Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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99245

Billing code 99245

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

Medicaid paid $85.36M on code 99245 from 2018 through 2024, to 1,490 providers — the #765 code in the file by dollars. 29% of it was billed in California.

28Total paid$85.36M
24GClaims645,300
Paid per claim line$132.29
33Providers billing it1,490
Box 32 · Location

Where 99245 is billed

  1. CACalifornia
    $25M
  2. NCNorth Carolina
    $10M
  3. TXTexas
    $8.0M
  4. ALAlabama
    $5.3M
  5. AZArizona
    $4.6M
  6. MIMichigan
    $3.3M
  7. ILIllinois
    $3.0M
  8. PRPuerto Rico
    $2.8M
  9. FLFlorida
    $2.5M
  10. NMNew Mexico
    $2.2M
  11. PAPennsylvania
    $2.1M
  12. MNMinnesota
    $1.7M

The largest of 43 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 99245

#ProviderLocationClaimsPaid on 99245
1 Tobias Moeller-Bertram, MD Corporation Desert Clinic Pain Institute Rancho Mirage, CA 18,192 $9.53M
2 Perinatal Associates of New Mexico, LTD Albuquerque, NM 5,690 $1.35M
3 University of Alabama Health Services Foundation, PC Birmingham, AL 5,122 $1.30M
4 Lotus Behavioral Health and Rehabilitation Services INC. Chula Vista, CA 6,195 $1.28M
5 The Children's Hospital of Alabama Birmingham, AL 6,160 $1.27M
6 Hector Granados MD PA El Paso, TX 6,310 $1.13M
7 Shaun S. Varghese, M.D., PLLC Shenandoah, TX 6,491 $1.11M
8 Mission Health Community Multispecialty Providers, LLC Arden, NC 6,446 $1.09M
9 Phoenix Children's Hospital Phoenix, AZ 6,269 $1.05M
10 Carolina Child Neurology, PLLC Fayetteville, NC 5,638 $935K
11 Valley Children's Medical Group Modesto, CA 8,693 $860K
12 Cook Children's Physician Network Fort Worth, TX 4,767 $825K
13 Spectrum Health Primary Care Partners Grand Rapids, MI 7,021 $824K
14 Pediatric Gastroenterology Associates PC Huntsville, AL 5,738 $812K
15 Yale University New Haven, CT 5,250 $767K
16 University Medical Associates of the Medical University of South Carol Charleston, SC 3,933 $759K
17 Southwest Neurology and Sleep Medicine LLC Phoenix, AZ 4,226 $747K
18 East Carolina University Greenville, NC 3,809 $719K
19 Children's Hospital Washington, DC 4,101 $691K
20 Mayo Clinic Rochester, MN 4,604 $652K
21 Phoenix Children's Hospital Phoenix, AZ 15,804 $640K
22 Pediatric Gi of El Paso, PLLC El Paso, TX 3,698 $640K
23 Texas Children's Physician Group Houston, TX 2,728 $629K
24 Capital Pediatric Cardiology Associates INC Sacramento, CA 5,787 $605K
25 Carolinas Medical Center Charlotte, NC 3,874 $598K
26 Children's Hospital of Orange County Orange, CA 4,896 $591K
27 Geisinger Clinic Danville, PA 3,936 $585K
28 University of North Carolina at Chapel Hill Chapel Hill, NC 3,777 $563K
29 University Pediatricians Detroit, MI 5,082 $544K
30 Carolinas Medical Center Charlotte, NC 4,343 $521K
31 University of Alabama Health Services Foundation, PC. Birmingham, AL 2,016 $518K
32 Private Diagnostic Clinic, PLLC Durham, NC 3,022 $459K
33 Mcgriff, Buhilda Concord, NC 2,815 $423K
34 San Bernardino Gastroenterology Associates INC. Redlands, CA 3,485 $415K
35 University Physician Group Detroit, MI 3,628 $414K
36 Novant Health Medical Group Coastal Region, LLC Wilmington, NC 3,155 $400K
37 Bayview Gastroenterology Medical Corporation Capitola, CA 1,738 $399K
38 MCHS Hospitals INC Marshfield, WI 4,893 $387K
39 Aguilar, Lorenzo Modesto, CA 2,762 $386K
40 Children's Physician Services of South Texas Corpus Christi, TX 2,212 $385K
41 Adm Servicios Medicos De Puerto Rico San Juan, PR 11,132 $383K
42 Scott & White Clinic Temple, TX 2,853 $378K
43 Novant Health Medical Group Coastal Region, LLC Wilmington, NC 2,510 $378K
44 Dothan Pediatric Clinic, P. A. Dothan, AL 1,866 $371K
45 Children's Hospital of Orange County Orange, CA 3,292 $370K
46 Wakemed Specialists Group, LLC Raleigh, NC 1,994 $369K
47 Abid, Mohammad Indio, CA 2,842 $367K
48 Kentucky Medical Services Foundation, INC Lexington, KY 2,766 $356K
49 Universal Healthcare Services INC. Bakersfield, CA 2,197 $353K
50 Sinai Perinatal LLC Plantation, FL 2,162 $349K
51 Municipality of San Juan San Juan, PR 7,782 $343K
52 Hennepin Healthcare System, INC Minneapolis, MN 2,949 $342K
53 BHS Physicians Network, INC San Antonio, TX 1,847 $339K
54 Pediatric Epilepsy and Neurology Specialists Tampa, FL 2,298 $338K
55 The Nemours Foundation Jacksonville, FL 1,068 $335K
56 Nelson Spinetti MD PA Edinburg, TX 2,027 $327K
57 Sura Sharqe Endocrinology, INC Glendale, AZ 1,789 $317K
58 Providence Health & Services Washington Spokane, WA 2,454 $308K
59 Corazza, Mark Santa Barbara, CA 1,337 $304K
60 Teodoro P. Nissen M.D., INC Vallejo, CA 1,793 $304K
61 HMH Hospitals Corporation Hackensack, NJ 2,342 $279K
62 Eastern Shore Developmental Clinic Daphne, AL 1,972 $272K
63 Recinto De Ciencias Medicas San Juan, PR 8,224 $272K
64 New Life Medical Associates, INC. Apple Valley, CA 2,341 $263K
65 University of Texas Southwestern Medical Center at Dallas Dallas, TX 1,554 $254K
66 University Hospital at Stony Brook Stony Brook, NY 1,338 $250K
67 Prisma Health Medical Group-Midlands Columbia, SC 1,366 $247K
68 Central California Neurology Medical Corporation Salinas, CA 1,069 $246K
69 Regents of the University of Michigan Ann Arbor, MI 2,265 $243K
70 State of Mississippi - University of Mississippi Medical Center Jackson, MS 2,116 $241K
71 LPCH Medical Group Div of Lucile Palo Alto, CA 1,310 $237K
72 Steven M. Lomazow M.D. PC Belleville, NJ 1,113 $236K
73 Wake Forest University Health Sciences Winston Salem, NC 1,610 $234K
74 Uc Regents Uci Dept of Pediatrics Orange, CA 1,505 $234K
75 Demunbrun, Steven Somerset, KY 1,684 $231K
76 Children's Hospital of Orange County Orange, CA 1,952 $224K
77 Kabbani, Mahmoud Phoenix, AZ 1,328 $222K
78 Baylor College of Medicine San Antonio, TX 1,278 $220K
79 The Medical College of Wisconsin, INC. Milwaukee, WI 2,959 $217K
80 Er-Kai Gao MD INC. La Mesa, CA 874 $209K
81 Utmb Faculty Group Practice Galveston, TX 1,104 $208K
82 Connecticut Children's Specialty Group, INC. Hartford, CT 1,560 $207K
83 Karnani, Rajan Apple Valley, CA 1,856 $207K
84 Los Angeles County Department of Mental Health Los Angeles, CA 131 $205K
85 Nicklaus Children's Pediatric Specialists, LLC Miami, FL 1,020 $205K
86 Children's Hospital of Orange County Orange, CA 1,405 $203K
87 Ravi Patel M.D. INC Bakersfield, CA 1,400 $203K
88 Spectrum Health Hospitals Grand Rapids, MI 1,945 $201K
89 Florida Hospital Medical Group INC Orlando, FL 1,200 $200K
90 Advanced Surgical Services INC Bakersfield, CA 666 $200K
91 Pinon Perinatal INC Albuquerque, NM 842 $199K
92 Kutom, Ali Oak Lawn, IL 1,356 $195K
93 ST. Luke's Physician Group, INC. Bethlehem, PA 1,133 $191K
94 New Mexico Neurology Associates PC Albuquerque, NM 958 $190K
95 Kentucky Medical Services Foundation Lexington, KY 2,062 $185K
96 Wilson, Mark Rochester, MN 839 $184K
97 Victor H. Salazar-Calderon, M.D., PC Phoenix, AZ 1,076 $184K
98 Carson Tahoe Regional Healthcare Carson City, NV 3,060 $182K
99 University Health Physicians Kansas City, MO 867 $181K
100 Bhatnagar, Gunjan Irvine, CA 1,676 $181K