Medicaid Provider Spending

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

THE CLEVELAND CLINIC FOUNDATION

NPI: 1811069685 · CLEVELAND, OH 44195 · Clinical Medical Laboratory · NPI assigned 11/15/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LARAWAY, DENNIS controls 20+ related entities in our dataset. Read more

$9.04M
Total Medicaid Paid
1,029,241
Total Claims
839,262
Beneficiaries
228
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLARAWAY, DENNIS (EXECUTIVE VP CHIEF FINANCE OFFICER)
NPI Enumeration Date11/15/2006

Related Entities

Other providers sharing the same authorized official: LARAWAY, DENNIS

ProviderCityStateTotal Paid
THE CLEVELAND CLINIC FOUNDATION CLEVELAND OH $863.55M
AKRON GENERAL MEDICAL CENTER AKRON OH $98.99M
CLEVELAND CLINIC MERCY HOSPITAL CANTON OH $86.97M
MEMORIAL HERMANN HEALTH SYSTEM HOUSTON TX $84.45M
FAIRVIEW HOSPITAL CLEVELAND OH $62.42M
LUTHERAN HOSPITAL CLEVELAND OH $41.49M
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION EUCLID OH $40.67M
MEMORIAL HERMANN HEALTH SYSTEM HOUSTON TX $39.46M
CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION CLEVELAND OH $36.43M
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION MAYFIELD HTS OH $32.76M
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION WARRENSVILLE HEIGHTS OH $31.44M
PARTNERS PHYSICIAN GROUP AKRON OH $28.37M
MARYMOUNT HOSPITAL INC GARFIELD HEIGHTS OH $28.02M
MEMORIAL HERMANN HEALTH SYSTEM HUMBLE TX $26.79M
MARTIN MEMORIAL MEDICAL CENTER INC STUART FL $26.03M
THE UNION HOSPITAL ASSOCIATION DOVER OH $20.23M
LODI COMMUNITY HOSPITAL LODI OH $17.53M
CLINIC MEDICAL SERVICES COMPANY LLC CLEVELAND OH $10.82M
CLEVELAND CLINIC HOME CARE SERVICES INDEPENDENCE OH $10.76M
INDIAN RIVER MEMORIAL HOSPITAL INC VERO BEACH FL $9.27M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 117,093 $904K
2019 157,640 $975K
2020 173,181 $1.69M
2021 225,932 $3.10M
2022 139,443 $1.10M
2023 109,746 $634K
2024 106,206 $639K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 36,006 22,937 $2.22M
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 25,498 15,871 $508K
80053 Comprehensive metabolic panel 72,534 64,293 $504K
84443 Thyroid stimulating hormone (TSH) 45,049 42,839 $431K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 33,635 32,162 $416K
80061 Lipid panel 46,151 44,158 $368K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 67,092 55,933 $321K
36415 Collection of venous blood by venipuncture 162,261 110,133 $282K
87631 2,906 2,756 $278K
80048 Basic metabolic panel (calcium, ionized) 54,672 35,038 $207K
83036 Hemoglobin; glycosylated (A1C) 37,585 35,876 $195K
85027 59,611 42,800 $177K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4,840 4,652 $126K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4,867 4,677 $124K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 895 846 $123K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,782 2,647 $108K
82607 13,112 12,448 $102K
86480 2,358 2,285 $92K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,849 3,774 $90K
83970 3,678 3,513 $80K
G0475 Hiv antigen/antibody, combination assay, screening 6,612 6,430 $77K
86235 2,502 1,101 $71K
84439 12,914 12,287 $68K
87086 Culture, bacterial; quantitative colony count, urine 15,421 14,199 $63K
82728 7,283 6,891 $60K
83735 15,818 12,059 $54K
86803 5,102 4,838 $49K
87522 Neg quan hep c or qual rna 2,385 2,290 $44K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 2,427 2,273 $43K
86780 4,265 4,034 $43K
83655 3,946 3,869 $43K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,760 1,688 $42K
80069 10,386 7,931 $42K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 2,334 2,247 $42K
83550 7,780 7,421 $41K
87077 9,485 7,467 $41K
80050 General health panel 2,344 2,278 $40K
84153 3,409 3,231 $38K
84403 2,105 1,974 $36K
82043 9,539 9,194 $36K
82570 11,251 10,606 $35K
87340 4,947 4,740 $35K
80076 6,889 6,091 $35K
83540 8,527 8,073 $34K
86140 10,562 8,116 $33K
85610 20,971 7,881 $33K
88305 Level IV - Surgical pathology, gross and microscopic examination 628 395 $33K
84702 3,138 2,698 $32K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 1,339 1,177 $31K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 2,064 2,026 $31K
80074 1,791 1,724 $31K
86147 572 440 $31K
87186 7,231 5,979 $29K
83880 1,471 1,290 $28K
81001 15,245 14,287 $27K
82746 3,362 3,206 $27K
86038 3,008 2,859 $26K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,210 1,155 $26K
84480 2,595 2,486 $24K
84481 1,938 1,872 $23K
84146 1,561 1,500 $21K
84550 6,501 6,103 $19K
83516 1,664 1,073 $19K
87660 1,203 1,175 $18K
84402 996 948 $18K
82784 1,946 1,665 $18K
85652 9,886 8,179 $18K
87480 1,187 1,160 $17K
87510 1,187 1,160 $17K
87070 3,014 2,793 $17K
86334 994 974 $17K
82565 4,447 2,911 $16K
86762 1,440 1,382 $15K
86706 1,732 1,647 $13K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 653 304 $13K
84100 4,248 2,884 $12K
87493 821 783 $12K
80164 1,914 1,696 $12K
86255 893 697 $12K
87505 197 187 $12K
83001 812 773 $12K
86003 547 206 $11K
83690 2,420 2,315 $11K
87205 3,686 3,439 $11K
83721 1,933 1,849 $10K
86592 2,986 2,876 $10K
87536 178 167 $10K
80197 1,137 606 $10K
86431 2,159 2,091 $9K
80202 1,089 477 $9K
86704 1,054 1,020 $9K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 1,564 1,507 $8K
82150 1,844 1,763 $8K
82550 1,715 1,322 $8K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 200 184 $8K
84436 2,278 2,159 $7K
86709 926 884 $7K
86200 718 705 $7K
82105 675 654 $7K
84156 3,102 2,835 $7K
82248 1,937 1,794 $7K
86376 616 596 $7K
84460 2,010 1,811 $7K
86705 700 683 $7K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 78 77 $7K
83002 533 304 $6K
85018 2,763 2,653 $6K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 146 141 $6K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 354 309 $6K
82274 476 466 $6K
86850 1,124 1,082 $5K
82670 277 251 $5K
82140 599 489 $5K
85730 1,330 972 $5K
86225 530 474 $5K
82977 939 713 $5K
87653 260 254 $4K
88342 186 116 $4K
81003 4,091 3,721 $4K
84450 1,212 1,118 $4K
87808 405 400 $4K
88141 214 206 $4K
86708 459 431 $4K
86359 160 148 $4K
80177 604 473 $4K
86141 444 366 $4K
82947 1,403 1,293 $3K
86364 369 337 $3K
81374 107 107 $3K
82950 1,036 1,004 $3K
86160 294 149 $3K
86696 196 186 $3K
87497 110 54 $3K
84134 338 261 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 57 47 $3K
88341 53 25 $2K
82533 208 187 $2K
84154 211 201 $2K
86900 1,069 1,029 $2K
86901 1,068 1,028 $2K
82627 147 137 $2K
88321 91 84 $2K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 46 42 $2K
82652 87 83 $2K
86665 129 65 $2K
85379 393 317 $2K
84132 719 493 $2K
84630 220 209 $2K
86695 198 188 $2K
80178 332 302 $2K
86812 61 61 $1K
88142 92 88 $1K
82378 87 72 $1K
86361 70 67 $1K
86146 29 27 $1K
84520 481 321 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 72 72 $996.18
86800 77 76 $953.51
86258 97 90 $942.72
84165 135 118 $936.00
83615 216 186 $865.19
84155 396 375 $852.92
85732 100 52 $736.66
84425 49 42 $674.32
85390 73 65 $642.70
86765 67 66 $641.05
82677 44 44 $635.28
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26 25 $573.47
84144 39 34 $570.12
86336 56 56 $535.95
85597 38 36 $535.85
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 24 24 $525.45
87529 29 13 $520.02
82785 37 36 $497.81
85613 78 37 $489.44
85045 137 134 $405.32
84478 99 77 $400.31
86735 43 41 $392.07
80185 52 40 $372.30
80364 26 25 $364.05
80361 26 25 $364.05
82465 108 105 $332.50
87799 14 12 $330.96
86787 35 30 $316.82
80358 38 37 $312.46
86381 18 14 $304.44
82330 25 24 $291.75
80365 38 37 $290.18
86039 37 37 $283.41
83520 22 16 $261.85
83525 32 28 $253.29
85060 19 15 $240.63
82040 121 109 $234.71
80162 37 30 $225.10
80373 26 25 $224.40
85670 52 49 $218.48
80349 26 25 $202.12
80324 26 25 $202.12
80353 26 25 $202.12
80348 26 25 $202.12
80356 26 25 $202.12
80354 26 25 $202.12
83090 16 14 $191.19
84075 81 68 $182.07
82103 40 37 $179.52
86677 12 12 $172.46
83883 14 13 $166.09
87481 37 34 $165.84
86015 28 25 $162.68
82747 12 12 $156.65
86317 13 12 $141.60
87338 12 12 $139.12
85520 15 13 $137.52
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) 31 30 $136.80
G0452 Molecular pathology procedure; physician interpretation and report 19 15 $136.65
86663 13 13 $135.00
82310 64 59 $132.12
82525 14 13 $127.13
84295 60 52 $104.14
82374 60 51 $101.72
82435 64 53 $99.51
82247 49 43 $86.34
85014 62 54 $80.08
87088 13 13 $79.32
84484 16 12 $59.86
86694 13 12 $35.61
3074F 34 34 $0.00
3078F 43 43 $0.00