Medicaid Provider Spending

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

Specialist

$7.17B
Total Medicaid Paid
8,675
Providers
156,484,924
Total Claims
117,533,254
Beneficiaries

Browse by State

NJ ($1.41B)CA ($962.16M)NY ($935.00M)NM ($286.63M)FL ($265.25M)LA ($234.71M)NC ($234.49M)MI ($210.54M)TN ($196.90M)AZ ($192.41M)TX ($189.17M)MD ($167.70M)IN ($134.18M)VA ($125.61M)MN ($119.00M)MA ($116.39M)OH ($108.73M)KY ($95.14M)AR ($91.65M)PR ($85.78M)WV ($79.26M)AL ($77.94M)IL ($67.61M)GA ($64.85M)CO ($63.79M)MT ($60.91M)PA ($57.14M)SC ($56.73M)WA ($50.34M)NV ($46.73M)OR ($43.97M)MS ($42.20M)MO ($40.11M)OK ($39.39M)CT ($36.30M)DE ($31.32M)HI ($23.42M)ME ($19.58M)WI ($17.14M)RI ($11.27M)KS ($10.64M)CALIFORNIA ($10.01M)IA ($8.62M)UT ($7.73M)ID ($6.59M)AK ($6.31M)NE ($4.24M)ND ($4.22M)SD ($3.31M)DC ($2.85M)FLORIDA ($2.62M)WY ($2.06M)GU ($1.77M)NH ($673K)VT ($270K)VI ($250K)PUERTO RICO ($208K)

Top Billing Codes

CodeDescriptionTotal Paid
T1018 School-based individualized education program (iep) services, bundled $939.12M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity $824.30M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity $764.27M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity $136.30M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity $133.53M
T2016 Habilitation, residential, waiver; per diem $117.54M
T1019 Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) $96.85M
99361 Medical team conference with interdisciplinary team of health care professionals $87.02M
99232 Subsequent hospital care, per day, moderate complexity $86.14M
97530 Therapeutic activities, direct patient contact, each 15 minutes $83.76M

Top Providers

#ProviderLocationClaimsTotal Paid
1 DEPARTMENT OF HEALTH AND SENIOR SERVICES TRENTON, NJ 3,312,341 $1.07B
2 PARCARE COMMUNITY HEALTH NETWORK INC BROOKLYN, NY 1,118,511 $88.45M
3 BASIN COORDINATED HEALTHCARE,INC FARMINGTON, NM 1,183,690 $79.51M
4 CMC DEPT OF MEDICINE GROUP PA CAMDEN, NJ 554,162 $77.36M
5 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC PORT JEFFERSON STATION, NY 1,890,558 $61.66M
6 CANCER & HEMATOLOGY CENTERS OF WESTERN MI, P.C. GRAND RAPIDS, MI 449,502 $59.56M
7 EXCELSIOR INTEGRATED MEDICAL GROUP, PLLC NEW YORK, NY 2,252,351 $57.70M
8 PEDIATRIC GROUP OF ACADIANA, LLC LAFAYETTE, LA 2,321,261 $57.58M
9 ADELANTE DEVELOPMENT CENTER, INC. ALBUQUERQUE, NM 331,058 $57.06M
10 NORMAL LIFE OF INDIANA MARION, IN 195,633 $56.71M
11 STEWARD MEDICAL GROUP, INC WATERTOWN, MA 1,901,408 $50.08M
12 BP IMMEDIATE MEDICAL CARE, PC BROOKLYN, NY 919,699 $45.09M
13 QUALITY LIFE SERVICES, LLC LAS CRUCES, NM 69,976 $44.89M
14 VALLEY CANCER MEDICAL CENTER INC MANTECA, CA 108,407 $43.81M
15 TOPCARE MEDICAL GROUP INC DALLAS, TX 2,448,246 $42.63M
16 PM PEDIATRICS OF LIVINGSTON, PLLC LIVINGSTON, NJ 409,235 $40.45M
17 PLANNED PARENTHOOD MINNESOTA, NORTH DAKOTA, SOUTH DAKOTA SAINT PAUL, MN 737,782 $38.35M
18 BENEFIS HOSPITALS INC GREAT FALLS, MT 593,425 $38.15M
19 GRACE REQUIRES UNDERSTANDING INC. LAS CRUCES, NM 38,783 $37.90M
20 PINNACLE TREATMENT CENTERS KY-1, LLC ELIZABETHTOWN, KY 130,858 $33.62M
21 PM PEDIATRICS OF MARYLAND GREENBELT, MD 371,120 $33.50M
22 FAIRVIEW EXPRESS CARE SAINT PAUL, MN 739,861 $33.17M
23 PRIMARY PEDIATRICS, PC MACON, GA 873,942 $32.94M
24 PM PEDIATRICS OF SELDEN SELDEN, NY 238,858 $31.91M
25 UNITED CEREBRAL PALSY ASSOCIATION OF CENTRAL ARIZONA PHOENIX, AZ 366,879 $31.10M
26 PINNACLE TREATMENT CENTERS KY-I, LLC GEORGETOWN, KY 118,722 $30.87M
27 THE ELIZABETH RICHARDSON CTR. SPRINGDALE, AR 340,841 $30.34M
28 MINNESOTA ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS PA NORTHFIELD, MN 148,137 $28.32M
29 ABC PEDIATRICS OF DUNN, PA DUNN, NC 1,315,568 $28.10M
30 I.M.E.M. CLINICAL ASSOCIATES LLC LAKEWOOD, NJ 627,925 $27.96M
31 ALLERGY ASSOCIATES, P.A. KNOXVILLE, TN 691,782 $26.61M
32 MARTIN MEMORIAL MEDICAL CENTER INC STUART, FL 1,141,011 $26.03M
33 BEVERLY'S HOME HEALTH CARE INC KEW GARDENS, NY 65,728 $25.44M
34 ADMINISTRATORS OF THE TULANE EDUCATIONAL FUND NEW ORLEANS, LA 646,473 $24.57M
35 HENDERSONVILLE PEDIATRICS, P.A. HENDERSONVILLE, NC 1,005,472 $24.25M
36 RETINA VITREOUS ASSOCIATES MEDICAL GROUP LOS ANGELES, CA 401,533 $24.03M
37 HOLLAND COMMUNITY HOSPITAL HOLLAND, MI 945,636 $23.73M
38 ACHIEVE WHOLE RECOVERY, PC COLORADO SPRINGS, CO 328,222 $22.64M
39 PURCELL CLINIC, PA LAURINBURG, NC 1,091,169 $22.36M
40 CANCER CENTER ONCOLOGY MEDICAL GROUP, INC-EAST COUNTY LA MESA, CA 119,612 $21.40M
41 RAVI PATEL M.D. INC BAKERSFIELD, CA 650,641 $21.28M
42 EAST MEMPHIS NEONATOLOGY ASSOCIATES P.C MEMPHIS, TN 83,282 $20.71M
43 STILL FAMILY, LLC CHARLOTTE, NC 92,094 $20.30M
44 WANG, ZHAO BROOKLYN, NY 393,770 $20.06M
45 MURFREESBORO MEDICAL CLINIC, P.A. MURFREESBORO, TN 715,112 $19.79M
46 L.I.F.E CENTER FOR INDEPENDENT LIVING FARMINGTON, MO 414,596 $19.66M
47 CHARLOTTE RADIOLOGY PA CHARLOTTE, NC 1,168,300 $19.08M
48 BASS MEDICAL GROUP WALNUT CREEK, CA 272,586 $18.65M
49 EAR NOSE AND THROAT ASSOCIATES OF SAN DIEGO A MEDICAL CORP LA MESA, CA 155,316 $17.73M
50 CALIFORNIA RETINA CONSULTANTS BAKERSFIELD, CA 79,742 $17.53M
51 DESERT CITIES ALLERGY OTOLARYNGOLOGY INC RANCHO MIRAGE, CA 277,913 $17.25M
52 DR WW DERMATOLOGY PLLC ELMHURST, NY 203,840 $17.19M
53 CHILDRENS MEDICAL CENTER GREENVILLE, SC 384,115 $17.12M
54 AUTISM BEHAVIOR SERVICES INC. SANTA ANA, CA 138,860 $16.82M
55 EAST BAY RHEUMATOLOGY MEDICAL GROUP, INC. SAN LEANDRO, CA 22,179 $16.64M
56 SOUTH FLORIDA PERINATAL MEDICINE SOUTH MIAMI, FL 226,250 $16.23M
57 THE WEST CLINIC, PLLC GERMANTOWN, TN 692,502 $16.03M
58 PEDIATRIC EPILEPSY AND NEUROLOGY SPECIALISTS TAMPA, FL 121,594 $15.39M
59 NORTH CENTRAL OHIO FAMILY CARE CENTER, INC GALION, OH 503,692 $15.36M
60 SOLUTIONS POSITIVE BEHAVIOR STRATEGIES SOUTH CHARLESTON, WV 37,827 $15.26M
61 BON SECOURS MEDICAL GROUP RICHMOND PRIMARY CARE LLC RICHMOND, VA 379,749 $15.11M
62 DIGESTIVE DISEASE ASSOCIATES, INC SAN DIEGO, CA 151,346 $14.63M
63 JOSEPH B. FURLONG, P.A. LAS CRUCES, NM 40,747 $14.39M
64 LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP LOS ANGELES, CA 452,383 $13.97M
65 QUALITY CARE REHABILITATION PROFESSIONALS, INC SHELBY TOWNSHIP, MI 155,403 $13.93M
66 ARIZONA ONCOLOGY ASSOCIATES PC TUCSON, AZ 219,178 $13.89M
67 MICHAEL LI MD PLLC FLUSHING, NY 87,069 $13.84M
68 NASSIM AND ASSOCIATES, PSC NEW ALBANY, IN 421,465 $13.74M
69 OKLAHOMA ALLERGY & ASTHMA CLINIC OKLAHOMA CITY, OK 249,716 $13.72M
70 CHILDREN'S CENTER: EARLY INTERVENTION AND FAMILY SUPPORT, INC. AUGUSTA, ME 125,747 $13.56M
71 COASTAL EAR NOSE AND THROAT, LLC NEPTUNE, NJ 150,491 $13.24M
72 RCHP BILLINGS - MISSOULA LLC MISSOULA, MT 229,645 $13.10M
73 ORTHOPEDICSNY, LLP ALBANY, NY 194,373 $12.94M
74 TENNESSEE MATERNAL-FETAL MEDICINE LLC NASHVILLE, TN 277,839 $12.58M
75 COMMONWEALTH PEDIATRICS RICHMOND, VA 482,769 $12.58M
76 ARIZONA OB GYN AFFILIATES PC PHOENIX, AZ 358,083 $12.58M
77 GENESIS HEALTHCARE PARTNERS PC SAN DIEGO, CA 229,492 $12.51M
78 DECRESCE, ROBERT CHICAGO, IL 2,577,381 $12.39M
79 RAIS, SHARON BROOKLYN, NY 142,212 $12.04M
80 PEDICONS, INC. DENHAM SPRINGS, LA 515,350 $12.02M
81 SUMMERSVILLE PEDIATRICS INC. SUMMERSVILLE, WV 333,182 $12.00M
82 CHILDRENS CLINIC OF MICHIGAN PLLC HAMTRAMCK, MI 311,205 $11.91M
83 ALTERNATIVE YOUTH SERVICES, INC. LEWISBURG, TN 8,050 $11.91M
84 CALIFORNIA RETINA CONSULTANTS SANTA BARBARA, CA 79,463 $11.81M
85 CENTRAL OHIO HOSPITALISTS, INC COLUMBUS, OH 455,831 $11.74M
86 MARIAN DAVID, MD, PC KEW GARDENS, NY 119,240 $11.27M
87 CHESHIRE FITNESS ZONE, LLC CHESHIRE, CT 291,963 $11.25M
88 PEDIATRIC OTOLARYNGOLOGY HEAD AND NECK SURGEYR ASSOC. PA ST PETERSBURG, FL 185,946 $11.24M
89 MMC OB GYN PERINATAL DIAGNOSTIC ULTRASOUND BROOKLYN, NY 116,314 $11.19M
90 SYED F AZAM MEDICAL ASSOCIATES INC RANCHO MIRAGE, CA 284,218 $11.03M
91 FAIRFAX RADIOLOGICAL CONSULTANTS FALLS CHURCH, VA 570,206 $10.80M
92 FLINT NEUROLOGICAL CENTRE PC FLINT, MI 135,925 $10.74M
93 PEDIATRIC ASSOCIATES PLAQUEMINE, LA 535,067 $10.74M
94 PHYSICIAN GROUP OF ARIZONA INC PHOENIX, AZ 226,061 $10.73M
95 CENTRAL COAST ALLERGY AND ASTHMA SALINAS, CA 171,030 $10.72M
96 VANGUARD DERMATOLOGY BROOKLYN, NY 228,249 $10.72M
97 JARVIS PEDIATRIC THERAPY, INC. SPRINGDALE, AR 127,767 $10.62M
98 WOMENS CLINIC OF ACADIANA LLC LAFAYETTE, LA 189,508 $10.61M
99 LINCOLN PEDIATRICS CLINIC,PA LINCOLNTON, NC 597,545 $10.35M
100 MILFORD PEDIATRIC GROUP, PC MILFORD, CT 318,605 $10.33M