Medicaid Provider Spending

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

Adult Medicine Physician

$141.30M
Total Medicaid Paid
439
Providers
4,950,391
Total Claims
3,753,155
Beneficiaries

Browse by State

PA ($29.04M)WV ($13.03M)CA ($11.58M)NJ ($10.44M)NC ($9.69M)NY ($7.33M)MD ($6.65M)MI ($5.97M)OH ($4.47M)ME ($4.13M)AZ ($3.73M)LA ($3.50M)KY ($3.44M)MA ($3.33M)TN ($2.95M)CO ($2.65M)FL ($2.08M)IL ($1.88M)WY ($1.75M)NV ($1.63M)VA ($1.53M)DC ($1.23M)OR ($1.15M)TX ($994K)AL ($938K)MO ($797K)WI ($792K)IN ($772K)OK ($732K)WA ($668K)SC ($601K)ND ($321K)PR ($318K)GA ($225K)NM ($217K)AR ($215K)HI ($213K)CT ($143K)DE ($123K)UT ($37K)KS ($27K)MS ($6K)

Top Billing Codes

CodeDescriptionTotal Paid
T1015 Clinic visit/encounter, all-inclusive $54.81M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity $25.08M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity $21.40M
H2017 Psychosocial rehabilitation services, per 15 minutes $2.36M
H2015 Comprehensive community support services, per 15 minutes $2.34M
99309 Subsequent nursing facility care, per day, low to moderate complexity $2.32M
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit $2.13M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity $1.50M
99310 Prolong nursin fac eval 15m $1.26M
99215 Prolong outpt/office vis $1.26M

Top Providers

#ProviderLocationClaimsTotal Paid
1 CARING COMMUNITY HEALTH CENTER WILKES BARRE, PA 215,755 $17.47M
2 BLUESTONE HEALTH ASSOCIATION, INC. PRINCETON, WV 335,260 $12.08M
3 EXCELCARE MEDICAL ASSOCIATES, PA TEANECK, NJ 587,266 $9.97M
4 CARING COMMUNITY HEALTH CENTER HAZLE TOWNSHIP, PA 133,762 $9.70M
5 LIFELONG MEDICAL CARE BERKELEY, CA 70,360 $7.11M
6 AMARA WELLNESS SERVICES, INC CHARLOTTE, NC 48,952 $5.49M
7 PENOBSCOT COMMUNITY HEALTH CENTER BANGOR, ME 50,047 $4.13M
8 EQUITAS HEALTH, INC COLUMBUS, OH 114,245 $3.40M
9 POST ACUTE MEDICAL PLLC LANHAM, MD 214,540 $3.34M
10 IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY LAKE CHARLES, LA 67,740 $3.27M
11 NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION FREMONT, MI 119,623 $3.15M
12 EAST CAROLINA UNIVERSITY GREENVILLE, NC 213,912 $2.92M
13 GENDEL, MIKHAIL GAITHERSBURG, MD 30,134 $2.13M
14 SHIFA PSC LEXINGTON, KY 87,051 $1.97M
15 LI, SIMON BROOKLYN, NY 125,185 $1.97M
16 WYOMING HEALTH MEDICAL GROUP, LLC CASPER, WY 49,238 $1.75M
17 FAMILY MEDICINE ASSOCIATES WESTFIELD, MA 33,519 $1.34M
18 SPECTRUM PAIN CLINICS INC. CORDOVA, TN 210,370 $1.32M
19 COLORADO PAIN RELIEF OF COLORADO SPRINGS INC COLORADO SPRINGS, CO 21,431 $1.25M
20 JACKSON URGENT CARE PLLC JACKSON, MI 30,017 $1.24M
21 TARHEEL FOOT & SPECIALTY CARE, P.A. RAEFORD, NC 184,855 $1.23M
22 MOBILE MEDICAL EXAMINATION SERVICES SANTA ANA, CA 88,468 $1.13M
23 CANBY HEALTHCARE CLINIC LLC CANBY, OR 15,566 $1.06M
24 UNIVERSAL HEALTH CENTER CORP MIAMI, FL 11,963 $1.02M
25 PLATINUMCARE , LLC WASHINGTON, DC 28,964 $1.01M
26 RIVER HOSPITAL, INC. ALEXANDRIA BAY, NY 6,554 $999K
27 ALECTO HEALTHCARE SERVICES WHEELING LLC WHEELING, WV 20,670 $956K
28 ROBINSON, JAY COALPORT, PA 13,536 $944K
29 CHARLES CITY MEDICAL GROUP INC RICHMOND, VA 49,774 $914K
30 LON LAFFERTY MD PSC INEZ, KY 31,670 $908K
31 FAMILY MEDICINE OF THE ROCKIES LLC AURORA, CO 20,336 $899K
32 BAYON MEDICAL GROUP, LLC LOWELL, MA 15,514 $894K
33 PHENIX CARE LLC LAS VEGAS, NV 14,197 $840K
34 ADULT & PEDIATRIC MEDICINE PC MONTGOMERY, AL 20,791 $770K
35 SHAW MEDICAL GROUP PROFESSIONAL CORPORATION TORRANCE, CA 11,208 $740K
36 GREAT SALT PLAINS HEALTH CENTER, INC. MEDFORD, OK 6,647 $732K
37 REZA KAHNAMOUEI MD PLLC CLINTON TWP, MI 12,372 $726K
38 GOOD HEALTH MEDICAL, PLLC AVONDALE, AZ 45,841 $717K
39 OMEGA HEIGHTS FAMILY MEDICINE CLINIC PLLC MCKINNEY, TX 22,002 $702K
40 SCHEIDLER RURAL HEALTH CLINIC, LLC KENNETT, MO 16,182 $657K
41 HOWARD, DANIEL BALTIMORE, MD 9,764 $652K
42 ADDICTION RECOVERY NETWORK LLC WATERTOWN, NY 7,675 $639K
43 GOSPHA G, CAMPBELL MD INC SAN BERNARDINO, CA 48,729 $600K
44 DR TERRY SINCLAIR HEALTH CLINIC INC WINCHESTER, VA 12,995 $598K
45 SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION GRANDVIEW, WA 8,593 $586K
46 CONGENIAL HEALTHCARE, LLC MIDDLETON, MA 17,177 $578K
47 FAKHOURI MEDICAL HEALTH OFFICE P.C. HOPEWELL JUNCTION, NY 6,006 $567K
48 MERIDIAN MEDICAL SERVICES, INC INDIANAPOLIS, IN 75,453 $540K
49 NUESSE, WILLIAM ORANGE, CA 8,974 $517K
50 GOOD HEALTH MEDICAL, PLLC GOODYEAR, AZ 26,582 $498K
51 SETIA, SUMAN EVERGREEN PARK, IL 14,027 $497K
52 YERON, RICHARD FREDERICK, MD 4,703 $489K
53 GOOD MEDICAL CARE, PLLC RIDGEWOOD, NY 12,879 $482K
54 ALMA CARE VISITING SERVICES ROMULUS, MI 17,771 $442K
55 HEALTHFORCE MEDICAL GROUP LLC HIXSON, TN 57,172 $436K
56 PHYSICIAN PARTNERS PC FRANKLIN, TN 23,588 $431K
57 GOOD HEALTH MEDICAL, PLLC BUCKEYE, AZ 13,880 $419K
58 FULLER, RICHARD BROOKFIELD, WI 16,298 $408K
59 ESPER, ROGER ERIE, PA 8,686 $403K
60 ALFRED RANDALL MOSS, M.D. P.A GAFFNEY, SC 14,294 $395K
61 PREMIER MOUNTAIN HEALTHCARE LLC SHOW LOW, AZ 11,932 $391K
62 PROGRESSIVE COMMUNITY HEALTH CENTERS, INC MILWAUKEE, WI 21,195 $383K
63 VIDAL MEDICAL OFFICE PLC MARICOPA, AZ 10,259 $377K
64 I AM WELLNESS AZ LLC PHOENIX, AZ 21,371 $372K
65 LERNER, LAWRENCE EAST DUNDEE, IL 6,035 $335K
66 COLORADO PROVIDER NETWORK LLC LAKEWOOD, CO 4,722 $334K
67 CARNETT CLINIC, LLC SIERRA VISTA, AZ 7,235 $331K
68 MALIK, INDU FULTON, KY 15,155 $325K
69 CAMAL LLC DAYTON, OH 5,479 $324K
70 LEGACY MEDICAL LLC BISMARCK, ND 10,156 $320K
71 JAYBER, MOHAMMED AVON, OH 8,359 $319K
72 SOUTH ISLAND MEDICAL ASSOCIATES PC FAR ROCKAWAY, NY 20,479 $318K
73 PATEL,, VIJAYKUMAR WOODRIDGE, IL 7,464 $316K
74 AMADOR-CHACON, NESTOR MANATI, PR 6,080 $313K
75 NATIONAL CHURCH RESIDENCES MEDICAL HOME COLUMBUS, OH 8,651 $309K
76 TAMASABY, MOHSEN RENO, NV 7,019 $292K
77 SIMONSON, LESLIE UNION CITY, NJ 7,465 $283K
78 PARK, JUNG WHITWELL, TN 17,281 $278K
79 BECKER, JILL FRAMINGHAM, MA 3,764 $273K
80 LULTSCHIK, PETER MEADVILLE, PA 2,117 $255K
81 GROGAN FAMILY MEDICINE LLC CONNERSVILLE, IN 4,173 $232K
82 YOKOSAWA, KENNETH AURORA, IL 5,275 $230K
83 EDWARDO M YAMBO MD PC BAY SHORE, NY 7,555 $228K
84 CLARKSTOWN MEDICAL CARE P.C. NEW CITY, NY 6,835 $216K
85 VANCE L FLETCHER MD LLC EWA BEACH, HI 4,211 $209K
86 E & J MEDICAL P.C. JACKSON HEIGHTS, NY 4,432 $208K
87 FRANK LYONS DO, PSC OLIVE HILL, KY 6,215 $205K
88 CHITTENANGO MEDICAL & WELLNESS ASSOC PC CHITTENANGO, NY 2,486 $203K
89 WEST COAST MEDICAL CARE PROFESSIONAL CORPORATION SACRAMENTO, CA 87,111 $197K
90 YIBIRIN PELUFFO, EDMUNDO SMYRNA, TN 2,854 $196K
91 ALBANY MEDICAL COLLEGE ALBANY, NY 5,182 $190K
92 BEN-MOHA, DORIT JERICHO, NY 6,474 $190K
93 PERSONALIZED CARE MD NAPA, CA 5,282 $183K
94 THE NEVADA HEALTH CENTER LAS VEGAS, NV 560 $181K
95 WISECARE OF FLORIDA, P.A. SAINT CLOUD, FL 15,756 $179K
96 OAKVIEW MEDICAL ASSOCIATES LLC SIMPSONVILLE, SC 2,372 $172K
97 EMMAUS HEALTH PLLC ANN ARBOR, MI 4,079 $172K
98 ETOWAH FAMILY MEDICAL PC RAINBOW CITY, AL 11,595 $168K
99 FAMILY PRACTICE OF DAVIE INC. PEMBROKE PINES, FL 14,106 $166K
100 KENNETH R SMITH D. O. P.C. GLENDALE, AZ 2,756 $163K