Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › CLEVELAND › THE METROHEALTH SYSTEM

THE METROHEALTH SYSTEM

NPI: 1053353896 · CLEVELAND, OH 44109 · 207L00000X

$125.46M
Total Medicaid Paid
4,842,004
Total Claims
4,268,481
Beneficiaries
447
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 743,447 $21.39M
2019 866,033 $19.61M
2020 664,377 $16.01M
2021 709,700 $17.15M
2022 696,550 $16.80M
2023 686,481 $17.97M
2024 475,416 $16.55M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 766,125 703,363 $25.04M
99213 628,795 583,238 $14.07M
99285 164,150 155,258 $12.18M
99284 163,355 155,288 $8.90M
99283 114,354 109,455 $3.72M
99469 10,666 2,293 $2.88M
99232 116,379 46,877 $2.41M
99215 Prolong outpt/office vis 43,340 39,540 $1.96M
99392 54,247 52,486 $1.90M
99391 52,722 48,496 $1.58M
90791 22,836 21,533 $1.57M
88305 43,055 38,417 $1.50M
99291 29,883 12,525 $1.46M
99393 41,992 40,752 $1.45M
93010 242,612 189,084 $1.43M
74177 35,001 32,746 $1.31M
99204 25,440 23,821 $1.19M
90834 30,952 25,754 $1.18M
70450 41,659 37,964 $1.17M
99472 3,789 380 $1.11M
99480 12,954 2,832 $1.05M
93306 29,022 27,163 $1.05M
99394 26,086 25,179 $1.03M
99203 36,117 33,999 $1.03M
99442 52,456 49,496 $984K
99244 18,564 17,843 $982K
99479 10,975 2,023 $947K
77063 41,378 39,506 $893K
92014 39,286 36,646 $874K
99233 Prolong inpt eval add15 m 29,431 13,165 $842K
77067 41,431 39,558 $794K
59409 1,240 1,159 $761K
76816 21,658 19,482 $748K
01967 2,469 2,292 $734K
90832 26,532 21,344 $710K
90960 9,366 8,753 $705K
99212 57,849 53,726 $687K
71046 84,607 80,163 $622K
99460 9,085 8,619 $586K
72125 17,683 16,563 $552K
99238 18,270 17,069 $490K
76811 7,374 7,078 $489K
71260 10,626 9,993 $485K
71045 84,991 61,706 $457K
90837 7,181 5,253 $440K
76819 16,710 10,667 $434K
90792 6,267 5,857 $411K
99395 11,279 10,750 $406K
99223 Prolong inpt eval add15 m 7,212 6,322 $406K
88307 6,672 6,343 $376K
95810 6,106 5,811 $374K
99309 20,469 12,272 $368K
76801 12,495 11,838 $358K
76856 12,906 12,534 $328K
H1002 Carecoordination prenatal 27,590 25,021 $322K
90961 4,753 4,450 $295K
76705 18,727 17,830 $292K
70553 3,706 3,510 $289K
72131 9,366 8,739 $284K
92004 10,468 9,613 $281K
92015 24,220 21,470 $278K
76642 11,925 9,897 $273K
99239 8,376 7,627 $272K
90833 11,129 10,184 $270K
76830 9,901 9,595 $263K
71275 4,134 3,898 $262K
99243 8,336 8,107 $261K
76813 6,040 5,767 $257K
70498 4,733 4,416 $256K
99468 386 343 $252K
77427 2,730 1,295 $248K
72128 7,789 7,249 $241K
43239 2,288 2,176 $235K
77014 8,549 1,266 $229K
88141 10,668 10,153 $224K
20610 11,666 9,132 $219K
90853 10,190 6,330 $209K
59025 9,776 7,718 $207K
70486 6,002 5,631 $194K
99236 Prolong inpt eval add15 m 2,590 2,462 $190K
90935 6,686 3,458 $181K
00170 1,628 1,492 $175K
76821 6,318 3,673 $175K
99441 18,912 18,150 $174K
70496 3,087 2,881 $173K
11721 21,283 20,027 $154K
99396 3,758 3,602 $153K
74176 3,565 3,362 $138K
72148 2,970 2,821 $138K
92012 11,772 10,810 $138K
45380 999 958 $136K
G0279 Tomosynthesis, mammo 6,140 5,873 $132K
76820 6,291 3,613 $130K
0001A 2,991 2,911 $121K
74018 20,439 14,232 $120K
99462 4,241 3,299 $118K
76805 3,104 2,973 $116K
45385 534 500 $110K
97110 5,254 2,435 $109K
67028 1,948 1,711 $106K
99211 18,979 18,318 $105K
0002A 2,697 2,683 $105K
95811 1,714 1,611 $104K
88342 4,806 4,448 $101K
83020 7,802 7,423 $100K
73630 16,404 14,405 $99K
70551 1,960 1,837 $96K
93970 4,215 3,507 $94K
72141 1,942 1,834 $92K
76641 3,419 1,867 $89K
H1000 Prenatal care atrisk assessm 3,234 2,965 $88K
73560 15,709 11,455 $88K
99222 1,895 1,729 $87K
77066 Tomosynthesis, mammo 3,202 3,067 $85K
73721 1,791 1,631 $78K
73030 12,140 10,718 $75K
93272 4,240 4,078 $75K
76817 2,826 2,568 $75K
93016 4,748 4,505 $73K
45378 472 450 $72K
73610 11,522 10,267 $72K
76770 3,846 3,615 $71K
59514 103 100 $71K
95004 949 879 $66K
31575 2,156 2,024 $65K
76815 3,077 2,874 $64K
73130 9,781 8,660 $64K
99245 911 883 $63K
78452 1,488 1,420 $61K
99308 4,668 3,078 $60K
94060 6,702 6,363 $59K
59430 1,063 1,030 $56K
99202 2,986 2,817 $54K
66984 180 151 $53K
11056 5,016 4,773 $50K
88304 5,178 4,959 $50K
54150 1,101 1,052 $49K
88112 2,753 2,530 $48K
95886 2,951 2,819 $48K
99231 3,861 2,293 $48K
99242 2,046 1,962 $47K
93018 4,992 4,698 $47K
93971 3,135 2,879 $46K
99418 Prolong nursin fac eval 15m 844 392 $44K
99310 Prolong nursin fac eval 15m 1,435 749 $43K
84165 4,553 4,334 $42K
78815 620 573 $42K
71250 1,962 1,824 $41K
99254 610 557 $41K
17110 1,337 1,192 $41K
99306 Prolong nursin fac eval 15m 1,289 1,142 $41K
76536 2,523 2,409 $41K
92134 5,452 5,073 $40K
74230 3,239 2,908 $39K
99205 Prolong outpt/office vis 589 532 $38K
74183 557 534 $38K
71271 1,126 1,078 $37K
73502 5,579 5,209 $37K
93303 721 635 $36K
43235 386 369 $35K
93923 2,353 2,205 $35K
85060 3,600 3,112 $33K
H1003 Prenatal at risk education 2,250 2,119 $32K
95813 901 854 $32K
91200 2,808 2,694 $32K
92083 3,912 3,714 $32K
D1208 2,763 2,601 $32K
01961 205 190 $31K
93295 973 934 $30K
72110 2,872 2,752 $30K
73110 4,760 4,272 $30K
99385 701 650 $30K
93320 2,448 2,227 $30K
99307 3,466 1,459 $29K
99349 2,278 1,903 $29K
64483 813 771 $29K
99217 1,103 1,055 $29K
73221 672 600 $28K
73564 3,379 2,882 $27K
96365 865 856 $27K
00142 813 679 $25K
92133 3,634 3,422 $25K
90966 340 330 $24K
99477 117 106 $24K
93350 648 584 $24K
95941 214 196 $22K
95117 3,074 1,818 $22K
88173 374 333 $21K
95953 295 185 $21K
72100 2,766 2,615 $21K
70491 366 341 $20K
77263 247 232 $20K
86255 1,369 1,263 $20K
57454 216 204 $19K
99220 405 388 $19K
99464 331 324 $19K
94729 6,036 5,687 $19K
99255 202 179 $19K
99316 728 640 $18K
52000 513 500 $18K
99406 2,978 2,860 $18K
93298 1,076 925 $18K
96127 5,601 3,815 $17K
93458 157 147 $16K
99201 1,049 1,036 $16K
20611 449 425 $16K
77065 Tomosynthesis, mammo 1,491 1,416 $14K
00811 362 320 $14K
94726 4,062 3,844 $13K
94618 1,192 1,130 $13K
72050 1,202 1,142 $13K
99384 237 220 $12K
99383 279 260 $12K
95816 639 606 $12K
96131 122 119 $12K
93227 624 607 $11K
64493 285 251 $11K
11720 3,526 3,335 $11K
92020 1,566 1,487 $11K
93325 3,831 3,531 $11K
95720 103 65 $11K
96112 263 255 $11K
96113 166 129 $10K
77080 3,353 3,242 $10K
94010 1,976 1,890 $10K
69210 1,081 989 $10K
51741 2,257 1,955 $10K
96137 184 177 $10K
11042 759 507 $10K
51798 1,592 1,458 $10K
11900 635 609 $9K
99443 1,628 1,473 $9K
00731 249 231 $9K
86334 944 894 $9K
73590 1,429 1,200 $9K
90471 660 590 $9K
76506 363 280 $9K
43775 14 14 $9K
90962 190 172 $9K
72040 1,228 1,168 $8K
11055 1,423 1,330 $8K
76937 1,047 964 $8K
0013A 95 91 $8K
77002 423 397 $7K
11100 445 420 $7K
77334 106 67 $7K
27130 12 12 $7K
0072A 73 71 $7K
0003A 74 73 $7K
93880 440 403 $6K
96130 150 146 $6K
99241 508 497 $6K
93248 371 357 $6K
20550 268 214 $6K
64494 308 224 $6K
36415 1,959 1,854 $6K
92557 1,725 1,652 $6K
0071A 57 56 $6K
99253 108 100 $5K
77001 626 571 $5K
90785 798 701 $5K
99386 105 93 $5K
76857 315 189 $5K
84166 506 477 $5K
88341 89 87 $5K
G0179 Md recertification hha pt 1,376 1,236 $5K
95913 43 41 $5K
76831 187 183 $5K
92060 306 298 $5K
95782 78 77 $5K
77290 133 122 $5K
36569 89 83 $4K
42820 24 24 $4K
77077 565 554 $4K
58340 230 225 $4K
93294 286 276 $4K
96136 246 242 $4K
77280 151 137 $4K
11102 242 223 $4K
73562 621 490 $4K
66982 13 12 $4K
93244 265 255 $4K
65855 31 26 $3K
95938 472 428 $3K
51729 70 65 $3K
92504 1,044 989 $3K
46600 107 103 $3K
92250 460 430 $3K
77301 15 12 $3K
96160 2,991 2,556 $3K
72170 538 494 $3K
01992 101 82 $3K
95718 45 43 $3K
99417 Prolong home eval add 15m 288 160 $3K
72082 217 213 $3K
73700 76 72 $3K
77300 76 53 $3K
76942 257 226 $3K
73080 485 440 $3K
99221 93 84 $2K
64642 39 37 $2K
62370 188 177 $2K
17311 15 14 $2K
93308 179 168 $2K
90836 64 60 $2K
62323 41 40 $2K
51784 83 77 $2K
51797 82 77 $2K
92587 109 107 $2K
31231 105 96 $2K
25600 12 12 $2K
73552 320 280 $2K
92567 1,584 1,529 $2K
64566 218 117 $2K
97161 28 25 $2K
62321 28 26 $2K
90686 316 274 $2K
11057 158 148 $2K
73090 260 208 $2K
73140 319 281 $2K
36620 44 38 $2K
99282 83 81 $2K
99292 41 26 $1K
92585 67 67 $1K
77338 20 12 $1K
76514 299 291 $1K
75561 15 13 $1K
99407 97 89 $1K
G0127 Trim nail(s) 1,344 1,257 $1K
93280 61 58 $1K
V5266 Battery for hearing device 246 239 $1K
99305 48 44 $1K
99219 24 24 $1K
01810 22 21 $1K
36902 16 16 $1K
11750 16 14 $1K
93352 40 39 $974.93
93922 76 63 $947.91
72197 13 13 $909.42
H2019 Ther behav svc, per 15 min 216 136 $908.26
94727 278 267 $907.92
20526 34 24 $888.46
99358 Prolong nursin fac eval 15m 194 191 $851.20
87880 73 73 $834.22
89060 75 69 $815.07
92650 37 37 $801.82
97814 22 13 $791.84
96101 15 15 $775.34
98927 49 40 $766.83
75635 17 17 $750.44
G0451 Devlopment test interpt&rep 1,394 1,136 $693.00
31579 12 12 $690.00
88189 14 12 $688.43
88360 28 25 $679.01
91010 31 26 $670.24
99348 75 55 $667.31
99078 15 13 $665.55
70480 18 15 $659.56
95910 14 14 $614.71
93975 13 13 $597.44
98926 49 43 $573.47
92136 87 83 $571.31
64643 13 13 $553.63
95251 44 41 $553.41
73620 114 100 $550.18
51728 12 12 $531.34
93312 14 14 $509.96
77072 82 79 $508.14
92551 87 83 $493.90
97597 96 74 $484.25
99423 17 14 $478.54
11981 13 13 $453.56
74328 18 13 $450.04
64450 22 21 $448.50
27096 12 12 $438.38
64447 27 26 $436.98
95874 27 27 $423.20
H0015 Alcohol and/or drug services 135 27 $410.70
72070 52 49 $407.52
99218 14 13 $402.40
74240 14 12 $397.93
T1002 Rn services up to 15 minutes 100 97 $397.20
97813 15 13 $393.29
17250 41 39 $381.84
90472 67 63 $369.42
97162 13 13 $366.80
51700 44 40 $364.25
88312 39 31 $349.21
77333 15 12 $339.98
78264 13 13 $330.06
92588 12 12 $329.52
G2211 Complex e/m visit add on 2,572 2,227 $329.50
95885 44 44 $314.91
86335 27 27 $285.32
H0006 Alcohol and/or drug services 51 23 $257.95
99347 14 12 $250.40
76870 14 13 $243.37
93978 12 12 $241.16
97140 18 12 $225.83
94770 44 44 $224.81
99091 288 286 $213.75
93284 12 12 $209.16
10005 13 13 $207.45
93282 13 12 $206.11
73060 33 24 $185.94
74420 16 12 $184.46
92550 96 88 $183.32
93926 12 12 $179.33
88302 28 27 $177.88
76882 28 27 $163.13
75565 26 24 $162.40
93321 41 39 $159.94
96161 53 51 $147.60
74220 12 12 $146.02
90656 13 12 $133.00
92082 12 12 $112.48
73600 16 15 $104.23
92285 48 41 $102.92
95012 12 12 $97.36
G0500 Mod sedat endo service >5yrs 84 81 $82.44
88311 12 12 $71.90
91300 5,774 5,001 $55.71
90651 55 50 $50.00
96372 18 13 $39.36
90620 18 16 $32.40
99497 16 13 $16.92
99446 15 13 $15.71
1036F 474,486 436,251 $15.63
91307 129 127 $1.10
91301 95 95 $0.85
1111F 6,964 6,109 $0.00
3074F 5,683 5,527 $0.00
3044F 7,322 6,890 $0.00
3075F 2,076 2,022 $0.00
3079F 1,482 1,446 $0.00
G2021 Hea care pract tx in place 47 42 $0.00
3080F 28 27 $0.00
G0180 Md certification hha patient 96 94 $0.00
4004F 144,320 134,653 $0.00
3078F 13,591 13,121 $0.00
99080 560 530 $0.00
3046F 325 317 $0.00
3045F 59 56 $0.00
3077F 954 924 $0.00
G1003 Cdsm medicalis 53 48 $0.00
90734 50 43 $0.00
H0036 Comm psy face-face per 15min 69 33 $0.00