Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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99281

Emergency department visit for the evaluation and management, self-limited or minor

Medicaid paid $743.03M on code 99281 from 2018 through 2024, to 3,511 providers — the #208 code in the file by dollars. 45% of it was billed in California.

28Total paid$743.03M
24GClaims8,018,086
Paid per claim line$92.67
33Providers billing it3,511
Box 32 · Location

Where 99281 is billed

  1. $331M
  2. $72M
  3. $31M
  4. $25M
  5. $24M
  6. $17M
  7. $16M
  8. $16M
  9. $15M
  10. $14M
  11. $13M
  12. $13M

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 99281

#ProviderLocationClaimsPaid on 99281
1 Montefiore Medical Center Bronx, NY 124,499 $25.47M
2 Dignity Health Merced, CA 237,370 $19.54M
3 Dignity Health Redding, CA 65,989 $19.03M
4 Salinas Valley Memorial Healthcare System Salinas, CA 173,548 $14.97M
5 Hsp40248f Salinas, CA 195,260 $12.30M
6 Northbay Healthcare Group Fairfield, CA 93,764 $9.86M
7 Children's Hospital Washington, DC 35,329 $8.39M
8 Dignity Health Santa Cruz, CA 106,217 $8.24M
9 County of Ventura Ventura, CA 5,071 $8.01M
10 Sutter Bay Hospitals Lakeport, CA 31,084 $7.85M
11 Community Hospital of the Monterey Peninsula Monterey, CA 95,879 $6.98M
12 Watsonville Hospital Corporation Watsonville, CA 86,106 $6.88M
13 Sutter Valley Hospitals Los Banos, CA 98,218 $6.41M
14 Ukiah Adventist Hospital Ukiah, CA 55,609 $6.00M
15 Cook Children's Medical Center Fort Worth, TX 29,606 $5.87M
16 Sutter Valley Hospitals Vallejo, CA 42,543 $5.86M
17 Kaiser Foundation Hospitals Roseville, CA 42,491 $5.61M
18 Sutter Bay Hospitals Santa Rosa, CA 40,121 $5.60M
19 Prime Healthcare Services - Shasta LLC Redding, CA 41,130 $5.35M
20 Marin General Hospital Greenbrae, CA 39,881 $5.35M
21 Bayhealth Medical Center, INC. Dover, DE 32,584 $5.24M
22 Wyckoff Heights Medical Center Brooklyn, NY 22,372 $4.88M
23 ST. Joseph Health Northern California, LLC Santa Rosa, CA 55,376 $4.44M
24 Southern Monterey County Memorial Hospital King City, CA 59,177 $4.36M
25 Sutter Valley Hospitals Davis, CA 30,640 $4.22M
26 Martin Luther King, JR. - Los Angeles (Mlk-La) Healthcare Corporation Los Angeles, CA 28,217 $4.18M
27 Sutter Coast Hospital Crescent City, CA 25,210 $4.07M
28 Adventist Health Clearlake Hospital INC. Clearlake, CA 37,015 $4.06M
29 Kaiser Foundation Hospitals Sacramento, CA 31,490 $3.83M
30 ST Josephs University Medical Center INC. Paterson, NJ 29,176 $3.73M
31 ST. Joseph Health Northern California, LLC Eureka, CA 46,415 $3.69M
32 Doctors Medical Center of Modesto, INC. Turlock, CA 65,338 $3.67M
33 Not-For-Profit Hospital Corporation Washington, DC 14,610 $3.66M
34 Providence Health System - Southern California Mission Hills, CA 28,364 $3.57M
35 Trident Medical Center, LLC Charleston, SC 17,251 $3.42M
36 Bronxcare Health System Bronx, NY 17,610 $3.36M
37 Christiana Care Health Services, INC. Wilmington, DE 33,940 $3.32M
38 Hilo Benioff Medical Center Hilo, HI 26,051 $3.30M
39 Albert Einstein Medical Center Phila, PA 20,567 $3.07M
40 Dignity Community Care Woodland, CA 34,445 $2.92M
41 Sutter Bay Hospitals Novato, CA 20,711 $2.91M
42 Willits Hospital INC. Willits, CA 25,585 $2.81M
43 ST. Barnabas Hospital Bronx, NY 11,903 $2.75M
44 ST. Joseph Health Northern California, LLC Napa, CA 33,781 $2.70M
45 Stanford Health Care Stanford, CA 8,254 $2.68M
46 Dignity Health Red Bluff, CA 13,670 $2.64M
47 Valley Children's Hospital Madera, CA 30,820 $2.60M
48 Medstar Washington Hospital Center Washington, DC 9,360 $2.53M
49 Dimensions Health Corporation Upper Marlboro, MD 23,391 $2.49M
50 Dignity Health Mount Shasta, CA 12,561 $2.46M
51 Virginia Commonwealth University Health System Authority Richmond, VA 10,066 $2.46M
52 Siskiyou Hospital, INC. Yreka, CA 18,123 $2.41M
53 Adventist Healthcare Fort Washington Medical Center INC Ft Washington, MD 18,541 $2.37M
54 Norton Hospitals INC Louisville, KY 14,392 $2.36M
55 Pajaro Valley Health Care District Hospital Corporation Watsonville, CA 27,292 $2.31M
56 UCSF Health Community Hospitals San Francisco, CA 31,939 $2.26M
57 Sutter Valley Hospitals Roseville, CA 14,157 $2.26M
58 Chippenham & Johnston-Willis Hospitals INC Richmond, VA 12,677 $2.24M
59 Kaiser Foundation Hospitals Sacramento, CA 16,561 $2.16M
60 Maricopa County Special Health Care District Phoenix, AZ 15,376 $2.15M
61 Children's Hospital Colorado Aurora, CO 8,599 $2.15M
62 The Queens Medical Center Honolulu, HI 6,424 $2.13M
63 Valley Presbyterian Hospital Van Nuys, CA 29,188 $2.12M
64 American Hospital Management Corporation Arcata, CA 18,877 $2.11M
65 Sutter Bay Hospitals San Francisco, CA 28,875 $2.04M
66 Kapiolani Medical Center for Women & Children Honolulu, HI 4,422 $2.00M
67 The Metrohealth System Cleveland, OH 13,386 $1.95M
68 Suny Health Science Center at Syracuse Syracuse, NY 9,927 $1.90M
69 Arctic Slope Native Association LTD Barrow, AK 9,915 $1.88M
70 Dignity Health Oxnard, CA 2,388 $1.85M
71 VHS Childrens Hospital of Michigan INC Detroit, MI 31,815 $1.83M
72 Kaiser Foundation Hospitals Vallejo, CA 45,091 $1.82M
73 Alaska Native Tribal Health Consortium Anchorage, AK 3,673 $1.79M
74 Adventist Health Mendocino Coast Fort Bragg, CA 12,456 $1.77M
75 Norcal Healthconnect LLC Petaluma, CA 22,177 $1.77M
76 Los Robles Regional Medical Center Thousand Oaks, CA 1,134 $1.76M
77 Dignity Health Carmichael, CA 8,332 $1.76M
78 Norton Hospitals, INC Louisville, KY 8,231 $1.76M
79 County of Los Angeles Auditor Controller Torrance, CA 10,670 $1.75M
80 Temple University Hospital, INC Philadelphia, PA 9,933 $1.74M
81 Sutter Valley Hospitals Sacramento, CA 13,301 $1.74M
82 Prospect CCMC, LLC Chester, PA 6,173 $1.71M
83 Norcal Healthconnect LLC Healdsburg, CA 8,743 $1.70M
84 Kaiser Foundation Hospitals San Leandro, CA 14,112 $1.70M
85 Dignity Community Care Northridge, CA 16,770 $1.70M
86 Childrens Hospital of Los Angeles Los Angeles, CA 26,961 $1.69M
87 Kaiser Foundation Hospitals Oakland, CA 21,221 $1.67M
88 Rideout Memorial Hospital Marysville, CA 21,615 $1.67M
89 Henry Ford Health ST. John Hospital Chicago, IL 25,553 $1.64M
90 University of California San Francisco Medical Center San Francisco, CA 22,986 $1.64M
91 Bayhealth Medical Center, INC. Milford, DE 10,230 $1.63M
92 Sonoma Valley Health Care District Sonoma, CA 9,533 $1.62M
93 Lee Memorial Health System Ft Myers, FL 16,838 $1.62M
94 Tucson Medical Center Tucson, AZ 33,535 $1.58M
95 Antelope Valley Health Care District Lancaster, CA 11,077 $1.58M
96 University Hospital Newark, NJ 10,243 $1.57M
97 Sutter Bay Hospitals San Francisco, CA 18,324 $1.55M
98 Last Frontier Healthcare District Alturas, CA 9,118 $1.55M
99 Dignity Community Care Los Angeles, CA 25,207 $1.55M
100 Lawrence General Hospital Lawrence, MA 15,636 $1.54M