Medicaid Provider Spending

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

Pharmacy

$2.45B
Total Medicaid Paid
1,930
Providers
31,372,336
Total Claims
26,919,658
Beneficiaries

Browse by State

CA ($620.92M)TX ($305.05M)FL ($264.37M)NY ($195.51M)IL ($188.40M)PA ($183.61M)VA ($177.34M)WA ($84.38M)ME ($71.10M)OH ($68.91M)KY ($63.29M)WI ($37.82M)AZ ($29.78M)SC ($24.77M)CT ($15.39M)NM ($12.99M)NC ($11.31M)PR ($11.31M)AL ($9.59M)NV ($9.35M)KS ($8.90M)UT ($7.04M)CO ($6.38M)ID ($5.76M)MD ($5.15M)MN ($5.00M)MT ($3.81M)DE ($3.07M)MA ($2.76M)OK ($2.35M)TN ($2.29M)LA ($1.95M)MI ($1.59M)IN ($1.09M)AR ($1.05M)MO ($985K)HI ($802K)AK ($792K)NJ ($717K)RI ($586K)IA ($381K)DC ($331K)NE ($283K)VT ($239K)WV ($160K)SD ($116K)OR ($84K)MS ($61K)GU ($55K)ND ($13K)GA ($5K)WY ($94.84)

Top Billing Codes

CodeDescriptionTotal Paid
B4161 Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit $167.17M
S5121 Chore services; per diem $152.65M
A9276 Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply $111.80M
T4541 Incontinence product, disposable underpad, large, each $103.24M
B4160 Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit $97.57M
J0584 Injection, burosumab-twza 1 mg $92.48M
J1428 Injection, eteplirsen, 10 mg $92.29M
J1426 Injection, casimersen, 10 mg $65.64M
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each $60.88M
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each $49.72M

Top Providers

#ProviderLocationClaimsTotal Paid
1 SHIELD CALIFORNIA HEALTH CARE CENTER INC VALENCIA, CA 10,338,535 $522.62M
2 DEGC ENTERPRISES (U.S.), INC. CLEARWATER, FL 1,688,554 $262.56M
3 HHSC WIC PROGRAM AUSTIN, TX 1,678,850 $244.57M
4 ORSINI PHARMACEUTICAL SERVICES, LLC ELK GROVE VILLAGE, IL 29,739 $187.47M
5 FISHING POINT HEALTH CARE LLC PORTSMOUTH, VA 139,427 $169.84M
6 MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES NEW YORK, NY 1,316,373 $135.13M
7 MAINEHEALTH BIDDEFORD, ME 2,083,723 $70.83M
8 PANTHERX SPECIALTY LLC PITTSBURGH, PA 19,626 $64.93M
9 EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED DANVILLE, KY 1,036,528 $59.95M
10 BLOODWORKS SEATTLE, WA 5,674 $56.83M
11 FIFTY 50 MEDICAL LLC COPPELL, TX 144,871 $54.73M
12 CHRIST HOSPITAL CINCINNATI, OH 1,766,522 $49.68M
13 BRIGHT MEDICAL TECHNOLOGY INC PHILADELPHIA, PA 753,436 $47.48M
14 OPTUM INFUSION SERVICES 308, LLC CHANDLER, AZ 227,963 $29.09M
15 OPTUM PHARMACY 706, INC. LONG ISLAND CITY, NY 12,221 $25.32M
16 PANTHERX SPECIALTY LLC PITTSBURGH, PA 1,781 $22.55M
17 PROVIDENCE HEALTH & SERVICES - WASHINGTON TUKWILA, WA 131,953 $21.98M
18 SLAKOPER INC CROYDON, PA 485,883 $21.33M
19 CALIFORNIA MEDICAL PHARMACY INC LOS ANGELES, CA 280,323 $19.63M
20 AIDS FOR DAILY LIVING, INC. ROCKLIN, CA 339,086 $17.26M
21 MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. EAU CLAIRE, WI 1,098,373 $16.81M
22 STELTZ PHARMACY INC PAOLI, PA 229,481 $16.62M
23 DHEC HEMOPHILIA-CSHCN PROGRAM COLUMBIA, SC 420 $13.31M
24 WOOD COUNTY HOSPITAL ASSN BOWLING GREEN, OH 434,304 $13.28M
25 HEALTH COMPLEX MEDICAL LLC WATERBURY, CT 672,947 $13.03M
26 ELM PHARMACY, INC. BROOKLYN, NY 34,959 $11.62M
27 ALVARADO HOSPITAL, LLC SAN DIEGO, CA 387,833 $11.46M
28 BRYANT PHARMACY & SUPPLY ANDERSON, SC 298,338 $11.38M
29 ALIVIA INFUSION SERVICES LLC PONCE, PR 15,169 $10.93M
30 LUMICERA HEALTH SERVICES, LLC MADISON, WI 2,409 $9.38M
31 OPTUM FRONTIER THERAPIES II, LLC LAS VEGAS, NV 6,779 $9.34M
32 PAJARO VALLEY HEALTH CARE DISTRICT HOSPITAL CORPORATION WATSONVILLE, CA 180,294 $8.99M
33 JACKSON HOSPITAL & CLINIC, INC. MONTGOMERY, AL 429,867 $8.94M
34 PRESBYTERIAN HEALTHCARE SERVICES ALBUQUERQUE, NM 9,402 $8.66M
35 CALIFORNIA SPECIALTY PHARMACY LLC WHITTIER, CA 5,134 $8.40M
36 UNICARE PHARMACY INC VAN NUYS, CA 20,839 $8.08M
37 MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. BARRON, WI 254,846 $7.81M
38 PANTHERX SPECIALTY LLC CORAOPOLIS, PA 484 $7.74M
39 SMK PHARMACY CORP ROCKAWAY BEACH, NY 165,496 $6.55M
40 INFUSION LLC WICHITA, KS 36,212 $6.55M
41 IHC HEALTH SERVICES INC MIDVALE, UT 2,727 $6.51M
42 GASTON FAMILY HEALTH SERVICES INC GASTONIA, NC 156,333 $5.74M
43 HOMECHOICE PARTNERS LLC NORFOLK, VA 32,322 $5.40M
44 VICS FAMILY PHARMACY INC NAMPA, ID 85,295 $4.89M
45 GLENCOE REGIONAL HEALTH SERVICES GLENCOE, MN 123,409 $4.32M
46 BRIGHT PHARMACY & MEDICAL SUPPLY INC BROOKLYN, NY 118,221 $3.97M
47 WELLSCRIPT, INC. REDDING, CA 27,850 $3.83M
48 HOME MEDICAL EQUIPMENT SPECIALISTS LLC ALBUQUERQUE, NM 27,545 $3.67M
49 W S ASSOCIATES INC SALISBURY, MD 82,990 $3.52M
50 OPTION CARE ENTERPRISES INC NEWARK, DE 28,612 $2.84M
51 OPTION CARE ENTERPRISES INC BOZEMAN, MT 20,152 $2.71M
52 BROTHERS HEALTHCARE INC RIVERSIDE, CA 2,986 $2.69M
53 AFP DRUG STORE INC APPLE VALLEY, CA 27,909 $2.69M
54 CAREMARK L.L.C. RALEIGH, NC 951 $2.69M
55 FRANCISCAN HEALTH SYSTEM TACOMA, WA 56,221 $2.66M
56 I C P INC TIFFIN, OH 25,366 $2.65M
57 OPTUM PHARMACY 707, INC. IRWINDALE, CA 2,513 $2.49M
58 WECARE PHARMACEUTICAL SERVICES INC SAN BERNARDINO, CA 82,439 $2.47M
59 EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC. WETUMKA, OK 20,212 $2.33M
60 OPTUM PHARMACY 704, INC. SAN ANTONIO, TX 2,050 $2.07M
61 OCEANA EXPRESS PHARMACY, INC BROOKLYN, NY 44,992 $1.94M
62 NEW LEAF PEER 2 PEER, LLC NORTHGLENN, CO 11,414 $1.85M
63 LAKEWOOD PHARMACY INC TACOMA, WA 63,325 $1.80M
64 BROWNSVILLE PHARMACY 1 LLC BROWNSVILLE, TX 49,936 $1.68M
65 OPTUM PHARMACY 705, LLC FRANKLIN, TN 1,438 $1.62M
66 PACETTIS APOTHECARY INC SPRINGBORO, OH 5,485 $1.57M
67 NRH ENTERPRISES INC RIVERSIDE, CA 1,365 $1.41M
68 ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC. MANHATTAN, KS 73,898 $1.30M
69 ZYNEX MEDICAL INC LONE TREE, CO 1,900 $1.26M
70 TUFTS MEDICAL CENTER INC. BOSTON, MA 119,442 $1.11M
71 WIGGINS DRUGS LIMITED OWENSBORO, KY 58,888 $1.09M
72 THE COMMONWEALTH OF MASSACHUSETTS BROCKTON, MA 24,206 $1.09M
73 OPTUM INFUSION SERVICES 308, LLC CENTENNIAL, CO 33,559 $1.09M
74 WILLIAMS BROS HEALTH CARE PHARMACY INC VINCENNES, IN 43,558 $1.09M
75 ALLEGHENY HEALTH NETWORK HOME INFUSION LLC MEADVILLE, PA 11,523 $1.08M
76 FORUM EXTENDED CARE SERVICES OF WISCONSIN INC MADISON, WI 24,163 $1.08M
77 DURHAM COUNTY HEALTH DEPARTMENT PHARMACY DURHAM, NC 224,585 $1.07M
78 CONTINUUMRX INC CHANTILLY, VA 16,257 $1.07M
79 NYS OFFICE OF MENTAL HEALTH ALBANY, NY 4,394 $1.07M
80 DALE PHARMACY & SURGICAL INC RICHMOND HILL, NY 17,910 $1.06M
81 KNAPP NUTRITIONAL & PHARMACY INC BROOKLYN, NY 14,925 $1.05M
82 CLEANMASTER INDUSTRIES INC PICO RIVERA, CA 4,728 $1.05M
83 UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL DURHAM, NC 16,168 $1.02M
84 ZIKS FAMILY PHARMACY INC 100 DAYTON, OH 21,179 $978K
85 SYLHET PHARMACY LLC OZONE PARK, NY 48,096 $949K
86 JURO'S MEDICAL INC. BILLINGS, MT 28,233 $942K
87 KIMS PHARMACY INC. FLUSHING, NY 20,611 $938K
88 CARE ONE PHARMACY SERVICES LLC NILES, IL 16,850 $857K
89 TOP CARE PHARMACY CORP FLUSHING, NY 8,342 $845K
90 RXHEALTH LLC ROCKY HILL, CT 20,685 $828K
91 OCEAN A & R PHARMACY INC. BROOKLYN, NY 17,949 $818K
92 STARR DME & PHARMACY INC BROWNSVILLE, TX 18,941 $814K
93 WESLACO PHARMACY INC WESLACO, TX 21,016 $802K
94 MEDICAL SHOPPE LTD HONESDALE, PA 15,605 $789K
95 NIELSENS PHARMACY LLC BOGALUSA, LA 31,135 $769K
96 ELY DRUGS INC GLASGOW, KY 44,507 $729K
97 EVERGREEN RX INC LOS ANGELES, CA 521 $701K
98 PHARMILYCARE INC ROSEMEAD, CA 12,902 $690K
99 HAYAT PHARMACY 5 LLC MILWAUKEE, WI 31,399 $688K
100 SMITHS FOOD & DRUG CENTERS INC PHOENIX, AZ 5,299 $685K