Medicaid Provider Spending

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

Pediatric Nurse Practitioner

$723.77M
Total Medicaid Paid
1,400
Providers
17,067,839
Total Claims
14,530,495
Beneficiaries

Browse by State

GA ($223.66M)TN ($79.32M)MO ($63.58M)LA ($43.56M)TX ($40.58M)FL ($39.79M)OH ($32.26M)WA ($28.70M)IL ($25.03M)CT ($23.53M)KY ($17.29M)SC ($16.47M)ME ($11.21M)AR ($9.48M)NM ($8.54M)MA ($6.04M)OK ($5.22M)NY ($4.64M)NV ($4.15M)MS ($3.85M)DE ($3.72M)NJ ($3.59M)VA ($3.26M)MD ($3.16M)RI ($3.06M)KS ($2.67M)PA ($2.59M)MT ($1.99M)NE ($1.95M)IN ($1.78M)AZ ($1.59M)CA ($1.57M)WI ($1.09M)IA ($1.02M)CO ($938K)NC ($862K)ID ($629K)UT ($552K)HI ($223K)WY ($170K)AL ($163K)OR ($105K)MN ($61K)NH ($53K)AK ($48K)WV ($14K)MI ($14K)DC ($951.88)

Top Billing Codes

CodeDescriptionTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity $119.65M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity $89.73M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life $47.11M
99283 Emergency department visit for the evaluation and management, moderate severity $41.23M
99284 Emergency department visit for the evaluation and management, high severity $37.06M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) $34.28M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) $29.78M
T1015 Clinic visit/encounter, all-inclusive $25.48M
90460 Immunization administration through 18 years of age via any route, first or only component $21.56M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) $20.73M

Top Providers

#ProviderLocationClaimsTotal Paid
1 EGLESTON CHILDREN'S HOSPITAL AT EMORY UNIVERSITY, INC. ATLANTA, GA 1,940,630 $222.59M
2 THE CHILDREN'S MERCY HOSPITAL KANSAS CITY, MO 1,280,501 $53.57M
3 CHILDRENS HOSPITAL MEDICAL PRACTICE CORPORATION NEW ORLEANS, LA 1,496,574 $33.10M
4 DAYTON CHILDREN'S SPECIALTY PHYSICIANS, INC. DAYTON, OH 861,990 $31.76M
5 EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. KNOXVILLE, TN 977,818 $31.61M
6 MARIANO D CIBRAN, MD CORP DBA ST PETERSBURG PEDIATRICS ST PETERSBURG, FL 1,121,102 $30.14M
7 NASHVILLE PEDIATRIC PROVIDERS, LLC NASHVILLE, TN 921,654 $19.78M
8 N W PEDIATRIC CENTER INC P S CENTRALIA, WA 453,600 $19.01M
9 MUNOZ PEDIATRICS (DBA) WEEKARE PEDIATRICS HUMBLE, TX 738,217 $17.49M
10 MCLEOD PHYSICIAN ASSOCIATES II FLORENCE, SC 303,025 $13.06M
11 GRACE PEDIATRICS PLLC SMYRNA, TN 540,847 $12.08M
12 MAINEHEALTH NORWAY, ME 91,189 $9.84M
13 HOT SPRINGS PEDIATRIC CLINIC,P.A. HOT SPRINGS, AR 177,201 $7.51M
14 OWENSBORO HEALTH MEDICAL GROUP, INC OWENSBORO, KY 200,022 $7.39M
15 THE CENTER FOR ADVANCED PEDIATRICS, P.C NORWALK, CT 201,777 $7.04M
16 SOUTH SOUND PEDIATRICS PLLC OLYMPIA, WA 121,265 $6.26M
17 SOUTHWEST PSYCHIATRIC PHYSICIANS SAN ANTONIO, TX 81,386 $5.44M
18 CLINICA LA SALUD PLLC HOUSTON, TX 217,777 $5.09M
19 CORBIN PEDIATRIC ASSOCIATES PSC CORBIN, KY 176,879 $4.20M
20 DYNAMIC HEALTHCARE LLC CLOVIS, NM 53,997 $4.13M
21 PEDIATRIC ASSOCIATES OF DENHAM SPRINGS DENHAM SPRINGS, LA 141,594 $3.98M
22 LITTLE STEPS PEDIATRICS LLC LAS CRUCES, NM 78,087 $3.92M
23 MARTIN CHILDREN'S CLINIC, LLC MARTIN, TN 146,149 $3.89M
24 BEACON PEDIATRICS LLC REHOBOTH BEACH, DE 159,459 $3.71M
25 DALLAS COUNTY HOSPITAL DISTRICT DALLAS, TX 181,256 $3.41M
26 GRACE PEDIATRICS PL LAKE CITY, FL 111,234 $3.24M
27 EAST HAVEN PEDIATRICS P.C. EAST HAVEN, CT 89,147 $3.13M
28 MINOR PEDIATRICS KRISTIE MINOR APRN-CNP PLLC OCHELATA, OK 63,464 $2.94M
29 KIDZ 1ST CLINIC, LLC YAZOO CITY, MS 112,913 $2.93M
30 MADISON PRIMARY CARE, LLC RICHMOND, KY 92,127 $2.90M
31 THE NEUROCOGNITIVE INSTITUTE LLC MT ARLINGTON, NJ 55,467 $2.80M
32 KANSAS KIDS HEART CENTER, PA WICHITA, KS 41,186 $2.66M
33 PEDIATRIC ADVANCED CARE OF WEST HAVEN LLC WEST HAVEN, CT 84,888 $2.40M
34 ORMOND PEDIATRICS, P.A. ORMOND BEACH, FL 34,014 $2.34M
35 ASSOCIATES IN PEDIATRIC CARE-HAMPTON, LLC HAMPTON, VA 69,386 $2.27M
36 PEDIATRICS AT RIVER'S EDGE, INC NEW PORT RICHEY, FL 61,492 $2.26M
37 PEDIATRIC ASSOCIATES OF WEST TENNESSEE PLLC DYERSBURG, TN 90,683 $2.24M
38 PEDIATRICS PLUS PC NORTH HAVEN, CT 49,675 $2.24M
39 HELLMAN, HARRIET SOUTHAMPTON, NY 75,534 $2.17M
40 ROSALES CHILDREN'S CLINIC WEST MONROE, LA 66,994 $2.08M
41 PREMIER CARE PEDIATRICS, LLC GREAT FALLS, MT 30,082 $1.99M
42 BEN T WILKINS MD INC SEARCY, AR 45,889 $1.96M
43 PELICAN PEDIATRICS, LLC HOMER, LA 59,576 $1.95M
44 KLOCKER, KRISTEN BLOOMINGDALE, IL 44,584 $1.95M
45 VURBEFF, RACHEL LAREDO, TX 86,866 $1.69M
46 EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. SEVIERVILLE, TN 46,290 $1.65M
47 MCLEOD PHYSICIAN ASSOCIATES II CHERAW, SC 38,647 $1.64M
48 NEW HAVEN PEDIATRIC & ADOLESCENT MEDICAL SERV NEW HAVEN, CT 49,712 $1.64M
49 AMBUSH, JACQUELINE BALTIMORE, MD 34,727 $1.61M
50 COMPLETE PEDIATRICS NORTH HAVEN, CT 38,856 $1.58M
51 CANTERBURY PEDIATRICS, PC MONROE, CT 33,322 $1.55M
52 BROWN-RAMIREZ, BARBARA SANTA MARIA, CA 38,692 $1.51M
53 MAINE MEDICAL PARTNERS SACO, ME 30,869 $1.37M
54 LAFAYETTE PEDIATRICS LLC NORWICH, CT 38,366 $1.31M
55 JOHN LEPORE DO PC LAS VEGAS, NV 29,564 $1.27M
56 PAVILION PEDIATRIC CENTER, LLC MUNCIE, IN 29,798 $1.23M
57 PREMIER PEDIATRICS OF HOUSTON HOUSTON, TX 71,653 $1.21M
58 GONG, LINDA MALDEN, MA 10,806 $1.17M
59 CHRIS L. STURCH, M.D., INC. DURANT, OK 21,726 $1.17M
60 JOSE R. FORADADA, III, MD, P.A. TAMPA, FL 5,174 $1.07M
61 CHILDREN'S SPECIALTY PHYSICIAN BILLING OMAHA, NE 21,382 $1.06M
62 CORNERSTONE CHILDRENS CLINIC LLC HAMMOND, LA 48,309 $991K
63 BUIER, LINDA GURNEE, IL 25,751 $984K
64 N W PEDIATRIC CENTER INC P S ROCHESTER, WA 19,465 $939K
65 BEAR CREEK PEDIATRICS SPOKANE, WA 17,963 $934K
66 BB PEDIATRICS, P.C. PLEASANTON, TX 35,478 $906K
67 FIREFLY AFTER HOURS PEDIATRICS STAMFORD, CT 25,178 $900K
68 PATTON, SUSAN CHICAGO, IL 14,796 $887K
69 ALLIANCE CHILDREN'S & ALLIED HEALTH, INC. ALLIANCE, NE 18,908 $886K
70 DES MOINES PEDIATRIC & ADOLESCENT CLINIC DES MOINES, IA 35,477 $854K
71 WONG, CINDY QUINCY, MA 7,037 $829K
72 VALLEY OF THE SUN PEDIATRICS, P.C. PEORIA, AZ 13,660 $824K
73 LIGHTHOUSE HEALTH CLINIC CEDAR PARK, TX 46,144 $818K
74 SCOTT, TIFFANI CEDAR PARK, TX 29,395 $815K
75 SOMERSET PEDIATRIC SPECIALISTS PLLC SOMERSET, KY 27,140 $801K
76 ADA PEDIATRIC CLINIC ADA, OK 18,126 $786K
77 HAYES, MICHELLE LAKEWOOD, WA 17,368 $759K
78 CERDAN, NOELLE LAS VEGAS, NV 25,107 $710K
79 HEALTHY STAGES PEDIATRICS MORROW, GA 21,641 $699K
80 EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. LA FOLLETTE, TN 13,977 $694K
81 EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. CLINTON, TN 13,843 $671K
82 EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. KNOXVILLE, TN 21,725 $654K
83 EDUCATION PLUS, INC PHILADELPHIA, PA 12,721 $652K
84 MOORE, SHAUNTE O FALLON, IL 12,624 $648K
85 PALM, GINA PARK RIDGE, IL 15,284 $645K
86 MCLEOD PHYSICIAN ASSOCIATES II BENNETTSVILLE, SC 16,649 $645K
87 WARD BERAN, STACEY CHICAGO, IL 13,102 $640K
88 HARMS, JULIA SWANSEA, IL 11,758 $635K
89 BEE HAPPY PEDIATRICS IDAHO FALLS, ID 13,796 $629K
90 KAREVICIUS, SARAH SPRINGFIELD, MA 10,062 $625K
91 ENCINA PEDIATRICS AND PRIMARY CARE UVALDE, TX 16,426 $620K
92 COMMUNITY PEDIATRICS SC BEAVER DAM, WI 35,852 $603K
93 KIDS STATION PEDIATRICS MANCHESTER, CT 13,857 $603K
94 VOSS, SANDRA OAK LAWN, IL 19,810 $594K
95 PREMIER PLUS PEDIATRICS, PLLC SEGUIN, TX 27,980 $587K
96 INTEGRATIVE PEDIATRIC HEALTH CARE, LLC DENVER, CO 13,741 $582K
97 JUPITER PEDIATRIC ASSOCIATES, PA JUPITER, FL 20,260 $581K
98 CAMPBELL KIDS PEDIATRICS; PLLC ROWLETT, TX 32,128 $558K
99 RYAN, ANDREA CHICAGO, IL 11,010 $548K
100 ZEE, CAROLINE BOLINGBROOK, IL 12,670 $543K