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

The Emory Clinic INC

The Emory Clinic INC was paid $26.58M by Medicaid between Jan 2018 and Dec 2024, across 345 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 13% of everything it billed.

33Billing provider infoTHE EMORY CLINIC INC
ATLANTA, GA 30329
33aNPI1346403854assigned 07/03/2008
33bProvider typePain Clinic/Center
28Total paid$26.58M
24GClaims1,002,260
24DCodes billed345
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service

Paid by month

$0$250K$500K$750K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018112,945$2.95M
2019126,548$3.31M
2020107,147$2.75M
2021140,125$3.65M
2022167,610$4.61M
2023244,314$5.99M
2024incomplete103,571$3.31M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13% 86,698 80,359 $3.54M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 11% 76,843 27,996 $2.81M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 6.9% 28,840 27,147 $1.83M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.4% 29,512 26,821 $910K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.3% 9,349 8,869 $869K
J0475 Injection, baclofen, 10 mg 3.2% 1,209 1,152 $838K
71045 Radiologic examination, chest; single view 3.0% 157,899 128,848 $801K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2.6% 22,553 21,482 $678K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.4% 9,730 9,049 $647K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.3% 9,771 9,129 $613K
71046 Radiologic examination, chest; 2 views 2.2% 73,063 70,303 $587K
76819 Fetal biophysical profile; without non-stress testing 2.2% 10,447 8,051 $576K
333 more codes
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2.0% 5,576 $536K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 2.0% 3,375 $530K
D7240 Removal of impacted tooth - completely bony 2.0% 3,358 $525K
99232 Hospital visit by a doctor, follow-up day 2.0% 19,327 $519K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.8% 92,538 $484K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.7% 10,227 $446K
70450 Computed tomography, head or brain; without contrast material 1.6% 20,198 $429K
99204 Doctor's office visit, new patient (more involved) 1.6% 4,492 $418K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1.5% 8,584 $411K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 1.4% 11,261 $369K
88307 1.3% 5,033 $356K
88305 Level IV - Surgical pathology, gross and microscopic examination 1.3% 8,137 $350K
99223 Prolong inpt eval add15 m 1.2% 5,230 $307K
64483 1.1% 2,068 $290K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1.1% 6,435 $286K
74018 <1% 37,708 $244K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 7,511 $234K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 426 $211K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 3,173 $206K
99283 Emergency room visit (moderate) <1% 4,127 $196K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 2,795 $191K
20610 <1% 4,145 $148K
64493 <1% 1,074 $139K
95720 <1% 1,442 $122K
99239 Hospital discharge day management, more than 30 minutes <1% 2,833 $117K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 667 $117K
93970 <1% 5,653 $116K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 440 $115K
70355 <1% 4,430 $104K
D7140 Extraction, erupted tooth or exposed root <1% 1,902 $104K
71250 <1% 4,041 $103K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 9,193 $102K
74183 <1% 1,965 $85K
99205 Prolong outpt/office vis <1% 715 $84K
62370 <1% 1,281 $83K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 845 $77K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,496 $70K
76820 <1% 1,185 $69K
52000 <1% 448 $69K
99292 <1% 899 $67K
93295 <1% 2,458 $66K
74019 <1% 5,744 $64K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 399 $64K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,273 $63K
92060 <1% 1,682 $61K
96112 <1% 661 $60K
64494 <1% 699 $58K
D9222 <1% 849 $56K
95951 <1% 339 $56K
93296 <1% 3,844 $56K
92134 <1% 3,211 $55K
93971 <1% 4,005 $55K
93000 <1% 4,063 $55K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 340 $53K
J0586 Injection, abobotulinumtoxina, 5 units <1% 41 $48K
70551 Magnetic resonance imaging, brain; without contrast material <1% 682 $48K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment <1% 665 $48K
84165 <1% 5,061 $47K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 985 $41K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,542 $35K
92083 <1% 1,385 $34K
76770 <1% 974 $32K
92201 <1% 2,081 $32K
D7230 <1% 209 $31K
86334 <1% 3,400 $30K
92250 <1% 1,139 $28K
0002A <1% 891 $28K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 1,304 $28K
70491 <1% 758 $27K
73562 <1% 1,546 $25K
D9243 <1% 99 $24K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,785 $24K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 456 $24K
77063 Screening digital breast tomosynthesis, bilateral <1% 2,320 $24K
72082 <1% 490 $24K
99222 Initial hospital care, per day, moderate complexity <1% 467 $23K
71275 Computed tomographic angiography, chest, with contrast material <1% 740 $23K
93016 <1% 1,908 $23K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 1,295 $23K
20611 <1% 511 $22K
85610 <1% 14,171 $22K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 353 $22K
0001A <1% 1,155 $21K
99308 Subsequent nursing facility care, per day, straightforward <1% 1,706 $21K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth <1% 275 $21K
95816 <1% 348 $21K
93325 <1% 886 $20K
93750 <1% 891 $20K
88141 <1% 956 $19K
99244 Office or other outpatient consultation, moderate to high complexity <1% 111 $19K
94375 <1% 1,146 $19K
73610 <1% 1,546 $18K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 634 $18K
73630 <1% 1,381 $18K
93018 <1% 2,027 $18K
64642 <1% 283 $16K
D7280 <1% 70 $15K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 157 $13K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 563 $12K
93320 <1% 516 $12K
80053 Comprehensive metabolic panel <1% 2,725 $10K
64615 <1% 134 $10K
19318 <1% 14 $10K
94729 <1% 444 $9K
99245 <1% 58 $9K
99238 Hospital discharge day management, 30 minutes or less <1% 211 $9K
93294 <1% 712 $9K
78815 Positron emission tomography (PET) for limited area imaging <1% 181 $9K
D9239 <1% 100 $9K
92226 <1% 245 $8K
88342 <1% 325 $8K
59025 Fetal non-stress test <1% 344 $8K
76830 Ultrasound, transvaginal <1% 336 $7K
73564 <1% 335 $7K
86077 <1% 256 $7K
D0330 Panoramic radiographic image <1% 672 $7K
73502 <1% 312 $7K
64484 <1% 54 $6K
94726 <1% 265 $6K
80504 <1% 541 $6K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 1,312 $6K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 469 $6K
67028 Intravitreal injection of a pharmacologic agent <1% 75 $6K
31231 <1% 108 $6K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 129 $6K
85390 <1% 565 $5K
88189 <1% 71 $5K
64643 <1% 76 $5K
52310 <1% 96 $5K
90961 <1% 251 $5K
70150 <1% 152 $5K
85027 <1% 1,642 $5K
96111 <1% 84 $5K
76536 <1% 326 $5K
73130 <1% 309 $5K
93793 <1% 1,616 $4K
99342 <1% 12 $4K
88108 <1% 222 $4K
83036 Hemoglobin; glycosylated (A1C) <1% 1,200 $4K
70496 <1% 115 $4K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 15 $4K
D7283 <1% 19 $4K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 91 $4K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 121 $4K
76825 <1% 41 $4K
73560 <1% 263 $4K
01961 <1% 37 $4K
84443 Thyroid stimulating hormone (TSH) <1% 757 $4K
72170 <1% 196 $4K
99255 <1% 29 $4K
36415 Collection of venous blood by venipuncture <1% 5,261 $4K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 258 $4K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 15 $4K
43235 <1% 29 $4K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 117 $4K
01968 <1% 13 $4K
72100 <1% 240 $3K
64635 <1% 33 $3K
72197 <1% 63 $3K
72125 Computed tomography, cervical spine; without contrast material <1% 111 $3K
92133 <1% 158 $3K
99152 <1% 617 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 1,024 $3K
99253 <1% 39 $3K
80061 Lipid panel <1% 1,253 $3K
00170 Anesthesia for intraoral procedures, including biopsy <1% 58 $3K
96040 <1% 629 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 30 $3K
73090 <1% 270 $2K
77072 <1% 247 $2K
72081 <1% 107 $2K
70360 <1% 261 $2K
80502 <1% 107 $2K
76801 <1% 73 $2K
94618 <1% 173 $2K
99221 <1% 105 $2K
73030 <1% 215 $2K
70498 <1% 66 $2K
69210 <1% 135 $2K
49083 <1% 46 $2K
96156 <1% 48 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 4,230 $2K
99217 <1% 76 $2K
78431 <1% 243 $2K
00104 <1% 103 $2K
82962 <1% 1,538 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 137 $2K
64636 <1% 16 $2K
88112 <1% 55 $2K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 112 $2K
31645 <1% 32 $2K
73110 <1% 147 $1K
78580 <1% 61 $1K
88312 <1% 72 $1K
72110 <1% 54 $1K
74230 <1% 54 $1K
92225 <1% 31 $1K
76506 <1% 40 $1K
90686 <1% 129 $1K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 148 $1K
73140 <1% 168 $1K
99243 <1% 12 $1K
99153 Mod sedat endo service >5yrs <1% 118 $1K
78492 <1% 271 $1K
88173 <1% 12 $1K
76937 <1% 132 $1K
93298 <1% 112 $998.64
95813 <1% 27 $989.20
92018 <1% 14 $985.38
73221 <1% 14 $966.77
77073 <1% 30 $929.86
77001 <1% 118 $922.60
95886 <1% 14 $889.26
J1040 Injection, methylprednisolone acetate, 80 mg <1% 106 $887.18
85097 <1% 28 $882.75
73590 <1% 100 $879.18
72080 <1% 24 $871.29
87428 <1% 12 $837.86
93356 <1% 95 $833.27
99310 Prolong nursin fac eval 15m <1% 249 $812.32
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 117 $773.21
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 39 $767.20
81025 <1% 95 $749.44
73070 <1% 58 $738.94
90792 Psychiatric diagnostic evaluation with medical services <1% 13 $737.59
96138 <1% 66 $703.53
82570 <1% 396 $666.71
84166 <1% 67 $653.42
95718 <1% 19 $634.30
93975 <1% 12 $629.40
99417 Prolong home eval add 15m <1% 29 $604.20
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 117 $597.17
72158 <1% 12 $555.36
95885 <1% 26 $554.37
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 307 $529.69
78434 <1% 207 $526.50
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 56 $520.90
76642 <1% 29 $518.82
75574 <1% 12 $483.36
93922 <1% 60 $470.56
80048 Basic metabolic panel (calcium, ionized) <1% 122 $462.24
96167 <1% 25 $458.81
73100 <1% 17 $455.01
70486 <1% 12 $450.32
99459 <1% 40 $445.27
83735 <1% 106 $430.02
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 43 $421.71
80050 General health panel <1% 137 $410.40
J9035 Injection, bevacizumab, 10 mg <1% 13 $402.25
99356 <1% 22 $391.84
3078F <1% 4,687 $375.61
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 58 $375.37
72040 <1% 37 $368.39
95251 <1% 32 $365.35
92557 <1% 12 $351.42
3074F <1% 4,049 $350.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 197 $344.00
90870 <1% 58 $323.68
70350 <1% 19 $322.28
88313 <1% 26 $292.57
81003 <1% 105 $283.78
88311 <1% 40 $277.77
93923 <1% 30 $267.62
90935 Hemodialysis procedure with single evaluation by a physician <1% 1,818 $256.80
87086 Culture, bacterial; quantitative colony count, urine <1% 81 $254.07
J1010 Injection, methylprednisolone acetate, 1 mg <1% 118 $253.53
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 14 $248.89
97803 <1% 14 $216.30
95976 <1% 12 $210.89
51798 <1% 27 $207.60
82043 <1% 118 $207.24
3066F <1% 3,983 $195.00
82728 <1% 37 $193.41
90837 Psychotherapy session, about an hour <1% 21 $188.04
84439 <1% 65 $151.70
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,078 $146.29
81002 <1% 90 $145.64
95873 <1% 14 $113.88
82607 <1% 24 $107.61
96160 <1% 46 $104.28
73600 <1% 14 $103.76
77080 <1% 166 $91.41
73620 <1% 13 $89.09
88304 <1% 13 $86.51
85652 <1% 59 $83.53
93299 <1% 12 $78.08
86592 <1% 84 $75.78
3079F <1% 537 $75.00
87340 <1% 14 $66.25
86140 <1% 30 $61.91
84100 <1% 28 $59.54
84156 <1% 42 $59.04
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 149 $57.84
99307 <1% 15 $51.22
87210 <1% 14 $50.40
3062F <1% 1,342 $45.00
81001 <1% 12 $44.87
G0008 Administration of influenza virus vaccine <1% 43 $39.00
4010F <1% 222 $30.00
93925 <1% 12 $29.20
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 40 $5.08
81015 <1% 12 $2.74
0502F <1% 274 $0.17
3008F 0% 16,347 $0.00
3048F 0% 686 $0.00
G0250 Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests 0% 57 $0.00
3044F 0% 206 $0.00
3080F 0% 15 $0.00
G8916 Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time 0% 145 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 0% 334 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 0% 66 $0.00
1126F 0% 12 $0.00
1125F 0% 130 $0.00
V2632 Posterior chamber intraocular lens 0% 146 $0.00
J0690 Injection, cefazolin sodium, 500 mg 0% 146 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 0% 377 $0.00
92567 0% 12 $0.00
3075F 0% 43 $0.00
99443 0% 27 $0.00
G8915 Patient documented not to have experienced a hospital transfer or hospital admission upon discharge from asc 0% 27 $0.00
G8907 Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility 0% 2,892 $0.00
3077F 0% 161 $0.00
99053 0% 104 $0.00
G8918 Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis 0% 1,763 $0.00
1160F 0% 780 $0.00
99306 Prolong nursin fac eval 15m 0% 12 $0.00
99497 0% 19 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 0% 295 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 0% 21 $0.00
G8909 Patient documented not to have received a burn prior to discharge 0% 27 $0.00
92025 0% 16 $0.00
92015 Determination of refractive state 0% 15 $0.00
G8913 Patient documented not to have experienced a wrong site, wrong side, wrong patient, wrong procedure or wrong implant event 0% 27 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialMASON, MIKE (OPERATIONS ADMINISTRATOR)
Parent organizationTHE EMORY CLINIC INC