Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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99291

Critical care, evaluation and management of the critically ill patient, first 30-74 minutes

Medicaid paid $1.31B on code 99291 from 2018 through 2024, to 7,643 providers — the #140 code in the file by dollars.

28Total paid$1.31B
24GClaims10,902,745
Paid per claim line$120.48
33Providers billing it7,643
Box 32 · Location

Where 99291 is billed

  1. CACalifornia
    $283M
  2. MIMichigan
    $108M
  3. AZArizona
    $88M
  4. CTConnecticut
    $52M
  5. FLFlorida
    $48M
  6. ILIllinois
    $48M
  7. KYKentucky
    $43M
  8. NJNew Jersey
    $43M
  9. TXTexas
    $42M
  10. NYNew York
    $40M
  11. MAMassachusetts
    $39M
  12. MNMinnesota
    $33M

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 99291

#ProviderLocationClaimsPaid on 99291
1 Hennepin Healthcare System, INC Minneapolis, MN 69,483 $13.50M
2 Banner Hospital Based Physicians Arizona LLC Gilbert, AZ 63,149 $8.64M
3 Inpatient Specialists of California, PC San Bernardino, CA 99,591 $8.04M
4 El-Bershawi Medical Corp Riverside, CA 72,899 $7.32M
5 Yale New Haven Hospital New Haven, CT 8,065 $6.69M
6 Spectrum Health Primary Care Partners Grand Rapids, MI 58,936 $6.62M
7 Mep Health, LLC Rockville, MD 47,309 $5.83M
8 Bridgeport Hospital Bridgeport, CT 7,982 $5.71M
9 Banner Thunderbird Medical Center Glendale, AZ 6,497 $5.69M
10 Indiana Clinic Critical Care LLC Indianapolis, IN 31,940 $5.65M
11 Ut Physicians Houston, TX 11,911 $5.65M
12 Eid Nevada Critical Care PLLC Las Vegas, NV 31,569 $5.39M
13 WHC Physician Group LLC Washington, DC 48,377 $5.39M
14 Banner-University Medical Group Phoenix, AZ 36,381 $5.20M
15 University Physicians Incorporated Aurora, CO 28,700 $5.13M
16 Banner - University Hospital Based Physicians LLC Phoenix, AZ 34,621 $5.08M
17 Alaska Hospitalist Group LLC Anchorage, AK 19,408 $5.03M
18 Qureshi Al-Owir PLLC Henderson, NV 30,269 $4.98M
19 Critical Care & Pulmonary Consultants, PC Greenwood Village, CO 30,286 $4.96M
20 Unm Medical Group INC Albuquerque, NM 35,583 $4.91M
21 Arizona Pulmonary Specialists LTD Scottsdale, AZ 33,063 $4.70M
22 Pulmonary Medicine Associates Medical Group, INC Sacramento, CA 70,752 $4.57M
23 Critical Care Pulmonary and Sleep Associates Professional LLP Lakewood, CO 30,296 $4.56M
24 Saint Francis Hospital and Medical Center Hartford, CT 6,029 $4.38M
25 Montefiore Medical Center Bronx, NY 19,071 $4.35M
26 The Regents of the University of California Los Angeles, CA 39,737 $4.27M
27 William Beaumont Hospital Royal Oak, MI 33,940 $4.18M
28 CMC Dept of Medicine Group PA Camden, NJ 13,582 $4.18M
29 Stamford Hospital Stamford, CT 3,331 $4.17M
30 Intensive Care Consortium INC Aventura, FL 76,806 $4.17M
31 The Queens Medical Center Honolulu, HI 2,894 $4.16M
32 Texas Children's Physician Group Houston, TX 17,980 $4.15M
33 The Cleveland Clinic Foundation Cleveland, OH 86,131 $4.13M
34 University Medical Diagnostic Associates, INC. Indianapolis, IN 21,708 $4.04M
35 Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA 24,790 $4.04M
36 Providence Healthcare Partners,, INC Riverside, CA 24,476 $3.97M
37 University Pediatricians Detroit, MI 31,319 $3.88M
38 University Physician Associates of New Jersey INC Newark, NJ 14,527 $3.82M
39 Legacy Clinics LLC Portland, OR 28,418 $3.76M
40 Faculty Physicians and Surgeons of Llusm Loma Linda, CA 13,056 $3.65M
41 Vanderbilt University Medical Center Nashville, TN 18,169 $3.63M
42 Vep MLK Emergency Medical Group INC Los Angeles, CA 32,431 $3.60M
43 Evans Medical Foundation, INC. Boston, MA 34,706 $3.59M
44 Kaiser Foundation Hospitals Panorama City, CA 2,931 $3.55M
45 South Florida Critical Care Services LLC Miami, FL 61,493 $3.53M
46 Presbyterian Healthcare Services Albuquerque, NM 28,717 $3.50M
47 West Virginia University Medical Corporation Morgantown, WV 26,205 $3.49M
48 University of Kentucky Lexington, KY 2,977 $3.47M
49 Salem Pulmonary Associates P.C. Salem, OR 25,899 $3.37M
50 ST. Joseph's Healthcare, INC. Paterson, NJ 27,850 $3.29M
51 Scottish Rite Children's Medical Center Atlanta, GA 2,607 $3.26M
52 Multicare Health System Tacoma, WA 33,831 $3.25M
53 Kaiser Foundation Hospitals Fontana, CA 4,945 $3.19M
54 Group Health Plan, INC. Minneapolis, MN 29,467 $3.17M
55 Emergency Medicine Specialists of Orange County Orange, CA 22,055 $3.11M
56 Pulmonary Consultants and Wellness Center INC PC Inglewood, CA 31,230 $3.07M
57 Pulmonary Associates, PC Flint, MI 26,500 $3.06M
58 Prohealth Partners a Medical Group Torrance, CA 33,699 $3.06M
59 Emergency Department Physicians, P.C. Detroit, MI 24,801 $3.03M
60 The Hospital of Central Connecticut at New Britain General and Bradley New Britain, CT 4,860 $3.02M
61 Emergency and Acute Care Medical Corporation San Diego, CA 29,951 $3.02M
62 Medical Center Emergency Services Detroit, MI 24,495 $2.97M
63 Ou Health Partners, INC Oklahoma City, OK 9,998 $2.97M
64 Arrowhead Regional Medical Center Colton, CA 3,542 $2.90M
65 Providence Medical Foundation Brea, CA 24,718 $2.84M
66 Anesthesia Service Medical Group San Diego, CA 10,523 $2.83M
67 Florida Hospital Medical Group INC Orlando, FL 25,785 $2.76M
68 Kaiser Foundation Hospitals Baldwin Park, CA 2,644 $2.73M
69 Children's Hospital Washington, DC 13,686 $2.70M
70 Cep America - California Gilroy, CA 22,721 $2.68M
71 Kaiser Foundation Hospitals San Diego, CA 2,846 $2.65M
72 Brookdale Hospital Medical Center Brooklyn, NY 15,897 $2.65M
73 Lsuhn Billing LLC Lafayette, LA 20,151 $2.64M
74 State of Mississippi - University of Mississippi Medical Center Jackson, MS 22,817 $2.64M
75 Emergency Medicine Associates P.A., P.C. Falls Church, VA 26,563 $2.57M
76 Usc Care Medical Group, INC Los Angeles, CA 23,130 $2.56M
77 Pulmonary & Critical Care Associates PC Shelby Twp, MI 20,566 $2.52M
78 Critical Care Consultants of Arizona PLLC Prescott, AZ 17,295 $2.52M
79 Massachusetts General Physicians Organization INC Boston, MA 26,200 $2.52M
80 North Shore-Lij Medical PC Great Neck, NY 11,040 $2.52M
81 Trustees of Columbia University in the City of New York New York, NY 12,133 $2.51M
82 Scripps Health Inpatient Providers Medical Group INC. San Diego, CA 25,722 $2.50M
83 Golden State Emergency Physicians INC Los Angeles, CA 24,311 $2.49M
84 Jamil, Tariq San Bernardino, CA 25,519 $2.48M
85 Neurocritical Care and Stroke of Arizona PLLC Phoenix, AZ 19,831 $2.47M
86 Medstar Medical Group II LLC Baltimore, MD 29,001 $2.45M
87 Medical Faculty Associates, INC Washington, DC 24,225 $2.44M
88 Emergency Physicians Professional Association Bloomington, MN 23,846 $2.44M
89 Temple Faculty Practice Plan, INC Philadelphia, PA 15,615 $2.43M
90 Critical Care Medicine Associates PC Dearborn, MI 19,754 $2.42M
91 Umass Memorial Medical Group INC Worcester, MA 28,889 $2.40M
92 Wolfsdorf Raszynski & Sussmane MD PA Miami, FL 12,040 $2.37M
93 Denver Health and Hospital Authority Denver, CO 18,740 $2.36M
94 Chaparral Medical Group, INC. Pomona, CA 25,642 $2.36M
95 El Paso Pulmonary Association El Paso, TX 19,224 $2.34M
96 Saint Mary's Hospital, INC. Waterbury, CT 2,765 $2.31M
97 Ecs Western Michigan PC Grand Rapids, MI 19,850 $2.30M
98 Louisiana State University School of Medicine in New Orleans Faculty G New Orleans, LA 15,173 $2.30M
99 Stanford Health Care Stanford, CA 21,499 $2.29M
100 The Nemours Foundation Wilmington, DE 7,209 $2.27M