Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

1234567811

NPI: 1234567811

$42.92M
Total Medicaid Paid
247,533
Total Claims
55,437
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25,535 $2.23M
2019 20,061 $1.53M
2020 21,810 $1.55M
2021 26,505 $6.89M
2022 22,804 $8.99M
2023 55,427 $10.99M
2024 75,391 $10.73M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2036 Alcohol and/or other drug treatment program, per diem 3,891 2,533 $23.65M
H0019 Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem 21,797 1,007 $3.36M
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) 17,288 4,631 $3.30M
90834 Psychotherapy, 45 minutes with patient 33,887 15,052 $2.55M
T1040 Medicaid certified community behavioral health clinic services, per diem 10,152 3,927 $2.41M
H2016 Comprehensive community support services, per diem 99,814 4,291 $1.89M
T1027 Family training and counseling for child development, per 15 minutes 13,199 2,459 $1.75M
H2015 Comprehensive community support services, per 15 minutes 16,741 6,137 $1.27M
H2019 Therapeutic behavioral services, per 15 minutes 6,121 1,095 $881K
S9485 Crisis intervention mental health services, per diem 792 646 $674K
90882 8,768 3,729 $411K
90791 Psychiatric diagnostic evaluation 1,339 1,334 $152K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,298 1,973 $116K
90832 Psychotherapy, 30 minutes with patient 2,315 1,928 $83K
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 988 170 $73K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,463 1,253 $56K
90837 Psychotherapy, 53 minutes with patient 1,200 630 $56K
90853 Group psychotherapy (other than of a multiple-family group) 1,778 720 $51K
99404 255 254 $39K
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 1,493 333 $33K
G2078 Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure 698 432 $28K
G2074 Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) 189 165 $28K
H2011 Crisis intervention service, per 15 minutes 267 135 $22K
90847 Family psychotherapy with the patient present, 50 minutes 121 88 $10K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 237 204 $8K
98968 320 194 $8K
90792 Psychiatric diagnostic evaluation with medical services 51 51 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 41 40 $2K
99442 30 26 $588.90