Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › Billing code 99214

99214

Doctor's office visit, returning patient (more involved)

Official descriptor: Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity

Medicaid paid $29.91B on code 99214 from 2018 through 2024, to 150,306 providers — the #6 code in the file by dollars.

28Total paid$29.91B
24GClaims502,480,931
Paid per claim line$59.53
33Providers billing it150,306
Box 32 · Location

Where 99214 is billed

  1. $3.0B
  2. $2.3B
  3. $1.7B
  4. $1.3B
  5. $1.2B
  6. $1.1B
  7. $1.1B
  8. $1.0B
  9. $988M
  10. $956M
  11. $904M
  12. $886M

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 99214

#ProviderLocationClaimsPaid on 99214
1 City Medical of Upper East Side, PLLC New York, NY 900,091 $108.67M
2 Fast Pace Medical Clinic PLLC Spring Hill, TN 1,470,213 $79.85M
3 Nationwide Children's Hospital Columbus, OH 735,694 $75.54M
4 Boston Medical Center Corporation Boston, MA 558,247 $75.16M
5 Brightview, LLC Cincinnati, OH 713,945 $72.19M
6 Rector & Visitors of the University of Virginia Charlottesville, VA 351,075 $71.13M
7 Nextcare Arizona LLC Tempe, AZ 716,337 $70.64M
8 Montefiore Medical Center Bronx, NY 413,654 $69.10M
9 Ideal Option, PLLC Pasco, WA 693,731 $66.36M
10 Presbyterian Healthcare Services Albuquerque, NM 792,008 $66.15M
11 Optum Medical Care of New Jersey PC Secaucus, NJ 809,661 $65.18M
12 Umass Memorial Medical Center, INC. Worcester, MA 459,556 $61.67M
13 Montefiore Medical Center Bronx, NY 586,031 $61.54M
14 North Shore-Lij Medical PC Great Neck, NY 544,794 $60.84M
15 MNR Industries, LLC Bel Air, MD 517,359 $56.77M
16 Children's Hospital Medical Center of Akron Akron, OH 349,258 $56.74M
17 Seattle Children's Hospital Seattle, WA 383,897 $50.09M
18 Community Physicians of Indiana INC Indianapolis, IN 645,447 $42.59M
19 Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA 483,211 $41.58M
20 Waianae District Comprehensive Health and Hospital Board, INC Waianae, HI 170,978 $41.44M
21 Ehab Yacoub MD INC. Gardena, CA 268,891 $41.08M
22 Cambridge Public Health Commission Cambridge, MA 445,242 $40.76M
23 Saltzman, Tanis, Pittell, Levin and Jacobson Hollywood, FL 988,981 $40.67M
24 Franciscan Medical Group Tacoma, WA 710,932 $40.10M
25 Franciscan Physician Network Indianapolis, IN 698,633 $39.47M
26 Park Nicollet Clinic St Louis Park, MN 559,918 $39.01M
27 Dayton Children's Hospital Dayton, OH 254,256 $37.80M
28 Prisma Health University Medical Group Greenville, SC 521,591 $37.19M
29 Los Angeles County Department of Mental Health Los Angeles, CA 54,786 $37.19M
30 Bronxcare Health System Bronx, NY 269,573 $36.86M
31 Cleanslate Medical Group of Indiana LLC Alexandria, IN 497,524 $36.20M
32 Our Lady of the Lake Physician Group LLC Baton Rouge, LA 718,098 $35.29M
33 Tobias Moeller-Bertram MD Corporation Rancho Mirage, CA 342,937 $35.23M
34 Prohealth Physicians PC Farmington, CT 462,934 $34.12M
35 CMC Dept of Medicine Group PA Camden, NJ 184,599 $33.88M
36 Spectrum Health Primary Care Partners Grand Rapids, MI 503,378 $33.12M
37 Ochsner Clinic LLC New Orleans, LA 617,043 $32.91M
38 Hennepin Healthcare System, INC Minneapolis, MN 460,726 $32.68M
39 Sun River Health INC. Peekskill, NY 333,142 $32.42M
40 New York University Boynton Beach, FL 277,769 $31.95M
41 Topcare Medical Group INC Dallas, TX 848,508 $31.43M
42 Aurora Medical Group, INC. Milwaukee, WI 839,809 $30.77M
43 Community Medical Associates, INC. Louisville, KY 720,821 $30.47M
44 Parkview Health System INC Fort Wayne, IN 446,208 $29.55M
45 Planned Parenthood/Orange and San Bernardino Counties, INC. Orange, CA 218,697 $28.82M
46 Group Health Plan, INC. Minneapolis, MN 437,342 $28.79M
47 Nystrom & Associates, LTD New Brighton, MN 346,408 $28.78M
48 University Primary Care Practices INC Shaker Heights, OH 544,500 $28.20M
49 Medstar Medical Group II LLC Baltimore, MD 317,048 $27.97M
50 Ohiohealth Corporation Columbus, OH 535,413 $27.26M
51 Guthrie Medical Group, P.C. Sayre, PA 274,083 $27.13M
52 West Virginia University Medical Corporation Morgantown, WV 382,565 $26.54M
53 Privia Medical Group, LLC Arlington, VA 378,886 $26.53M
54 Virginia Commonwealth University Health System Authority Richmond, VA 160,141 $26.37M
55 Nys Office of Mental Health Orangeburg, NY 123,931 $26.04M
56 University Health Physicians Kansas City, MO 228,374 $25.89M
57 Reliant Medical Group, INC Worcester, MA 262,624 $25.59M
58 Total Wellness Centers, LLC West Springfield, MA 365,411 $25.25M
59 The Metrohealth System Cleveland, OH 766,125 $25.04M
60 Maimonides Medical Center Brooklyn, NY 173,713 $24.76M
61 Graves Gilbert Clinic PLLC Bowling Green, KY 486,600 $24.30M
62 Baltimore Medical System INC Baltimore, MD 117,347 $24.05M
63 ST. Vincent Medical Group, INC. Winchester, IN 416,689 $24.04M
64 Advanced Pain Management Specialists, LLC Annapolis, MD 293,158 $23.99M
65 Mount Sinai Hospital New York, NY 221,364 $23.73M
66 Wake Forest University Health Sciences Winston Salem, NC 386,435 $23.69M
67 Multicare Health System Tacoma, WA 426,405 $23.56M
68 Macomb County Community Mental Health Clinton Twp, MI 78,749 $23.43M
69 Medical Associates of Ebnhc East Boston, MA 232,272 $23.39M
70 Tanana Chiefs Conference Fairbanks, AK 44,250 $23.30M
71 Holzer Clinic, LLC Gallipolis, OH 519,852 $23.17M
72 Providence Health & Services Washington Spokane, WA 331,740 $23.12M
73 Michigan Healthcare Professionals PC Farmington Hills, MI 314,885 $22.94M
74 Patient First Richmond Medical Group PLLC Glen Allen, VA 242,283 $22.93M
75 Reid Physician Associates, INC. Richmond, IN 383,056 $22.65M
76 Mid Atlantic Pemanente Medical Group Rockville, MD 179,556 $22.63M
77 Kaiser Foundation Health Plan of the Northwest Portland, OR 105,010 $22.58M
78 University of Virginia Physicians Group Charlottesville, VA 364,316 $22.24M
79 Summit Medical Group, INC Erlanger, KY 445,117 $22.15M
80 Mark David Levine M.D. Professional Corporation Sacramento, CA 104,306 $22.11M
81 Momdoc, LLC Chandler, AZ 302,352 $22.04M
82 University of Utah Community Physicians Group Salt Lake City, UT 302,700 $21.97M
83 The Cleveland Clinic Foundation Cleveland, OH 619,198 $21.59M
84 Iowa Physicians Clinic Medical Foundation West Des Moines, IA 483,347 $21.52M
85 MCV Associated Physicians Richmond, VA 381,704 $21.41M
86 Beth Israel Medical Center Brooklyn, NY 186,326 $21.38M
87 The New York and Presbyterian Hospital New York, NY 117,884 $21.33M
88 Coleman Professional Services, INC. Kent, OH 213,529 $20.70M
89 North Shore Lij, Urgent Care, P.C. Rockville Centre, NY 113,833 $20.69M
90 Emergency Physicians Urgent Care INC Bakersfield, CA 199,512 $20.67M
91 Northeast Medical Group, INC. Bridgeport, CT 379,346 $20.49M
92 Southcentral Foundation Anchorage, AK 30,246 $20.47M
93 Inland Psychiatric Medical Group, INC. Redlands, CA 202,898 $20.41M
94 Yale University New Haven, CT 398,828 $20.38M
95 Rochester General Hospital Rochester, NY 224,202 $19.99M
96 Urgent Care, INC.- West Virginia South Charleston, WV 233,304 $19.78M
97 Convenient Care LLC Baton Rouge, LA 240,850 $19.72M
98 University Physicians Incorporated Aurora, CO 228,244 $19.59M
99 State of Mississippi - University of Mississippi Medical Center Jackson, MS 355,806 $19.47M
100 Sentara Medical Group Norfolk, VA 319,356 $19.26M