Medicaid Provider Spending

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

Sports Medicine (Orthopaedic Surgery) Physician

$83.94M
Total Medicaid Paid
379
Providers
2,848,778
Total Claims
2,278,958
Beneficiaries

Browse by State

NC ($22.88M)OH ($13.29M)MD ($11.55M)IL ($6.72M)CA ($3.97M)PA ($3.74M)FL ($3.46M)NJ ($3.30M)LA ($2.76M)ID ($1.59M)AZ ($1.20M)MI ($1.14M)NY ($1.09M)MS ($887K)MA ($729K)AL ($682K)TX ($665K)RI ($649K)PR ($555K)CO ($449K)TN ($321K)IN ($315K)UT ($292K)CT ($263K)VA ($243K)OR ($205K)SC ($176K)MO ($172K)KY ($137K)WI ($135K)WA ($78K)WV ($52K)IA ($50K)KS ($49K)MT ($46K)OK ($45K)NV ($27K)AK ($23K)HI ($13K)AR ($5K)GA ($4K)MN ($2K)ME ($2K)

Top Billing Codes

CodeDescriptionTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity $20.61M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity $19.09M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity $9.59M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity $7.60M
20610 $3.64M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion $3.55M
T1015 Clinic visit/encounter, all-inclusive $1.54M
99243 $1.52M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete $691K
20611 $679K

Top Providers

#ProviderLocationClaimsTotal Paid
1 EMERGEORTHO PA DURHAM, NC 671,140 $20.97M
2 PRECISION ORTHOPEDICS AND SPORTS MEDICINE LAUREL, MD 154,253 $9.97M
3 MERCY HEALTH PHYSICIANS CINCINNATI SPECIALTY CARE LLC CINCINNATI, OH 571,809 $7.18M
4 MERCY HEALTH PHYSICIANS SPRINGFIELD SPECIALTY CARE LLC SPRINGFIELD, OH 373,686 $4.89M
5 TOTAL ORTHOPAEDIC CARE PA LAUDERDALE LAKES, FL 98,790 $3.23M
6 TEMPLE FACULTY PRACTICE PLAN, INC PHILADELPHIA, PA 72,179 $2.85M
7 SHADID, HYTHEM ST CHARLES, IL 53,008 $2.61M
8 ORTHOBR LLC BATON ROUGE, LA 43,822 $2.34M
9 PERFORMANCE ORTHOPAEDICS & SPORTS MEDICINE, LLC TOMS RIVER, NJ 26,843 $1.93M
10 TETON VALLEY HEALTH CARE INC DRIGGS, ID 16,453 $1.55M
11 VALLEY RIVER ORTHOPEDICS AND SPORTS MEDICINE MERCED, CA 23,778 $1.52M
12 FRISCH, NICHOLAS KILDEER, IL 44,449 $1.33M
13 THE FRANKEL ORTHOPEDICS AND SPORTS MEDICINE CENTER, LLC. LINWOOD, NJ 22,740 $1.15M
14 KESSOUS & KESSOUS MD PC GAITHERSBURG, MD 27,949 $1.06M
15 OSU SPORTS MEDICINE CENTER COLUMBUS, OH 23,039 $948K
16 RAMOS, NICHOLAS DOWNERS GROVE, IL 20,135 $735K
17 MYMICHIGAN MEDICAL CENTER SAGINAW SAGINAW, MI 15,366 $684K
18 ACTIVE ORTHOPEDIC MEDICAL CORPORATION TURLOCK, CA 5,550 $673K
19 TROVATO, DANTE OZONE PARK, NY 11,490 $613K
20 JOHN R. KLEIN MD, PC TUCSON, AZ 11,977 $544K
21 TOCA AT BANNER HEALTH LLC PHOENIX, AZ 10,357 $534K
22 COLUMBUS REGIONAL HEALTH NETWORK WHITEVILLE, NC 11,117 $474K
23 ATLANTIC ORTHOPAEDICS PA BERLIN, MD 7,494 $467K
24 MARSTON SHAUN HOLT MD PA HOUSTON, TX 10,000 $443K
25 MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA DARBY, PA 9,286 $434K
26 DECATUR ORTHOPAEDIC CLINIC, LLC DECATUR, AL 11,183 $388K
27 PARK, SANGDO LOS ANGELES, CA 3,574 $377K
28 BLEY, LOUIS SOMERVILLE, MA 3,826 $367K
29 MSU HEALTH CARE INC. EAST LANSING, MI 5,951 $357K
30 CUMBERLAND COUNTY HOSPITAL SYSTEM INC FAYETTEVILLE, NC 15,261 $355K
31 MAGNOLIA ORTHOPAEDICS & SPORTS MEDICINE, P.A. CORINTH, MS 18,137 $354K
32 PARKVIEW ANCILLARY SERVICES PUEBLO, CO 5,447 $325K
33 ALBERT, BRUCE IRVINE, CA 4,619 $312K
34 OXFORD ORTHOPAEDICS AND SPORTS MEDICINE PLLC OXFORD, MS 10,057 $290K
35 ORTHOPAEDIC ASSOCIATES OF ZANESVILLE INC. ZANESVILLE, OH 8,550 $258K
36 DOMONT, ZACHARY LINCOLNSHIRE, IL 4,756 $255K
37 MONCHIK, KEITH PROVIDENCE, RI 3,360 $249K
38 ANOOP K SINGH MD LLC BOGALUSA, LA 12,088 $248K
39 SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB, MS 6,275 $240K
40 ORTHOVIRGINIA, INC. BLACKSBURG, VA 5,058 $235K
41 COTTON, JONATHAN MOKENA, IL 6,189 $235K
42 BELANGER, MICHAEL JOHNSTON, RI 2,854 $223K
43 DANIEL C EBY D.O. PC JASPER, IN 7,788 $216K
44 CAROLINAS PHYSICIANS NETWORK INC ALBEMARLE, NC 7,546 $208K
45 NOVANT HEALTH MEDICAL GROUP, LLC THOMASVILLE, NC 7,057 $192K
46 EVANS, DOUGLAS MAYWOOD, IL 4,199 $185K
47 ACTIVE ORTHOPAEDICS PC MIDDLEBURY, CT 16,283 $180K
48 PREMIER ORTHOPAEDICS AND SPORTS MEDICINE, LLC SCOTTSBORO, AL 4,755 $177K
49 CUMBERLAND COUNTY HOSPITAL SYSTEM INC FAYETTEVILLE, NC 3,188 $169K
50 HENDERSON COUNTY HOSPITAL CORPORATION ASHEVILLE, NC 4,708 $164K
51 PATEL, SAVAN CRYSTAL LAKE, IL 3,658 $162K
52 BLANKS, RICHARD ANAHEIM, CA 9,886 $155K
53 SPORT ORTHO URGENT CARE PC MOUNT JULIET, TN 4,667 $148K
54 BULLIS ORTHOPEDICS AND SPORTS MEDICINE PC FALL RIVER, MA 4,430 $142K
55 MCQUEEN, PETER SAN RAFAEL, CA 3,273 $135K
56 ORTHOPAEDIC SOLUTIONS AND SPORTS MEDICINE CENTER PA DUNN, NC 4,492 $134K
57 BEHL, ANKUR SANDWICH, IL 3,572 $131K
58 ORTHO KENTUCKY DBA KENTUCKY BONE & JOINT SURGEONS LEXINGTON, KY 4,168 $130K
59 CENTRAL JERSEY SPORTS MEDICINE & ORTHOPAEDIC CENTER LAKEWOOD, NJ 1,458 $129K
60 BRIAN A. MCDOWELL PODIATRY CORPORATION CARMICHAEL, CA 30,632 $129K
61 KEVIN FORSYTHE MD INC TEMPLETON, CA 2,055 $118K
62 ALVARADO DIAZ, GILBERTO PONCE, PR 1,607 $110K
63 DALE, KEVIN NASHVILLE, TN 1,692 $110K
64 SCOTT C JUSTESEN, MD, PC PRICE, UT 3,356 $108K
65 PREMIER ORTHOPEDICS OF FORT WORTH, PA FORT WORTH, TX 4,143 $108K
66 ORTHOPAEDIC SPECIALISTS OF MASSACHUSETTS PC NORWOOD, MA 3,308 $106K
67 NEAULT, MARK LINCOLNSHIRE, IL 2,419 $101K
68 SHIN, MICHAEL ELIZABETH CITY, NC 2,486 $99K
69 HAJIANPOUR, MOHAMMAD LAUDERDALE LAKES, FL 1,355 $99K
70 CENTRO ORTOPEDICO ESPECIALIZADO PONCE, PR 4,234 $97K
71 IHC HEALTH SERVICES INC OGDEN, UT 1,926 $96K
72 KARL R KNUDSEN MD PC KLAMATH FALLS, OR 1,562 $95K
73 ORTHOPAEDICS AND ARTHROSCOPIC INSTITUTE BAYAMON, PR 2,111 $95K
74 CAMPBELL, KIRK NEW YORK, NY 1,681 $94K
75 HOULE, JEAN BENOIT MOUNT VERNON, IL 4,317 $91K
76 MCLEOD PHYSICIAN ASSOCIATES II DILLON, SC 3,661 $91K
77 MASHOOF, AFSHIN HUNTINGTON BEACH, CA 2,266 $90K
78 VARSITY ORTHOPEDICS, P.A. FORT WORTH, TX 1,996 $90K
79 LIPNICK, SHERYL HOFFMAN ESTATES, IL 2,407 $89K
80 SHALVOY, ROBERT PROVIDENCE, RI 785 $89K
81 CENAC, WILLIAM NEW IBERIA, LA 5,249 $88K
82 SANJIV BANSAL MD PC BRONX, NY 3,019 $86K
83 MOHAMED SAAD MD PC DEARBORN, MI 1,780 $86K
84 CAMPBELL, DONALD FRANKLIN, PA 3,011 $84K
85 RIVERA ORTHOPEDICS AND SPORTS MEDICINE SAN JUAN, PR 3,014 $84K
86 NORTHERN CALIFORNIA ORTHOPEDIC CENTERS MEDICAL GROUP CARMICHAEL, CA 5,658 $83K
87 MCGANN, ROBERT NEW CASTLE, PA 3,051 $82K
88 SPORTS MEDICINE & ORTHOPEDIC CENTER, S.C. GREENFIELD, WI 2,629 $79K
89 WOLTERS, BRETT SPRINGFIELD, IL 2,252 $78K
90 KAAR, SCOTT SAINT LOUIS, MO 1,717 $77K
91 ATHIVIRAHAM, ARAVIND CHICAGO, IL 2,208 $76K
92 JEFFREY M REAGAN MD PLLC LAKESIDE, AZ 1,655 $76K
93 ORTHOSPORTS ASSOCIATES LLC BIRMINGHAM, AL 2,871 $71K
94 NORTHERN CALIFORNIA MEDICAL ASSOC INC HEALDSBURG, CA 1,190 $70K
95 BRET T KEAN MD PC MILWAUKIE, OR 1,065 $69K
96 BROWN, OUIDA CHICAGO, IL 1,836 $69K
97 MILOS, STEVEN ROCKFORD, IL 2,063 $66K
98 FONTANEZ SULLIVAN, FELIPE BAYAMON, PR 1,692 $63K
99 ARTHROSCOPY SPORTS MEDICINE AND MINIMALLY INVASIVE ASSOCIATES PC BROCKTON, MA 1,637 $61K
100 MOORE, ROYCE OZARK, MO 835 $59K