Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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99285

Emergency room visit (most serious)

Official descriptor: Emergency department visit for the evaluation and management, high severity with immediate threat to life

Medicaid paid $15.10B on code 99285 from 2018 through 2024, to 17,705 providers — the #11 code in the file by dollars.

28Total paid$15.10B
24GClaims111,002,396
Paid per claim line$136.01
33Providers billing it17,705
Box 32 · Location

Where 99285 is billed

  1. $1.2B
  2. $1.1B
  3. $904M
  4. $759M
  5. $740M
  6. $736M
  7. $611M
  8. $595M
  9. $568M
  10. $539M
  11. $489M
  12. $477M

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 99285

#ProviderLocationClaimsPaid on 99285
1 Yale New Haven Hospital New Haven, CT 158,886 $112.66M
2 Southeastern Emergency Physicians LLC Maysville, KY 1,315,225 $90.66M
3 Scottish Rite Children's Medical Center Atlanta, GA 108,411 $88.14M
4 Texas Children's Hospital Houston, TX 84,138 $80.49M
5 Phoenix Children's Hospital Phoenix, AZ 74,614 $67.97M
6 Henry Ford Health System Detroit, MI 203,076 $62.05M
7 Presbyterian Healthcare Services Albuquerque, NM 234,479 $56.35M
8 Hartford Hospital Hartford, CT 105,392 $55.05M
9 Emergency Coverage, LLC Newport, TN 662,372 $54.07M
10 Bakersfield Memorial Hospital Bakersfield, CA 140,499 $51.57M
11 Cook Children's Medical Center Fort Worth, TX 29,231 $51.16M
12 Shadow Emergency Physicians PLLC Las Vegas, NV 419,301 $50.62M
13 Saint Francis Hospital and Medical Center Hartford, CT 97,958 $50.26M
14 Hennepin Healthcare System, INC Minneapolis, MN 202,775 $49.63M
15 Banner Desert Medical Center Mesa, AZ 91,292 $46.57M
16 Egleston Children's Hospital at Emory University, INC. Atlanta, GA 68,052 $45.54M
17 The Cleveland Clinic Foundation Cleveland, OH 518,214 $45.28M
18 Bridgeport Hospital Bridgeport, CT 82,315 $45.26M
19 North Shore-Lij Medical PC Great Neck, NY 256,008 $44.50M
20 Mep Health, LLC Rockville, MD 364,167 $44.16M
21 RWJBH Emergency Medicine Associates, LLC Somerset, NJ 284,666 $43.53M
22 University of Kentucky Lexington, KY 56,290 $43.48M
23 Connecticut Children's Medical Center Hartford, CT 21,914 $42.76M
24 WHC Physician Group LLC Washington, DC 329,604 $42.33M
25 Indiana University Health Care Associates, INC Indianapolis, IN 314,776 $41.07M
26 William Beaumont Hospital Royal Oak, MI 93,572 $40.93M
27 Arthur M. Blank Hospital, INC. Atlanta, GA 32,897 $39.85M
28 Northwest Emergency Physicians LLC Arlington, WA 432,617 $37.51M
29 Oakwood Healthcare, INC. Dearborn, MI 106,972 $37.16M
30 The William W Backus Hospital Norwich, CT 119,380 $35.84M
31 The Queens Medical Center Honolulu, HI 40,579 $35.81M
32 Saint Mary's Hospital, INC. Waterbury, CT 74,610 $35.58M
33 Childrens Hospital of Philadelphia Philadelphia, PA 59,805 $35.56M
34 Banner Thunderbird Medical Center Glendale, AZ 77,312 $35.28M
35 Dignity Health Bakersfield, CA 92,706 $35.26M
36 The Cooper Health System Camden, NJ 72,387 $34.58M
37 Emergency Medicine Associates P.A., P.C. Falls Church, VA 354,340 $34.48M
38 The Hospital of Central Connecticut at New Britain General and Bradley New Britain, CT 76,084 $33.51M
39 ST Josephs University Medical Center INC. Paterson, NJ 67,020 $33.37M
40 Inspira Medical Centers, INC. Vineland, NJ 47,924 $33.32M
41 The Moses H. Cone Memorial Hospital Operating Corporation Greensboro, NC 94,992 $31.71M
42 Providence Health & Services Washington Anchorage, AK 46,022 $30.97M
43 Uofl Health-Louisville INC Louisville, KY 83,226 $30.77M
44 Emergency Physicians Professional Association Bloomington, MN 350,433 $30.71M
45 The Metrohealth System Cleveland, OH 165,456 $30.49M
46 SVMC Holdings, INC Bridgeport, CT 66,607 $30.23M
47 Jersey City Medical Center Jersey City, NJ 56,159 $30.05M
48 Maricopa County Special Health Care District Phoenix, AZ 49,116 $29.87M
49 Banner - University Medical Center Phoenix Phoenix, AZ 69,213 $29.62M
50 Fpa Hospital Based New York, NY 181,029 $29.56M
51 Boston Medical Center Corporation Boston, MA 149,366 $29.40M
52 Regents of the University of Michigan Ann Arbor, MI 53,698 $28.78M
53 Acs Primary Care Physicians - Southeast PC Myrtle Beach, SC 277,656 $28.01M
54 University Medical Center, INC Louisville, KY 59,377 $27.91M
55 Spectrum Health Hospitals Grand Rapids, MI 73,523 $27.29M
56 University Medical Center Management Corporation New Orleans, LA 76,148 $27.23M
57 Banner - University Medical Center Tucson Campus LLC Tucson, AZ 55,730 $26.98M
58 Midstate Medical Center Meriden, CT 51,849 $26.79M
59 William Beaumont Hospital Troy, MI 64,833 $26.71M
60 Kern County Hospital Authority Bakersfield, CA 66,578 $26.30M
61 Mcallen Hospitals L P Edinburg, TX 39,976 $26.26M
62 Edward W Sparrow Hospital Association Lansing, MI 71,663 $26.02M
63 Umass Memorial Medical Center, INC. Worcester, MA 139,913 $25.99M
64 Steward Emergency Physicians, INC Ayer, MA 291,030 $25.94M
65 Paragon Contracting Services LLC Birmingham, AL 429,109 $25.77M
66 Cooper Univeristy Emergency Physicians, PC Camden, NJ 110,520 $25.73M
67 Covenant Medical Center, INC. Saginaw, MI 80,146 $25.64M
68 Banner Estrella Medical Center Phoenix, AZ 79,578 $25.25M
69 San Joaquin Community Hospital Bakersfield, CA 83,404 $25.20M
70 Henry Ford Health ST. John Hospital Chicago, IL 60,872 $25.19M
71 Newark Beth Israel Medical Center INC Newark, NJ 54,077 $24.95M
72 Charleston Area Medical Center INC Charleston, WV 58,239 $24.93M
73 Cep America - California Gilroy, CA 265,588 $24.87M
74 Antelope Valley Health Care District Lancaster, CA 31,625 $24.75M
75 Medical Associates Indianapolis, IN 295,431 $24.73M
76 Emergency Physicians of Tidewater Norfolk, VA 271,161 $24.65M
77 Hurley Medical Center Flint, MI 68,020 $24.45M
78 Agh Laveen LLC Laveen, AZ 74,575 $24.41M
79 State of Mississippi - University of Mississippi Medical Center Jackson, MS 105,125 $24.31M
80 Middlesex Hospital Middletown, CT 54,416 $23.65M
81 Florida Emergency Physicians Kang and Associates MD LLC Orlando, FL 342,869 $23.52M
82 Danbury Hospital Danbury, CT 77,021 $23.35M
83 University Hospital Newark, NJ 33,788 $22.98M
84 William Beaumont Hospital Grosse Pointe, MI 68,076 $22.94M
85 Lawrence and Memorial Hospital, INC. New London, CT 41,416 $22.83M
86 Emergency Care Consultants, PA Minneapolis, MN 256,275 $22.81M
87 Stamford Hospital Stamford, CT 44,134 $22.44M
88 Emergency Group of Arizona Professional Corporation Phoenix, AZ 194,245 $22.06M
89 Emergency Professional Services, INC. Seaman, OH 308,186 $21.69M
90 Atlanticare Regional Medical Center Pomona, NJ 57,361 $21.66M
91 VHS Sinai-Grace Hospital INC Detroit, MI 48,708 $21.41M
92 Rhode Island Hospital Providence, RI 24,695 $21.21M
93 University Physicians Incorporated Aurora, CO 166,496 $21.07M
94 Banner - University Medical Center South Campus LLC Tucson, AZ 45,840 $21.06M
95 Emergency Physicians of Central Florida LLP Orlando, FL 284,570 $20.98M
96 Mid-Ohio Emergency Services, LLC Columbus, OH 282,336 $20.51M
97 Prospect Waterbury, INC. Waterbury, CT 38,240 $20.08M
98 Alaska Emergency Medicine Associates Anchorage, AK 103,558 $19.87M
99 Henry Ford Wyandotte Hospital Wyandotte, MI 63,350 $19.86M
100 Ochsner Clinic Foundation New Orleans, LA 91,743 $19.76M