Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › Exclusive Provider Organization

Exclusive Provider Organization

$1.17B
Total Medicaid Paid
274
Providers
26,505,765
Total Claims
15,037,423
Beneficiaries

Browse by State

NY ($548.12M)  FL ($138.50M)  VA ($81.15M)  NJ ($73.14M)  MN ($57.96M)  NM ($50.65M)  CO ($26.18M)  LA ($25.97M)  CA ($25.92M)  WI ($24.69M)  OH ($19.78M)  MI ($16.43M)  AL ($14.51M)  NC ($10.30M)  PR ($9.98M)  MO ($8.66M)  NV ($8.25M)  TX ($7.35M)  AZ ($6.03M)  MA ($2.47M)  OK ($1.50M)  MT ($1.32M)  HI ($1.29M)  GA ($861K)  MS ($850K)  SC ($727K)  TN ($686K)  AK ($449K)  AR ($430K)  PA ($430K)  CT ($375K)  IN ($328K)  MD ($305K)  IA ($124K)  ME ($119K)  NH ($55K)  OR ($38K)  RI ($10K)  ID ($2K) 

Top Billing Codes

CodeDescriptionTotal Paid
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r $99.29M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity $56.84M
T2023 Targeted case management; per month $55.83M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient $44.29M
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient $39.24M
97530 Therapeutic activities, direct patient contact, each 15 minutes $35.69M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity $34.95M
H0046 Mental health services, not otherwise specified $34.61M
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 $33.01M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity $31.52M

Top Providers

#ProviderLocationClaimsTotal Paid
1 NEW YORK NETWORK IPA INC BROOKLYN, NY 11,162,404 $529.97M
2 ICARE HEALTH SOLUTIONS LLC MIAMI, FL 2,160,935 $80.24M
3 CAPITOL COUNTY CHILDREN'S COLLABORATIVE HAMILTON, NJ 67,514 $63.08M
4 PREMIER EYE CARE OF FLORIDA LLC CORAL GABLES, FL 1,646,187 $53.56M
5 ABILITY FIRST, LLC ALBUQUERQUE, NM 211,162 $48.94M
6 EPIC HEALTH PARTNERS, LLC DANVILLE, VA 253,681 $45.35M
7 LAKELAND CARE INC FOND DU LAC, WI 96,733 $24.69M
8 F.A.C.E.S. COMMUNITY SERVICES CHESAPEAKE, VA 64,976 $23.32M
9 CARESOURCE MANAGEMENT GROUP DAYTON, OH 457,786 $16.45M
10 MINNESOTA TEEN CHALLENGE, INC BRAINERD, MN 83,928 $14.43M
11 TOTAL LONGTERM CARE, INC. DENVER, CO 2,298,044 $13.01M
12 PEDIATRUST LAKE CHARLES, LLC LAKE CHARLES, LA 120,764 $12.63M
13 FULCRUM HEALTH, INC. PLYMOUTH, MN 440,544 $10.06M
14 MINNESOTA TEEN CHALLENGE ROCHESTER, MN 42,079 $10.05M
15 UNITEDHEALTHCARE INSURANCE COMPANY, INC. MINNETONKA, MN 51,586 $8.90M
16 SISTERS HEAVENLY HOMES RESIDENTIAL SERVICES, LLC LYNCHBURG, VA 2,027 $8.49M
17 AERIE THERAPY BAKERSFIELD, CA 38,480 $7.70M
18 DIVERSE FAMILY SERVICES DURHAM, NC 37,893 $6.88M
19 TOTAL LONGTERM CARE, INC. LOVELAND, CO 37,881 $6.78M
20 CORAZON T AGUILAR, MD, PC AURORA, CO 241,183 $6.34M
21 SPECIAL CARE SERVICES OF LOUISIANA, INC BATON ROUGE, LA 41,571 $6.21M
22 VISION SCREENING CENTEREACH, NY 259,909 $6.04M
23 MATERNITY SERVICES OF DISTRICT 11, LLC AUBURN, AL 3,599 $5.81M
24 DONNA L FORNS FORT WORTH, TX 50,967 $5.77M
25 GREAT LAKES INDEPENDENT EYECARE NETWORK LLC VULCAN, MI 183,168 $5.66M
26 GILA INTERNAL MEDICINE & GERIATRIC P C TEMPE, AZ 250,317 $5.51M
27 PRESBYTERIAN HOMES HOSPICE INC ROSEVILLE, MN 1,078 $5.49M
28 SOUTHEAST ALABAMA MATERNITY CARE PROGRAM DOTHAN, AL 4,070 $5.14M
29 RELIABLE HUMAN SERVICES, INC. BROOKLYN CENTER, MN 81,231 $4.96M
30 LAS VEGAS PERSONAL CARE LAS VEGAS, NV 66,862 $4.89M
31 UNITY PLACE OF ATLANTIC COUNTY, LLC HAMMONTON, NJ 95,604 $4.66M
32 MBA IN-HOME SERVICES LLC SIKESTON, MO 57,379 $4.22M
33 CREEKSIDE MANOR BIG RAPIDS, MI 39,278 $3.88M
34 SPECIAL CARE SERVICES OF LOUISIANA ST. JOSEPH, LA 23,080 $3.58M
35 VSVL MEDICAL SERVICES PLLC BRONX, NY 120,012 $3.46M
36 NEW LIGHT MEDICAL GROUP, INC. ANAHEIM, CA 115,783 $3.33M
37 AGILE IN-HOME CARE, L.L.C. HAZELWOOD, MO 34,724 $3.11M
38 MINNESOTA TEEN CHALLENGE, INC. BUFFALO, MN 2,909 $3.02M
39 A BETTER TOMORROW COUNSELING SERVICES TURNERSVILLE, NJ 14,852 $2.87M
40 HAPPY HOME ADULT DAY CARE INC FLUSHING, NY 56,404 $2.85M
41 ALLIANCE COMMUNITY MEDICAL FOUNDATION LLC ALLIANCE, OH 117,721 $2.81M
42 M. C. NEAGU DDS, MS, INC. LOS ANGELES, CA 18,455 $2.80M
43 NEW ANGELIC FRIENDS BATON ROUGE, LA 22,745 $2.63M
44 MEDICAL PHARMACY AND LAB SAN JUAN, PR 761,014 $2.60M
45 SUNDARA NPHC MARQUETTE, MI 9,884 $2.55M
46 HAPPY SENIORS HOME INC SYOSSET, NY 27,768 $2.05M
47 APCG UROLOGY C S P GUAYAMA, PR 41,688 $2.00M
48 CLINICA OFTALMICA DE LA MONTANA, C.S.P. AIBONITO, PR 27,498 $1.99M
49 ABSOLUTE HOME CARE INC. LAS VEGAS, NV 25,283 $1.99M
50 JOHN B. CODJOE, D.D.S., P.C. BARNSTABLE, MA 38,030 $1.85M
51 SUPPORTIVE ALTERNATIVE LIVING MILFORD, MI 17,711 $1.76M
52 FAMILY PEDIATRICS. LLC WAYNE, NJ 72,481 $1.71M
53 GENESEE DENTAL, PC BATAVIA, NY 43,585 $1.71M
54 AZTEC FAMILY PRACTICE PA AZTEC, NM 26,867 $1.61M
55 PRACTICE CHOICE CONSULTANTS LLC MIAMI, FL 11,410 $1.60M
56 GREATER FRESNO HEALTH ORGANIZATION, INC. FRESNO, CA 65,151 $1.57M
57 DR. LIVELY'S CHILD & FAMILY WELLNESS CTR. PC CUSHING, OK 21,177 $1.45M
58 DANDRIDGE DENTAL PC DOTHAN, AL 57,688 $1.42M
59 CONNIE D. LE, M.D, P.C ANNANDALE, VA 71,841 $1.36M
60 GREATER ALABAMA HEALTH NETWORK TUSCALOOSA, AL 924 $1.36M
61 JIMMY NGUYEN D.D.S., INC RIVERSIDE, CA 37,219 $1.35M
62 WARDELL VISION CENTER, PC BILLINGS, MT 29,936 $1.32M
63 ALEX ROJAS, M.D.,LLC KISSIMMEE, FL 21,456 $1.31M
64 BETHAMY ENTERPRISES INC. SPENCER, NC 28,149 $1.31M
65 HOPE INC MILILANI, HI 42,894 $1.29M
66 GENESIS ADULT CARE, LLC SAINT LOUIS, MO 14,925 $1.28M
67 CONCERNED ADULTS TEACHING CHILDREN HOPE, LLC HAMPTON, VA 3,565 $1.19M
68 RESIDENCE CARE SERVICE LLC SPENCER, NC 3,145 $1.18M
69 FAMILY HEALTH PARTNERS PC GRAND RAPIDS, MI 34,017 $1.02M
70 ASCENSION ASSISTIVE SERVICES LLC CEDAR HILL, TX 3,092 $982K
71 ALW BEHAVIOR SERVICES LAS VEGAS, NV 4,108 $936K
72 KIDCARE PEDIATRICS COLLEGE PARK, GA 25,659 $861K
73 SCOTT ORTHODONTICS HAMPTON, VA 2,341 $860K
74 COUNTY OF SAN DIEGO EL CAJON, CA 42,455 $852K
75 CHOICE HEALTHCARE ASSOCIATES, INC. APPLE VALLEY, CA 266,861 $840K
76 GUMET, INC. HUMACAO, PR 990,597 $767K
77 COUNTY OF SAN DIEGO CHULA VISTA, CA 31,860 $694K
78 M KALAKOTA MD PA KISSIMMEE, FL 20,935 $690K
79 SOLOMON INTERNATIONAL INC. MURRELLS INLET, SC 8,164 $666K
80 P.A.L.S., INC DEARBORN HEIGHTS, MI 11,382 $662K
81 GREATER AL HEALTH NETWORK TUSCALOOSA, AL 448 $625K
82 SISTERS OF SOBRIETY REMUS, MI 23,111 $612K
83 COUNTY OF SAN DIEGO VISTA, CA 28,302 $602K
84 ANCOR ADULT DAY CARE CENTER TUTWILER, MS 7,752 $600K
85 JMG SURGICAL SERVICES PSC MAYAGUEZ, PR 3,736 $577K
86 MASS KIDZ HEALTHY SMILES LLC BRAINTREE, MA 17,138 $575K
87 WALLY HUI DDS CORP ROSEMEAD, CA 25,561 $546K
88 ANKIN DERAGOBIAN D.D.S. INC. RANCHO CUCAMONGA, CA 20,294 $525K
89 HATILLO CARDIOVASCULAR INC HATILLO, PR 7,105 $525K
90 COUNTY OF SAN DIEGO SAN DIEGO, CA 24,381 $519K
91 EASTER SEALS SOUTH FLORIDA, INC. MIAMI, FL 16,807 $512K
92 COUNTY OF SAN DIEGO SAN DIEGO, CA 24,032 $507K
93 PHAM-VANG OPTOMETRY LLC BROOKLYN CENTER, MN 13,157 $505K
94 CHILDRENS MEDICAL CENTER HOLLYWOOD, FL 25,254 $498K
95 OMNI CLINIC PA JACKSONVILLE, NC 31,697 $498K
96 SILKY TOUCH LLC SAN RAMON, CA 1,111 $496K
97 HETHUMUNI, STEPHANEE MONTEBELLO, CA 49,201 $433K
98 CHILDRENS BEHAVIORAL HEALTH SERVICES, INC. EDWARDSVILLE, PA 3,555 $430K
99 TRANVISION EYE CARE PC ALVIN, TX 7,340 $419K
100 GRACE PHYSICAL THERAPY P.C. FLUSHING, NY 15,289 $413K