Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Managed care

Exclusive Provider Organization

274 providers registered as Exclusive Provider Organization were paid $1.17B by Medicaid from 2018 through 2024.

28Total paid$1.17B
33Providers274
24GClaims26,505,765
NUCC code302F00000XManaged Care Organizations
Box 32 · Location

By state

  1. NYNew York
    $548M
  2. FLFlorida
    $139M
  3. VAVirginia
    $81M
  4. NJNew Jersey
    $73M
  5. MNMinnesota
    $58M
  6. NMNew Mexico
    $51M
  7. COColorado
    $26M
  8. LALouisiana
    $26M
  9. CACalifornia
    $26M
  10. WIWisconsin
    $25M
  11. OHOhio
    $20M
  12. MIMichigan
    $16M
All 39 states
NY$548MFL$139MVA$81MNJ$73MMN$58MNM$51MCO$26MLA$26MCA$26MWI$25MOH$20MMI$16MAL$15MNC$10MPR$10.0MMO$8.7MNV$8.2MTX$7.3MAZ$6.0MMA$2.5MOK$1.5MMT$1.3MHI$1.3MGA$861KMS$850KSC$727KTN$686KAK$449KAR$430KPA$430KCT$375KIN$328KMD$305KIA$124KME$119KNH$55KOR$38KRI$10KID$2.0K
Box 24 · Service lines

What they bill for

  1. U0003Infectious 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
    $99M
  2. 99213Doctor's office visit, returning patient (routine)
    $57M
  3. T2023Targeted case management; per month
    $56M
  4. 92014Ophthalmological services: medical examination and evaluation, comprehensive, established patient
    $44M
  5. 92004Ophthalmological services: medical examination and evaluation, comprehensive, new patient
    $39M
  6. 97530Therapeutic activities, direct patient contact, each 15 minutes
    $36M
  7. 99211Office or other outpatient visit for the evaluation and management of an established patient, minimal severity
    $35M
  8. H0046Mental health services, not otherwise specified
    $35M
  9. U0005Infectious 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
    $33M
  10. 99214Doctor's office visit, returning patient (more involved)
    $32M
Ranked

Top providers

#ProviderLocationClaimsPaid
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