Medicaid Provider Spending

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

Specialty Pharmacy

$647.92M
Total Medicaid Paid
125
Providers
7,210,090
Total Claims
4,483,220
Beneficiaries

Browse by State

PR ($189.13M)WA ($117.10M)FL ($103.31M)MI ($75.68M)TN ($70.13M)NJ ($20.89M)TX ($14.10M)ME ($11.62M)DE ($10.19M)AZ ($9.48M)CA ($9.45M)OR ($5.19M)IL ($2.93M)OH ($1.44M)RI ($1.14M)NY ($1.03M)HI ($985K)MA ($920K)NC ($913K)MS ($694K)CO ($478K)AK ($321K)IA ($302K)OK ($282K)KY ($64K)WI ($58K)MN ($39K)VA ($31K)MD ($8K)KS ($8K)MO ($4K)NE ($1K)LA ($1K)PA ($915.90)AL ($424.73)AR ($400.00)UT ($133.08)SC ($127.14)DC ($9.96)

Top Billing Codes

CodeDescriptionTotal Paid
J7170 Injection, emicizumab-kxwh, 0.5 mg $88.14M
J9271 Injection, pembrolizumab, 1 mg $58.87M
J1726 Injection, hydroxyprogesterone caproate, (makena), 10 mg $24.20M
S9430 Pharmacy compounding and dispensing services $20.21M
J9035 Injection, bevacizumab, 10 mg $19.10M
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape $17.35M
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 $16.08M
J9299 Injection, nivolumab, 1 mg $14.58M
J9306 Injection, pertuzumab, 1 mg $14.10M
99283 Emergency department visit for the evaluation and management, moderate severity $13.95M

Top Providers

#ProviderLocationClaimsTotal Paid
1 ALIVIA SPECIALTY, LLC GUAYNABO, PR 105,104 $188.98M
2 WASHINGTON INSTITUTE FOR COAGULATION SEATTLE, WA 9,179 $117.02M
3 LEE MEMORIAL HEALTH SYSTEM FT MYERS, FL 2,344,912 $97.77M
4 TWELVESTONE MEDICAL, INC. MURFREESBORO, TN 483,872 $52.62M
5 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR, MI 242,353 $33.84M
6 MYMICHIGAN MEDICAL CENTER ALMA ALMA, MI 987,294 $25.31M
7 LIVINGSTON INFUSION CARE SOUTH PLAINFIELD, NJ 137,665 $19.30M
8 RAINBOW CENTER OF MICHIGAN INC HIGHLAND PARK, MI 1,102,490 $15.19M
9 RESTORE RX INC BRUNSWICK, TN 7,391 $13.71M
10 DAVILA PHARMACY, INC. SAN ANTONIO, TX 233,449 $13.44M
11 KENNEBEC PHARMACY AND HOME CARE LLC AUGUSTA, ME 288,678 $11.62M
12 ACCREDO HEALTH GROUP INC NEWARK, DE 6,226 $10.19M
13 ACCREDO HEALTH GROUP INC TEMPE, AZ 4,049 $9.15M
14 OSO HOME CARE, INC. IRVINE, CA 126,441 $4.20M
15 CAREMAX PHARMACY OF LOUDON, INC KNOXVILLE, TN 59,643 $3.64M
16 INFUSION PARTNERS OF MELBOURNE LLC MELBOURNE, FL 105,227 $3.15M
17 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD MENLO PARK, CA 103,786 $2.76M
18 CREDENA HEALTH LLC PORTLAND, OR 3,783 $2.55M
19 THE CARLE FOUNDATION HOSPITAL URBANA, IL 10,115 $2.52M
20 CREDENA HEALTH LLC PORTLAND, OR 2,200 $1.96M
21 HOME CARE SERVICES, INC. EDISON, NJ 22,952 $1.59M
22 OSO HOME CARE, INC. BURBANK, CA 48,257 $1.46M
23 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR, MI 62,488 $1.33M
24 LEE MEMORIAL HEALTH SYSTEM FORT MYERS, FL 10,509 $1.30M
25 AMERITA, INC. RIVERSIDE, RI 8,396 $1.14M
26 BAYCARE HOME CARE, INC. LARGO, FL 137,614 $1.09M
27 STRAUB CLINIC & HOSPITAL HONOLULU, HI 277 $985K
28 SOLEO HEALTH INC DUBLIN, OH 18,210 $797K
29 BERKSHIRE MEDICAL CENTER INC. PITTSFIELD, MA 5,584 $718K
30 THE TRANSPLANT PHARMACY, LLC FLOWOOD, MS 72,240 $690K
31 EMERGING HEALTH, LLC PORTLAND, OR 5,351 $677K
32 HEALTHQUEST THERAPEUTICS, LLC HOUSTON, TX 23,424 $663K
33 GRAND STREET PHARMACEUTICAL LLC NEW YORK, NY 10,756 $535K
34 NORTH CAROLINA BAPTIST HOSPITAL WINSTON SALEM, NC 71,423 $523K
35 HINAS MERCY SOUTHWEST PHARMACY INC BAKERSFIELD, CA 6,827 $455K
36 OHIO STATE UNIVERSITY OUTPATIENT PHARMACY COLUMBUS, OH 29,471 $415K
37 AMERITA, INC. WOODRIDGE, IL 6,206 $410K
38 POUDRE INFUSION THERAPY LLC FORT COLLINS, CO 3,898 $390K
39 AMERITA, INC. ANCHORAGE, AK 4,278 $321K
40 CAROLINAS MEDICAL CENTER CHARLOTTE, NC 24,598 $289K
41 ASTRANA CARE RX LLC BREA, CA 296 $278K
42 UMASS MEMORIAL MEDICAL CENTER, INC. WORCESTER, MA 6,192 $202K
43 INTEGRIS PROHEALTH INC OKLAHOMA CITY, OK 12,544 $197K
44 GENOA HEALTHCARE LLC PHOENIX, AZ 41 $197K
45 OPTION CARE ENTERPRISES INC CHICO, CA 1,790 $183K
46 OCEAN BREEZE ASSOCIATES LLC STATEN ISLAND, NY 2,842 $177K
47 CRITICAL CARE SYSTEMS, LLC URBANDALE, IA 1,965 $174K
48 MEDFORD CHEMISTS INC. MEDFORD, NY 6,333 $170K
49 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE, TN 20,962 $162K
50 UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC CINCINNATI, OH 12,065 $152K
51 ABSOLUTE PHARMACY, INC. SAN GERMAN, PR 468 $147K
52 SISU HEALTHCARE SOLUTIONS, INC. TEMPE, AZ 1,494 $135K
53 STATE UNIVERSITY OF IOWA IOWA CITY, IA 29,395 $129K
54 ALPHASCRIPT INC SAN CARLOS, CA 19,032 $93K
55 DENVER HEALTH AND HOSPITAL AUTHORITY DENVER, CO 1,722 $87K
56 PROCARE PHARMACY LLC SEATTLE, WA 9,572 $86K
57 INTEGRIS PROHEALTH INC OKLAHOMA CITY, OK 7,706 $85K
58 UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM MORRISVILLE, NC 39,489 $71K
59 THE CLEVELAND CLINIC FOUNDATION BEACHWOOD, OH 7,813 $64K
60 JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC. LOUISVILLE, KY 4,611 $64K
61 PARKVIEW HEALTH SERVICES, LLC AMHERST, NY 4,804 $60K
62 HAYAT PHARMACY 20 LLC MILWAUKEE, WI 1,190 $43K
63 THRIFTY DRUG STORES, INC. OLIVIA, MN 1,165 $39K
64 RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA CHARLOTTESVILLE, VA 7,484 $30K
65 LEMED PHARMACY III LLC BRONX, NY 35,707 $29K
66 NOBLE HEALTH SERVICES, INC. SYRACUSE, NY 4,904 $27K
67 ECHO DRUGS INC BROOKLYN, NY 4,401 $25K
68 DDP PHARMACY, INC ROANOKE RAPIDS, NC 1,205 $14K
69 JANESVILLE HOMETOWN PHARMACY LLC JANESVILLE, WI 559 $13K
70 APRIA HEALTHCARE, INC. PORTLAND, OR 81 $11K
71 FOX HILLS PHARMACY INC HAWTHORNE, CA 284 $8K
72 JD SIGLER COMPANY LAWRENCE, KS 3,358 $8K
73 GANESA HEALTH CARE SALINAS, CA 851 $8K
74 MEDICINE MART LTC, LLC TABOR CITY, NC 368 $7K
75 KAUP PHARMACY, INC. FORT RECOVERY, OH 84 $6K
76 RESPIRATORY AT HOME PLUS MARION, NC 389 $5K
77 MT VERNON PHARMACY AT FALLSWAY INC BALTIMORE, MD 1,283 $5K
78 NOBLE HEALTH SERVICES, INC. FLOWOOD, MS 837 $4K
79 OHIO STATE UNIVERSITY OUTPATIENT PHARMACY COLUMBUS, OH 133 $4K
80 WAL-MART STORES EAST LP RALEIGH, NC 358 $4K
81 THE CHILDRENS MERCY HOSPITAL KANSAS CITY, MO 195 $4K
82 SUNY HEALTH SCIENCE CENTER AT SYRACUSE SYRACUSE, NY 4,837 $3K
83 MEDSTAR SPECIALTY PHARMACY, LLC ELKRIDGE, MD 927 $3K
84 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR, MI 358 $3K
85 JOJAN PHARMA INC BROOKLYN, NY 38 $2K
86 RAINBOW CENTER OF MICHIGAN INC MONROE, MI 480 $2K
87 FAIRVIEW MTM PHARMA, INC SANTA ANA, CA 457 $1K
88 NEIGHBORHOOD LTC PHARMACY INC. LINCOLN, NE 2,416 $1K
89 OCHSNER PHARMACY AND WELLNESS LLC NEW ORLEANS, LA 198 $1K
90 VALUE SPECIALTY PHARMACY LLC ALTOONA, PA 70 $908.05
91 PROPRIUM LLC CHESAPEAKE, VA 191 $901.32
92 GOOD VALUE PHARMACY LLC WEST ALLIS, WI 24 $663.00
93 PREVENT RX 2, LLC FORT MYERS, FL 1,806 $561.60
94 INJECTABLE THERAPY SERVICES INC VAN NUYS, CA 77 $548.58
95 CENTURA HEALTH PHARMACY AT ST. ANTHONY NORTH WESTMINSTER, CO 12 $462.00
96 KIMBERLY HOMETOWN PHARMACY LLC APPLETON, WI 34 $457.92
97 STAR DISCOUNT PHARMACY INC MERIDIANVILLE, AL 14 $424.73
98 HOT SPRINGS PHARMACY, LLC HOT SPRINGS, AR 184 $400.00
99 DINUBA PHARMACY INC DINUBA, CA 166 $384.33
100 WAL-MART STORES EAST LP PORTAGE, WI 14 $341.59