Medicaid Provider Spending

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

Diabetes Educator Registered Nurse

$23.34M
Total Medicaid Paid
54
Providers
1,205,625
Total Claims
977,140
Beneficiaries

Browse by State

FL ($12.09M)MI ($4.97M)ID ($3.73M)SD ($1.04M)NJ ($273K)HI ($230K)MO ($202K)UT ($147K)CT ($118K)RI ($111K)CA ($109K)TN ($105K)PA ($88K)NY ($48K)NV ($34K)MS ($16K)NC ($11K)CO ($10K)TX ($5K)IL ($4K)WI ($2K)SC ($2K)OK ($2K)IN ($0.00)

Top Billing Codes

CodeDescriptionTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity $3.30M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity $2.96M
99232 Subsequent hospital care, per day, moderate complexity $1.36M
99233 Prolong inpt eval add15 m $1.33M
H1000 Prenatal care, at-risk assessment $1.03M
99283 Emergency department visit for the evaluation and management, moderate severity $897K
99223 Prolong inpt eval add15 m $890K
99284 Emergency department visit for the evaluation and management, high severity $620K
99220 $613K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes $610K

Top Providers

#ProviderLocationClaimsTotal Paid
1 LAKELAND REGIONAL HEALTH SYSTEMS, INC. LAKELAND, FL 680,495 $12.09M
2 ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD, MI 335,849 $4.97M
3 GRITMAN MEDICAL CENTER INC MOSCOW, ID 93,535 $3.73M
4 MADISON COMMUNITY HOSPITAL MADISON, SD 38,836 $1.04M
5 QUEENS NORTH HAWAII COMMUNITY HOSPITAL KAMUELA, HI 9,010 $230K
6 SAINT MICHAEL PHARMACEUTICALS LLC N BRUNSWICK, NJ 3,026 $190K
7 PAUL FURINO APRN LLC STRATFORD, CT 2,900 $118K
8 TECH PLUS MED SOLUTIONS CORPORATION PICO RIVERA, CA 3,948 $109K
9 DIABETES MANAGEMENT ASSOCIATES MT. PLEASANT, TN 8,285 $105K
10 MAWUENYEGA, REBECCA CREVE COEUR, MO 1,391 $100K
11 IHC HEALTH SERVICES INC PROVO, UT 11,594 $99K
12 GEISINGER CLINIC DANVILLE, PA 3,694 $87K
13 CROOKS AVENUE PHARMACY CORPORATION PATERSON, NJ 2,332 $83K
14 IHC HEALTH SERVICES INC MT PLEASANT, UT 915 $46K
15 MOELLER, CARA MIDDLETOWN, RI 801 $45K
16 LUMMIS, CHERYL MEXICO, MO 192 $38K
17 ALTERA HEALTH PC LAS VEGAS, NV 807 $34K
18 STACEY, DEBRA WILLIAMSVILLE, NY 684 $34K
19 INTEGRITY INC. LEADINGTON, MO 763 $22K
20 JOHNSON, KAREN WAKEFIELD, RI 169 $20K
21 DEJACE ENTERPRISES INC ELSBERRY, MO 351 $19K
22 RUGG, KAREN EAST GREENWICH, RI 396 $18K
23 DEROSSI-DACOSTA, JENNIFER PAWTUCKET, RI 140 $16K
24 NORTH MISSISSIPPI MEDICAL CLINICS INC TUPELO, MS 771 $16K
25 ENDRIGA, GILBERT NEW YORK, NY 449 $13K
26 INNOVATIVE MEDS RX MOUNT AIRY, NC 469 $11K
27 BLANCHARD, LEISA LOCKWOOD, MO 233 $11K
28 RXPLUS LIMITED, LLC BUENA VISTA, CO 253 $10K
29 VACA, JULIA PROVIDENCE, RI 154 $8K
30 HELLEBUSCH, DANA WASHINGTON, MO 213 $7K
31 MCR HEALTH, INC. BRADENTON, FL 271 $6K
32 SCRIPT CO LUFKIN, TX 359 $5K
33 GOLDSTEIN, DEBORAH CHICAGO, IL 150 $4K
34 DALEY, JULIE PROVIDENCE, RI 61 $4K
35 SEMO DRUGS OF KENNETT INC KENNETT, MO 94 $3K
36 BALLWEG, CAROL FITCHBURG, WI 54 $2K
37 IHC HEALTH SERVICES INC AMERICAN FORK, UT 820 $2K
38 B. P. & W., INC. WEBB CITY, MO 71 $2K
39 ANMED HEALTH ANDERSON, SC 39 $2K
40 CUDD COMPANY LLC OKLAHOMA CITY, OK 107 $2K
41 GARDNER, NOLA EAST SYRACUSE, NY 79 $1K
42 PHARM-ASSIST INC TYRONE, PA 53 $321.00
43 CLAYSVILLE PHARMACY LLC CLAYSVILLE, PA 28 $275.00
44 HOGAN, EILEEN ALBANY, NY 37 $222.99
45 GIBBS PHARMACY INC LEBANON, TN 369 $148.93
46 DO, LINDA BRONX, NY 20 $98.60
47 CLAREST HEALTH 7931, LLC SPRINGFIELD, MO 12 $52.80
48 HEDGES PRESCRIPTION SHOP OF SARASOTA INC SARASOTA, FL 76 $1.12
49 SAINT CLOUD PHARMACY AND WELLNESS CENTER INC SAINT CLOUD, FL 117 $0.00
50 CHILLICOTHE FAMILY PHARMACY, LLC CHILLICOTHE, MO 13 $0.00
51 US COMPLETE CARE INC SAINT MARYS, PA 12 $0.00
52 MEDICAL CENTER PHARMACY LLC ZEPHYRHILLS, FL 67 $0.00
53 BLOUNT DISCOUNT PHARMACY INC MARYVILLE, TN 28 $0.00
54 HOOK-SUPERX LLC EVANSVILLE, IN 33 $0.00