Medicaid Provider Spending

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

Primary Care Clinic/Center

$4.04B
Total Medicaid Paid
3,468
Providers
110,857,938
Total Claims
85,701,468
Beneficiaries

Browse by State

CA ($630.36M)AZ ($430.69M)OH ($429.26M)NY ($388.07M)MI ($233.13M)NC ($172.79M)TN ($139.36M)IL ($129.16M)FL ($112.57M)AR ($104.68M)MN ($99.38M)CO ($88.15M)CT ($82.18M)LA ($80.53M)MD ($74.38M)WA ($70.89M)NJ ($64.24M)TX ($59.36M)OK ($56.60M)VA ($53.06M)MS ($52.04M)AL ($47.35M)AK ($46.49M)NM ($43.85M)KY ($41.97M)IA ($41.94M)MO ($33.09M)SC ($24.55M)HI ($21.32M)SD ($20.90M)NV ($20.26M)GA ($16.78M)MA ($15.68M)OR ($14.62M)MT ($14.51M)ID ($12.48M)PA ($11.73M)IN ($10.68M)WV ($10.14M)PR ($7.14M)WI ($5.91M)NE ($5.47M)VT ($3.32M)KS ($3.28M)UT ($2.94M)DE ($2.71M)DC ($2.48M)WY ($2.10M)ME ($1.07M)NH ($983K)RI ($528K)ND ($302K)PUERTO RICO ($166K)VI ($56K)

Top Billing Codes

CodeDescriptionTotal Paid
T1015 Clinic visit/encounter, all-inclusive $705.60M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity $700.35M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity $491.56M
00003 Internal/system code - not a standard HCPCS code $124.05M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) $74.06M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) $59.08M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) $58.55M
H0004 Behavioral health counseling and therapy, per 15 minutes $52.94M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward $49.27M
T1016 Case management, each 15 minutes $42.97M

Top Providers

#ProviderLocationClaimsTotal Paid
1 CHILDREN'S HOSPITAL MEDICAL CENTER CINCINNATI, OH 5,296,668 $386.70M
2 BANNER-UNIVERSITY MEDICAL GROUP PHOENIX, AZ 2,458,194 $133.69M
3 HEGIRA HEALTH, INC WESTLAND, MI 721,227 $109.53M
4 ROLLING HILLS CLINIC CORNING, CA 272,792 $93.97M
5 SOUTHWEST BEHAVIORAL HEALTH SERVICES INC PHOENIX, AZ 3,693,172 $83.33M
6 ODA PRIMARY HEALTH CARE NETWORK, INC. BROOKLYN, NY 2,235,271 $82.87M
7 ST. MARY'S HEALTHCARE AMSTERDAM, NY 1,175,405 $67.34M
8 CITY & COUNTY OF SAN FRANCISCO SAN FRANCISCO, CA 427,525 $56.23M
9 FULL POTENTIAL LITTLE ROCK, AR 895,861 $55.38M
10 CHINATOWN SERVICE CENTER LOS ANGELES, CA 1,275,619 $55.37M
11 BN MEDICINE PC NEW YORK, NY 1,127,389 $51.98M
12 FIRST CHOICE HEALTH CENTERS, INC. EAST HARTFORD, CT 1,008,460 $51.48M
13 CITY & COUNTY OF SAN FRANCISCO SAN FRANCISCO, CA 259,903 $41.61M
14 NEWSTART MEDICAL GROUP INC WEIMAR, CA 529,833 $39.28M
15 ROLLING HILLS CLINIC RED BLUFF, CA 80,865 $38.56M
16 REGION IV AREA AGENCY ON AGING, INC SAINT JOSEPH, MI 63,991 $36.33M
17 CITY & COUNTY OF SAN FRANCISCO SAN FRANCISCO, CA 238,407 $34.89M
18 ST. LUKE'S PEDIATRICS PHOENIX, AZ 286,909 $31.61M
19 SOUTHCENTRAL FOUNDATION WASILLA, AK 72,091 $30.71M
20 TRI-STATE COMMUNITY HEALTHCARE CENTER ADELANTO, CA 865,277 $30.38M
21 CENTER FOR FAMILY HEALTH AND EDUCATION INC PANORAMA CITY, CA 534,014 $26.70M
22 BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY SPRINGFIELD, IL 501,890 $25.75M
23 ANGEL KIDS PA JACKSONVILLE, FL 537,268 $24.10M
24 BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC PHOENIX, AZ 466,465 $23.95M
25 SOUTHEASTERN INTEGRATED CARE LUMBERTON, NC 145,306 $23.92M
26 CASE MANAGEMENT INC MEMPHIS, TN 340,304 $22.52M
27 CROSSROADS URGENT CARE PLLC MURFREESBORO, TN 825,505 $21.77M
28 DESERT VALLEY PEDIATRICS PHOENIX, AZ 550,365 $21.15M
29 COLUMBIA PEDIATRIC CLINIC, INC. COLUMBIA, TN 744,627 $20.42M
30 UNITED YOUTH CARE SERVICES GREENSBORO, NC 179,277 $20.14M
31 SAC & FOX OF THE MISS IN IOWA TAMA, IA 98,750 $19.66M
32 KITTITAS COUNTY PUBLIC HOSPITAL DIST 1 ELLENSBURG, WA 127,218 $19.47M
33 SUPPORT INCORPORATED GASTONIA, NC 162,323 $19.09M
34 WEST YAVAPAI GUIDANCE CLINIC, INC. PRESCOTT VALLEY, AZ 208,247 $18.66M
35 WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INCORPORATED WAIANAE, HI 121,666 $18.44M
36 HEALTHFIRST BLUEGRASS INC LEXINGTON, KY 758,911 $18.03M
37 CHILDREN'S HEALTH CARE MINNEAPOLIS, MN 720,656 $17.32M
38 COUNTY OF GUILFORD GREENSBORO, NC 2,417,973 $17.30M
39 ODA PRIMARY HEALTH CARE NETWORK, INC. BROOKLYN, NY 452,544 $16.74M
40 KIDSPIRATION PEDIATRIC THERAPY SERVICES, INC. MOUNTAIN HOME, AR 256,527 $16.47M
41 DYERSBURG FAMILY WALK-IN CLINIC DYERSBURG, TN 1,031,095 $15.74M
42 COMMUNITY HEALTH CENTER OF RICHMOND, INC STATEN ISLAND, NY 285,885 $15.35M
43 PROMISE HEALTHCARE NFP CHAMPAIGN, IL 273,592 $15.04M
44 PARTNERS IN PEDIATRICS, LLC MONTGOMERY, AL 387,528 $14.05M
45 WILMINGTON COMMUNITY CLINIC WILMINGTON, CA 417,855 $13.98M
46 GRAND RIVER HOSPITAL DISTRICT RIFLE, CO 81,096 $13.96M
47 PRESCOTT HEALTHCARE SOLUTIONS LLC PRESCOTT, AZ 418,643 $13.24M
48 ACCESS PAIN SOLUTIONS TULSA, OK 342,407 $13.10M
49 NOESIS INTEGRATIVE HEALTH INC SANTA FE, NM 84,066 $12.35M
50 HOPELIGHT MEDICAL CLINIC LONGMONT, CO 67,135 $12.29M
51 MILESTONES PEDIATRICS OF NEW YORK BROOKLYN, NY 405,403 $11.55M
52 MONUMENT HEALTH RAPID CITY HOSPITAL, INC. RAPID CITY, SD 274,138 $11.54M
53 KHALEIDOSCOPE HEALTH CARE INC. JERSEY CITY, NJ 158,681 $11.20M
54 CHASE PEDIATRICS DEARBORN, MI 249,925 $11.00M
55 SOUTHCENTRAL FOUNDATION ANCHORAGE, AK 25,116 $10.97M
56 ALAMO NAVAJO SCHOOL BOARD, INC. ALAMO, NM 31,918 $10.93M
57 UNITED SERVICES INC DAYVILLE, CT 164,306 $10.91M
58 TERROS, INC. PHOENIX, AZ 872,417 $10.83M
59 HISPANIC AMERICAN PEDIATRIC ASSOCIATES ALEXANDRIA, VA 368,321 $10.54M
60 GROWING TOGETHER PEDIATRICS, LLC ORLANDO, FL 489,276 $10.39M
61 VERITAS TESTING INC POMONA, CA 251,820 $10.28M
62 ONE STOP MEDICAL, LLC LAWRENCEBURG, TN 361,138 $10.28M
63 PROFESSIONAL PEDIATRICS, LLC LEESVILLE, LA 398,981 $10.20M
64 CARE 1ST PRIMARY AND URGENT CARE CENTER - PALMDALE PALMDALE, CA 236,914 $10.14M
65 TRI-STATE COMMUNITY HEALTHCARE CENTER NEEDLES, CA 256,374 $10.11M
66 NEW STAR MEDICAL P.C. BROOKLYN, NY 254,981 $10.03M
67 TOUCHSTONE BEHAVIORAL HEALTH AVONDALE, AZ 230,378 $9.98M
68 CHILDREN'S CLINIC NETWORK MAPLE GROVE, MN 396,543 $9.97M
69 LOWER ELWHA KLALLAM TRIBE PORT ANGELES, WA 43,412 $9.96M
70 HOUSING WORKS HEALTH SERVICES III, INC. BROOKLYN, NY 119,872 $9.55M
71 MARYLAND CHILDREN HEALTH CENTER GLENN DALE, MD 258,206 $9.47M
72 JONES FAMILY MEDICINE CLINIC PLLC LAUREL, MS 641,112 $9.41M
73 BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY QUINCY, IL 169,202 $9.39M
74 YUCCA FAMILY MEDICAL CARE, INC. YUCCA VALLEY, CA 215,958 $9.35M
75 MISSION CITY COMMUNITY NETWORK, INC INGLEWOOD, CA 60,961 $9.17M
76 ISLAND KIDS PEDIATRICS, P.C. STATEN ISLAND, NY 245,407 $9.15M
77 FIRST STEP PEDIATRIC ASSOCIATES, P.A. CLEBURNE, TX 366,742 $8.94M
78 CAROLINA PEDIATRICS OF THE TRIAD, P.A. GREENSBORO, NC 547,608 $8.80M
79 ALLSTAR PEDIATRICS LEESVILLE, LA 274,361 $8.72M
80 SURF PEDIATRICS AND MEDICINE PC KITTY HAWK, NC 508,524 $8.71M
81 BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY DECATUR, IL 159,539 $8.61M
82 COMMUNITY AND RURAL HEALTH SERVICES, INC. FREMONT, OH 305,552 $8.35M
83 SMS MEDICAL SERVICES, PLLC BROOKLYN, NY 156,992 $8.03M
84 CHEYENNE RIVER SIOUX TRIBE FIELD HEALTH CLINIC EAGLE BUTTE, SD 15,179 $7.97M
85 NATIVE AMERICANS FOR COMMUNITY ACTION, INC FLAGSTAFF, AZ 36,153 $7.94M
86 JOHNSTON COUNTY PUBLIC HEALTH DEPARTMENT SMITHFIELD, NC 933,221 $7.88M
87 J.P. WORNOCK M.D. P.A. SEARCY, AR 211,139 $7.79M
88 ORLAND CHILDREN'S CENTER, A PROFESSIONAL MEDICAL CORPORATION ORLAND, CA 281,447 $7.50M
89 ARDAS LLC AURORA, CO 249,431 $7.47M
90 BATISTA PEDIATRICS, LLC PATERSON, NJ 163,201 $7.45M
91 LIFE MED CENTER ASSOC CORP. MIAMI, FL 59,772 $7.44M
92 TERROS, INC PHOENIX, AZ 573,494 $7.41M
93 NORTH MEMORIAL HEALTH CARE MINNETONKA, MN 248,381 $7.40M
94 LAPEER PEDIATRICS, P.C. LAPEER, MI 271,472 $7.29M
95 LILI REN, M.D.,P.C. FLUSHING, NY 170,413 $7.24M
96 JOURNEY PEDIATRICS PC ALBUQUERQUE, NM 130,071 $6.81M
97 PEDIATRIC ASSOCIATES WHEATON, MD 129,446 $6.80M
98 EAST LYME PEDIATRIC CLINIC, LLC NIANTIC, CT 189,655 $6.74M
99 HAPPY KIDZ PEDIATRICS, PL LAKELAND, FL 139,067 $6.74M
100 MISSION CITY COMMUNITY NETWORK, INC. POMONA, CA 30,211 $6.72M