Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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99243

Billing code 99243

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

Medicaid paid $203.08M on code 99243 from 2018 through 2024, to 3,753 providers — the #469 code in the file by dollars.

28Total paid$203.08M
24GClaims2,585,480
Paid per claim line$78.55
33Providers billing it3,753
Box 32 · Location

Where 99243 is billed

  1. $30M
  2. $23M
  3. $16M
  4. $14M
  5. $12M
  6. $11M
  7. $8.3M
  8. $7.5M
  9. $6.8M
  10. $6.8M
  11. $6.3M
  12. $5.9M

The largest of 47 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 99243

#ProviderLocationClaimsPaid on 99243
1 Texas Children's Physician Group Houston, TX 52,431 $6.03M
2 Phoenix Children's Hospital Phoenix, AZ 36,360 $3.60M
3 The Nemours Foundation Jacksonville, FL 17,926 $3.24M
4 Cook Children's Physician Network Fort Worth, TX 32,832 $2.97M
5 Children's Orthopaedic & Scoliosis Surgery Associates, LLP St Petersburg, FL 24,906 $2.82M
6 Valley Children's Medical Group Modesto, CA 42,373 $2.37M
7 University of Alabama Health Services Foundation, PC. Birmingham, AL 16,114 $2.29M
8 State of Mississippi - University of Mississippi Medical Center Jackson, MS 28,575 $2.13M
9 Children's Physician Services of South Texas Corpus Christi, TX 20,844 $1.88M
10 Children's Hospital Washington, DC 19,380 $1.76M
11 Central Coast Head & Neck Surgeons a M C INC Salinas, CA 13,937 $1.73M
12 Yale University New Haven, CT 20,914 $1.65M
13 Los Angeles County Department of Mental Health Los Angeles, CA 2,207 $1.64M
14 Geisinger Clinic Danville, PA 20,212 $1.55M
15 Prisma Health University Medical Group Greenville, SC 14,293 $1.52M
16 Spectrum Health Primary Care Partners Grand Rapids, MI 23,166 $1.51M
17 University of North Carolina at Chapel Hill Chapel Hill, NC 16,195 $1.41M
18 Connecticut Children's Specialty Group, INC. Hartford, CT 18,314 $1.35M
19 Coastal Ear Nose and Throat, LLC Neptune, NJ 8,757 $1.34M
20 Charlotte Eye Ear Nose & Throat Associates, P.A. Charlotte, NC 14,541 $1.28M
21 LA Laser Center, PC, a Professional Medical Corporation San Clemente, CA 21,331 $1.18M
22 Valley Ear Nose & Throat Specialist PA Mcallen, TX 13,435 $1.16M
23 Sacramento Ear Nose & Throat Surgical & Medical Group INC Sacramento, CA 17,545 $1.10M
24 The Medical College of Wisconsin, INC. Milwaukee, WI 17,466 $1.05M
25 Children's Hospital Medical Center of Akron Akron, OH 32,441 $1.02M
26 Orthocarolina Charlotte, NC 11,340 $1.02M
27 Phoenix Children's Hospital Phoenix, AZ 38,219 $1.00M
28 Children's Hospital Medical Center Cincinnati, OH 22,712 $972K
29 Direct Dermatology Professionals PC Manteca, CA 30,306 $968K
30 Pediatrix Medical Group of Florida INC Sunrise, FL 5,855 $961K
31 Optum Medical Care of New Jersey PC Secaucus, NJ 8,239 $905K
32 Magella Medical Associates Billing, INC. Round Rock, TX 10,540 $905K
33 Kentucky Medical Services Foundation, INC Lexington, KY 11,498 $888K
34 Renaissance Medical Foundation Edinburg, TX 10,831 $884K
35 Prisma Health Medical Group-Midlands Columbia, SC 7,868 $861K
36 Unm Medical Group INC Albuquerque, NM 9,181 $846K
37 Mayo Clinic Rochester, MN 12,364 $827K
38 STC Pediatrics LLC Philadelphia, PA 7,594 $769K
39 Ut Lebonheur Pediatric Specialists, INC. Memphis, TN 7,362 $767K
40 Montefiore Medical Center Bronx, NY 3,924 $751K
41 Total Orthopaedic Care PA Lauderdale Lakes, FL 6,940 $748K
42 Digestive Disease Consultants of Las Cruces LLC Las Cruces, NM 5,358 $724K
43 Banner Physician Super Specialists Arizona LLC Phoenix, AZ 6,185 $713K
44 Golden Bear Physical Therapy Sports Injury Center, INC Modesto, CA 8,168 $686K
45 Tennessee Ear, Nose & Throat Consultants, PC Knoxville, TN 7,299 $675K
46 Connecticut Pediatric Otolaryngology Madison, CT 9,355 $625K
47 Fayetteville Otolaryngology Head and Neck Surgery P.A. Fayetteville, NC 7,025 $617K
48 Timothy M Bradley MD Pediatric Orthopedic Surgeon PA Brandon, FL 6,665 $614K
49 Prisma Health Medical Group-Midlands Columbia, SC 4,925 $610K
50 Foot Doctors of Santa Cruz County INC a Podiatry Group Watsonville, CA 4,815 $607K
51 Community Hospital of the Monterey Peninsula Monterey, CA 8,753 $597K
52 Centro Medico Del Turabo INC Caguas, PR 11,244 $587K
53 Stockdale Podiatry Group INC Bakersfield, CA 8,695 $582K
54 Sunrise Foot and Ankle LLC Las Vegas, NV 5,855 $581K
55 Ne Arkansas Otolaryngology Facial Surgery P a Jonesboro, AR 5,924 $568K
56 Orlando Pediatric Pulmonary and Sleep Associates PA Winter Park, FL 4,297 $549K
57 Hennepin Healthcare System, INC Minneapolis, MN 8,545 $546K
58 Atlanta Perinatal Associates Atlanta, GA 4,974 $543K
59 Mid Atlantic Pemanente Medical Group Rockville, MD 4,090 $538K
60 MCHS Hospitals INC Marshfield, WI 7,194 $525K
61 University Hospitals Medical Group INC Cleveland, OH 10,815 $520K
62 The New York and Presbyterian Hospital New York, NY 2,498 $517K
63 Pediatric Urology Associates Charlotte, NC 5,396 $516K
64 Southern California Dermatology, INC Santa Ana, CA 4,223 $514K
65 Rady Children's Hospital San Diego San Diego, CA 15,191 $514K
66 Nasser Dermatology, PLLC Dearborn, MI 7,463 $510K
67 Lehigh Valley Physician Group Allentown, PA 3,259 $499K
68 Thakkar, Ruchir Cicero, IL 4,989 $495K
69 South Broward Hospital District Hollywood, FL 6,949 $495K
70 The Duluth Clinic, LTD Duluth, MN 8,929 $487K
71 Sweethearts Care Center, PLLC Mcallen, TX 5,381 $485K
72 Nemours Children's Health, Downtown Orlando, Specialty Care Orlando, FL 3,854 $484K
73 Sport & Rehab Physical Therapy Incorporated Los Banos, CA 6,219 $474K
74 Norton Childrens Medical Group, LLC Louisville, KY 6,327 $462K
75 Brar, Harbinder Riverside, CA 8,232 $450K
76 Wake Forest University Health Sciences Winston Salem, NC 5,300 $439K
77 Advanced Ent and Allergy PLLC Louisville, KY 5,374 $436K
78 Csi Medical Group San Pedro, CA 3,765 $434K
79 University Medical Associates of the Medical University of South Carol Charleston, SC 4,396 $433K
80 Childrens Healthcare of Atlanta Cardiology INC Atlanta, GA 3,680 $429K
81 Unc Physicians Network LLC Morrisville, NC 5,022 $421K
82 El Paso Sleep Disorder Center El Paso, TX 3,889 $413K
83 Childrens Health Care Associates, INC Philadelphia, PA 3,311 $413K
84 Carolinas Physicians Network INC Charlotte, NC 4,492 $407K
85 Nationwide Children's Hospital Columbus, OH 13,132 $404K
86 William Neal Evans MD LTD Las Vegas, NV 3,232 $400K
87 Naugatuck Valley Ear, Nose and Throat Associates, LLC Waterbury, CT 5,275 $395K
88 Children's Hospital Los Angeles Medical Group, INC. Los Angeles, CA 5,924 $390K
89 Hartford Healthcare Medical Group Specialists, PLLC Hartford, CT 5,126 $389K
90 Advanced Clinical Dermatology, PSC Lexington, KY 6,002 $382K
91 Jawad a Shah, MD PC Flint, MI 6,123 $381K
92 Kern Allergy Medical Clinic, INC. Bakersfield, CA 3,469 $381K
93 Premier Health Management, INC. Mobile, AL 4,825 $377K
94 Shinhar, Shai Fremont, OH 3,375 $377K
95 Amer Salhadar, M.D., P.A. Brownsville, TX 4,296 $375K
96 LPCH Medical Group Div of Lucile Palo Alto, CA 3,933 $374K
97 University Physician Group Detroit, MI 6,784 $374K
98 Practice Associates Medical Group Morristown, NJ 3,311 $368K
99 Professional Resource Management of Wiregrass, LLC Dothan, AL 3,601 $366K
100 Merced Gastroenterology Medical Office INC Merced, CA 2,900 $362K