Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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G0316

Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes)

Medicaid paid $433K on code G0316 from 2018 through 2024, to 70 providers — the #4,720 code in the file by dollars. 64% of it was billed in Florida.

28Total paid$433K
24GClaims11,171
Paid per claim line$38.80
33Providers billing it70
Box 32 · Location

Where G0316 is billed

  1. FLFlorida
    $276K
  2. MDMaryland
    $62K
  3. WIWisconsin
    $32K
  4. CACalifornia
    $22K
  5. WAWashington
    $19K
  6. MIMichigan
    $6.8K
  7. UTUtah
    $4.9K
  8. MTMontana
    $3.2K
  9. IAIowa
    $2.1K
  10. PAPennsylvania
    $1.5K
  11. MAMassachusetts
    $1.1K
  12. TNTennessee
    $736

The largest of 21 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 G0316

#ProviderLocationClaimsPaid on G0316
1 Pabon, Hector Brandon, FL 684 $140K
2 Latif, Hamid Brandon, FL 665 $136K
3 Medstar Medical Group II LLC Baltimore, MD 1,058 $30K
4 University of Maryland Physicians, P.A. Baltimore, MD 788 $24K
5 Children's Specialty Group, INC. Milwaukee, WI 303 $17K
6 The Medical College of Wisconsin, INC. Milwaukee, WI 266 $14K
7 Franciscan Medical Group Tacoma, WA 305 $11K
8 Santa Barbara County Auditor Santa Barbara, CA 21 $9K
9 University of Utah Adult Services Salt Lake City, UT 727 $4K
10 University of Maryland Community Medical Group, INC. Baltimore, MD 170 $4K
11 Goldencast Medical Corporation Los Angeles, CA 192 $4K
12 Multicare Health System Tacoma, WA 52 $3K
13 Alpha Hospitalist Group INC Fountain Valley, CA 133 $3K
14 Viney Soni, M.D. Apc Fountain Valley, CA 282 $3K
15 Kalispell Regional Medical Center INC Kalispell, MT 33 $3K
16 Spectrum Health Primary Care Partners Grand Rapids, MI 904 $2K
17 Henry Ford Health System Detroit, MI 284 $2K
18 Central Washington Health Services Association Wenatchee, WA 50 $2K
19 The Association of University Physicians Seattle, WA 79 $2K
20 Johns Hopkins University Baltimore, MD 1,209 $2K
21 Southeast Iowa Regional Medical Center, INC. West Burlington, IA 33 $2K
22 Clinical Care Associates of the University of Pennsylvania Health Syst Bala Cynwyd, PA 79 $1K
23 LA Digestive Health and Wellness, INC Los Angeles, CA 136 $1K
24 Spectrum Health Primary Care Partners Grand Rapids, MI 294 $1K
25 Hebrew Rehabilitation Center Boston, MA 102 $839.31
26 Centinela Hospitalist Medical Group INC Inglewood, CA 40 $759.23
27 University Health System, INC Knoxville, TN 35 $735.59
28 Providence Health & Services Washington Spokane, WA 30 $619.26
29 Legacy Salmon Creek Hospital Vancouver, WA 16 $561.51
30 University of Maryland ST. Joseph Medical Group, LLC Towson, MD 45 $561.24
31 Lifebridge Community Physicians Randallstown, MD 12 $534.41
32 Henry Ford Health System Detroit, MI 74 $499.94
33 Iowa Physicians Clinic Medical Foundation West Des Moines, IA 21 $496.71
34 Billings Clinic Billings, MT 12 $398.43
35 Eastern Maine Medical Center Bangor, ME 25 $394.99
36 Prime 5 Medical Group INC West Hollywood, CA 75 $382.34
37 Utah Regional Hospitalists LLC Murray, UT 129 $380.42
38 Curana Health of Louisiana LLC Baton Rouge, LA 250 $347.85
39 Johns Hopkins University Baltimore, MD 19 $279.39
40 Isam Mawas MD INC Culver City, CA 14 $243.08
41 Coastal Infectious Disease Consultants Wilmington, NC 149 $241.22
42 Boston University Neurology Associates, INC. Boston, MA 15 $211.22
43 Johns Hopkins University Baltimore, MD 256 $203.87
44 Paloma Medical Group INC San Juan Capistrano, CA 12 $200.90
45 Reid Physician Associates, INC. Richmond, IN 193 $188.56
46 Reliant Physicians (Kumar) PLLC Las Vegas, NV 23 $172.00
47 Henry Ford Health System Detroit, MI 15 $144.34
48 Bronson Methodist Hospital Kalamazoo, MI 34 $129.72
49 Maher Rehab Solutions LLC Colorado Springs, CO 88 $128.77
50 Oasis Medical Center, INC. Colton, CA 12 $116.37
51 Desert Valley Infectious Disease Physicians Phoenix, AZ 85 $116.03
52 Valley Medical Group-Renton Renton, WA 13 $107.89
53 Edward W. Sparrow Hospital Association Lansing, MI 22 $99.17
54 Community Hospice of Northeast Florida INC Jacksonville, FL 22 $76.94
55 Wound Management Institute, Apmc Colton, CA 17 $61.61
56 Compass Palliative Care, INC Burbank, CA 14 $60.16
57 Rehabilitation Associates PTR Long Beach, CA 52 $50.84
58 Pathways Medical Partners Tucson, AZ 13 $50.25
59 Banner - University Hospital Based Physicians LLC Phoenix, AZ 14 $48.00
60 Garfield Hematology and Oncology Consultants Medical Group, INC Monterey Park, CA 12 $43.04
61 Platinum Hospitalists LLP Henderson, NV 58 $42.91
62 Id Care(R) - Infectious Diseases Specialty Practice PA Fayetteville, NC 18 $34.37
63 William Beaumont Hospital Royal Oak, MI 25 $21.31
64 Mina Raju DO INC Visalia, CA 18 $12.41
65 Pensacola Lung Group, M.D.'S, P.A. Pensacola, FL 12 $6.12
66 Corpus Christi Hospitalists, PLLC Corpus Christi, TX 163 $0.00
67 Rishi & Srikanth P a Corpus Christi, TX 62 $0.00
68 Kasiyan, Vasyl Rochester, NY 12 $0.00
69 Florida Medical Clinic LLC Zephyrhills, FL 77 $0.00
70 Oakwood Ambulatory LLC Dearborn, MI 19 $0.00