NY 35,578 $3.05M
69 White Earth Indian Health Center Ogema, MN 7,169 $3.01M
70 Codman Square Health Center Dorchester Center, MA 41,006 $3.00M
71 Freedom Healthcare Services Bridgeville, PA 33,437 $2.95M
72 Clarke County Public Hospital Osceola, IA 10,030 $2.88M
73 Baycare Aurora, LLC Green Bay, WI 54,342 $2.88M
74 Banner Urgent Care Services, LLC Scottsdale, AZ 36,990 $2.87M
75 Have Doctor Will Travel Medical PC Brooklyn, NY 610,825 $2.87M
76 VHS Acquisition Subsidiary Number 9 INC Framingham, MA 22,827 $2.84M
77 Baystate Franklin Medical Center Greenfield, MA 18,831 $2.84M
78 Wellnow Urgent Care, PC Liverpool, NY 126,405 $2.82M
79 Sheth, Nitin Lewistown, PA 34,242 $2.80M
80 Southeast Alaska Regional Health Consortium Sitka, AK 11,115 $2.71M
81 Nulton Diagnostic & Treatment Center, PC Johnstown, PA 46,084 $2.70M
82 Christus Santa Rosa Health Care Corporation San Antonio, TX 102,964 $2.70M
83 Eagle Butte Indian Health Service Hospital Eagle Butte, SD 4,957 $2.69M
84 Stanford Health Care Stanford, CA 67,625 $2.67M
85 Chemawa Indian Health Center DHHS Ihs Western Oregon Serv Unit Salem, OR 4,702 $2.65M
86 Stellar Medical Services, LLC Chattanooga, TN 207,780 $2.62M
87 Tufts Medical Center, INC. Boston, MA 19,482 $2.55M
88 State of Mississippi - University of Mississippi Medical Center Jackson, MS 320,888 $2.55M
89 University Hospital & Clinics, INC. Lafayette, LA 99,684 $2.53M
90 Our Lady of the Lake Hospital INC. Baton Rouge, LA 102,609 $2.53M
91 Confederated Tribes of the Warm Springs Reservation of Oregon Warm Springs, OR 4,969 $2.52M
92 CRC Recovery, INC. Cedar Rapids, IA 222,439 $2.49M
93 Saint Peter's University Hospital New Brunswick, NJ 58,747 $2.49M
94 Medical Associates of Ebnhc East Boston, MA 38,891 $2.44M
95 Crossroads Treatment Center of Danville, PC Danville, VA 188,382 $2.42M
96 The Lowell General Hospital Lowell, MA 17,679 $2.41M
97 Brar, Harbinder Riverside, CA 207,726 $2.40M
98 Montefiore Medical Center Bronx, NY 46,303 $2.36M
99 New York City Health and Hospitals Corporation Brooklyn, NY 130,364 $2.35M
100 Cen Clear Child Services, INC. Philipsburg, PA 36,830 $2.35M