Medicaid Provider Spending

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

Pediatric Clinical Nurse Specialist

$12.50M
Total Medicaid Paid
32
Providers
394,659
Total Claims
318,178
Beneficiaries

Browse by State

TX ($3.60M)TN ($1.93M)WA ($1.85M)IL ($1.60M)WV ($1.27M)MS ($1.23M)LA ($542K)FL ($321K)AR ($71K)NV ($59K)SC ($12K)NC ($5K)MO ($2K)PA ($2K)

Top Billing Codes

CodeDescriptionTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity $2.98M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity $2.37M
T1015 Clinic visit/encounter, all-inclusive $2.09M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) $641K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) $631K
90460 Immunization administration through 18 years of age via any route, first or only component $520K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) $470K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) $323K
90834 Psychotherapy, 45 minutes with patient $312K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type $183K

Top Providers

#ProviderLocationClaimsTotal Paid
1 KERRVILLE PEDIATRICS KERRVILLE, TX 80,339 $1.98M
2 UNIVERSITY OF TENNESSEE KNOXVILLE, TN 66,286 $1.85M
3 LONE STAR CHILDREN'S MEDICAL PLLC HOUSTON, TX 62,286 $1.62M
4 N W PEDIATRIC CENTER INC P S CHEHALIS, WA 26,281 $1.32M
5 SUMMERSVILLE PEDIATRICS, INC. WEBSTER SPRINGS, WV 24,850 $1.27M
6 KIDS FIRST PEDIATRIC & ADULT MEDICINE, LLC HAZLEHURST, MS 37,061 $1.23M
7 MILLER FAMILY PEDIATRICS WASHOUGAL, WA 8,986 $526K
8 EVANS, LISA ROCKFORD, IL 7,701 $469K
9 ADVANCED COMPREHENSIVE TESTING INC BATON ROUGE, LA 30,090 $448K
10 PAPIS, KRISTINE PEORIA, IL 6,542 $438K
11 HEALTHY STEPS PEDIATRICS GAINESVILLE, FL 3,731 $233K
12 BOORE, HEATHER PEORIA, IL 1,708 $196K
13 HOSELTON, RACHEL SPRINGFIELD, IL 1,117 $135K
14 CHEATHAM, JEANNINE CHICAGO, IL 1,577 $103K
15 DOMINIQUE, SARAH PEORIA, IL 2,073 $100K
16 WISE, ANNIE HOUMA, LA 3,454 $93K
17 PHYSICIANS GROUP SERVICES PA JACKSONVILLE, FL 13,719 $88K
18 TIGLAO, RONA CHICAGO, IL 1,091 $85K
19 GOULDIE, DALE KNOXVILLE, TN 2,422 $80K
20 ARKANSAS CHILDREN'S HOSPITAL LITTLE ROCK, AR 2,701 $71K
21 LOBO, CHANTAL LAS VEGAS, NV 1,199 $58K
22 ZIMMERMAN, AMY PEORIA, IL 367 $36K
23 FORD, JENNA PEORIA, IL 798 $32K
24 JOHNSON, JACK ROCK HILL, SC 275 $12K
25 FOLLROD, CINTHIA FAYETTEVILLE, NC 78 $5K
26 COHA, THERESE CHICAGO, IL 114 $4K
27 PAPPAN, ALEXA PITTSBURGH, PA 94 $2K
28 FINN, PAMELA KANSAS CITY, MO 12 $2K
29 MIKAL-DEMONT, MEGGAN OAK LAWN, IL 33 $869.07
30 KEUNE, ANDREA WASHINGTON, MO 15 $751.00
31 GRINO, GLENDA LAS VEGAS, NV 4,196 $464.26
32 KING, ANDREA BENTONVILLE, AR 3,463 $15.45