Medicaid Provider Spending

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

Institutional Pharmacy

$328.83M
Total Medicaid Paid
40
Providers
8,674,985
Total Claims
7,235,615
Beneficiaries

Browse by State

MA ($159.91M)  WV ($37.42M)  NY ($34.62M)  KY ($29.54M)  IN ($26.13M)  FL ($12.62M)  MI ($10.12M)  OH ($7.60M)  CO ($6.07M)  KS ($2.46M)  TN ($1.00M)  TX ($387K)  CA ($375K)  VT ($344K)  WI ($101K)  WA ($78K)  OR ($53K)  NJ ($4K)  NC ($600.00) 

Top Billing Codes

CodeDescriptionTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity $40.57M
99284 Emergency department visit for the evaluation and management, high severity $33.19M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life $18.39M
96361 Intravenous infusion, hydration; each additional hour $15.74M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity $8.35M
74177 Computed tomography, abdomen and pelvis; with contrast material $7.58M
H2019 Therapeutic behavioral services, per 15 minutes $4.65M
70450 Computed tomography, head or brain; without contrast material $4.65M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward $4.46M
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 $4.40M

Top Providers

#ProviderLocationClaimsTotal Paid
1 THE LOWELL GENERAL HOSPITAL LOWELL, MA 4,669,409 $159.91M
2 NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX, NY 949,429 $34.62M
3 BOONE MEMORIAL HOSPITAL, INC MADISON, WV 528,874 $31.87M
4 MURRAY-CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION MURRAY, KY 727,358 $29.54M
5 BAYCARE BEHAVIORAL HEALTH INC. NEW PORT RICHEY, FL 185,671 $11.30M
6 ZEELAND COMMUNITY HOSPITAL ZEELAND, MI 326,299 $10.12M
7 WHITLEY MEMORIAL HOSPITAL, INC. COLUMBIA CITY, IN 162,052 $9.54M
8 COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. KENDALLVILLE, IN 146,263 $8.47M
9 JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL SAINT MARYS, OH 202,568 $7.60M
10 HUNTINGTON MEMORIAL HOSPITAL, INC. HUNTINGTON, IN 120,565 $6.49M
11 CATHOLIC HEALTH INITIATIVES COLORADO DURANGO, CO 143,275 $5.98M
12 WETZEL COUNTY HOSPITAL ASSOCIATION NEW MARTINSVILLE, WV 44,119 $3.01M
13 WETZEL COUNTY HOSPITAL, INC. NEW MARTINSVILLE, WV 115,503 $2.54M
14 HUTCHINSON REGIONAL MEDICAL CENTER, INC. HUTCHINSON, KS 123,388 $2.45M
15 COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC LAGRANGE, IN 23,568 $1.62M
16 VALUE HEALTH CONSULTANTS INC, PORT SAINT LUCIE, FL 22,499 $1.32M
17 METHODIST HEALTHCARE - MEMPHIS HOSPITALS MEMPHIS, TN 53,659 $911K
18 MITCHELL COUNTY HOSPITAL DISTRICT COLORADO CITY, TX 4,438 $387K
19 NORTHWESTERN MEDICAL CENTER INC SAINT ALBANS, VT 20,785 $344K
20 CEDARS-SINAI MEDICAL CENTER LOS ANGELES, CA 16,780 $324K
21 PROFESSIONAL PHARMACY SERVICES JOHNSTOWN, CO 3,062 $95K
22 DEL MAR MEDICAL, INC. MT JULIET, TN 1,277 $86K
23 COST LESS SENIOR SERVICES INC GIG HARBOR, WA 10,641 $78K
24 CEDARS-SINAI MEDICAL CENTER LOS ANGELES, CA 2,198 $51K
25 OREGON HEALTH & SCIENCE UNIVERSITY BEAVERTON, OR 31,497 $46K
26 AURORA HEALTH CARE METRO INC MILWAUKEE, WI 1,932 $41K
27 COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INC MENOMONEE FALLS, WI 4,586 $32K
28 AURORA HEALTH CARE METRO, INC. MILWAUKEE, WI 1,311 $26K
29 COMMUNITY HEALTHCARE SYSTEM, INC ONAGA, KS 2,712 $17K
30 SALEM HOSPITAL SALEM, OR 471 $6K
31 METHODIST HEALTHCARE - MEMPHIS HOSPITALS MEMPHIS, TN 241 $5K
32 PHARMSCRIPT LLC SOMERSET, NJ 2,000 $4K
33 AURORA HEALTH CARE METRO, INC. MILWAUKEE, WI 33 $1K
34 CONSONUS PHARMACY SERVICES LLC MILWAUKIE, OR 8,329 $608.13
35 PHARMSCRIPT OF NC LLC MORRISVILLE, NC 205 $600.00
36 MALHEUR DRUG, INC VALE, OR 209 $145.26
37 UNIVERSITY OF WASHINGTON SEATTLE, WA 16,537 $0.00
38 AURORA HEALTH CARE METRO, INC. CUDAHY, WI 13 $0.00
39 MEDIPACK PHARMACY LLC WINSTON SALEM, NC 1,002 $0.00
40 TURENNE PHARMEDCO INC NASHVILLE, TN 227 $0.00