Medicaid Provider Spending

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

Pediatric Sports Medicine Physician

$42.49M
Total Medicaid Paid
38
Providers
3,814,338
Total Claims
2,374,600
Beneficiaries

Browse by State

NC ($37.66M)NJ ($3.02M)IL ($382K)TN ($366K)AZ ($349K)LA ($256K)MO ($150K)TX ($134K)OK ($76K)PA ($55K)CA ($13K)VA ($12K)MA ($10K)GA ($6K)WA ($4K)NY ($4K)

Top Billing Codes

CodeDescriptionTotal Paid
99199 Unlisted special service, procedure or report $16.69M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity $9.42M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity $4.53M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) $2.30M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) $1.98M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) $1.26M
90472 Immunization administration, each additional vaccine (list separately) $897K
90460 Immunization administration through 18 years of age via any route, first or only component $855K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine $811K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) $568K

Top Providers

#ProviderLocationClaimsTotal Paid
1 CAROLINAS MEDICAL CENTER CHARLOTTE, NC 2,536,067 $17.00M
2 CAROLINAS PHYSICIANS NETWORK INC CONCORD, NC 551,062 $9.99M
3 CAROLINAS PHYSICIANS NETWORK INC MONROE, NC 405,891 $6.55M
4 CAROLINAS PHYSICIANS NETWORK INC LINCOLNTON, NC 185,702 $3.84M
5 SOMERSET PEDIATRIC GROUP, LLC RARITAN, NJ 57,960 $2.51M
6 BENJAMIN, HOLLY CHICAGO, IL 7,043 $347K
7 PETERSON PT LLC PRESCOTT, AZ 7,707 $305K
8 NOVANT HEALTH MEDICAL GROUP, LLC CHARLOTTE, NC 2,766 $274K
9 FLORES, CHARLES HAMILTON, NJ 31,276 $270K
10 SOLA PEDIATRICS LAFAYETTE, LA 5,652 $256K
11 STC PEDIATRICS LLC SEWELL, NJ 5,492 $235K
12 GREGORY, ANDREW NASHVILLE, TN 2,469 $205K
13 DIAMOND, ALEX NASHVILLE, TN 2,072 $161K
14 HOLCOMB PEDIATRICS AND SPORTS MEDICINE BOERNE, TX 2,947 $134K
15 ABC PEDIATRIC REHAB LLC OKLAHOMA CITY, OK 1,228 $76K
16 FRAKER, MEGAN KANSAS CITY, MO 1,719 $75K
17 HALSTEAD, MARK CHESTERFIELD, MO 529 $43K
18 BLATNIK, TERRA SAINT LOUIS, MO 272 $26K
19 MORTAZAVI, MOHAMMED TUCSON, AZ 565 $22K
20 BJORNSEN, BRENT SCOTTSDALE, AZ 433 $22K
21 PIEROTTI, SARAH PARK RIDGE, IL 242 $20K
22 WRIGHTSON, JOHN NEW CASTLE, PA 3,094 $18K
23 GALE, ALEX MAURICIO CHICAGO, IL 536 $15K
24 WOLF, MICHAEL PHILADELPHIA, PA 286 $14K
25 SALES, ERIC DAVIS, CA 276 $13K
26 SMITH, DAVID NORFOLK, VA 131 $12K
27 BARCHI, ELIZABETH CHADDS FORD, PA 111 $9K
28 CROSS, EMILY BOSTON, MA 192 $8K
29 BEASLEY, MICHAEL PHILADELPHIA, PA 121 $8K
30 ROBERSON, JAMES KANSAS CITY, MO 90 $6K
31 MILLER, STEPHEN ATLANTA, GA 113 $6K
32 O'BRIEN, KATHLEEN PHILADELPHIA, PA 111 $6K
33 LESSMAN, DAVID RENTON, WA 57 $4K
34 TUCCI, JAMES NEW YORK, NY 45 $3K
35 KRIZ, PETER BOSTON, MA 29 $1K
36 YAO, KATHERINE NEW YORK, NY 13 $951.42
37 KARIPIDIS POURIA, MARIA ROCHESTER, NY 25 $273.81
38 KORNSWIET, MATTHEW LAGUNA HILLS, CA 14 $202.18