Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Medicaid spending in Georgia

3,628 providers based in Georgia were paid $5.79B in outpatient and professional Medicaid claims from 2018 through 2024. The largest single code is S5125, attendant care at home, billed per 15 minutes, at $477.73M. Atlanta is the biggest billing hub.

28Total paid$5.79B
33Billing providers3,628
24GClaims122,759,643
On OIG exclusion list6
Box 33 · Billing provider

Who sent the bill in Georgia

  1. Agencies — home care, case management, community support
    32¢
  2. Physicians
    23¢
  3. Clinics and outpatient centers
    8¢
  4. Hospitals (outpatient claims only)
    7¢
  5. Laboratories
    6¢
  6. Nurse practitioners and physician assistants
    5¢
  7. Medical equipment and supplies
    4¢
  8. Dentists
    4¢

Cents of every dollar billed by Georgia-based providers, grouped by each provider's primary NPPES type. Compare: nationally, agencies take 33¢ and physicians 11¢.

Box 24 · Service lines

The biggest codes

All Georgia codes →
  1. S5125Attendant care at home, billed per 15 minutes
    $478M
  2. 99213Doctor's office visit, returning patient (routine)
    $331M
  3. T2033Residential care, not otherwise specified (nos), waiver; per diem
    $304M
  4. 99285Emergency room visit (most serious)
    $259M
  5. T1019Help at home with bathing, dressing and eating, billed per 15 minutes
    $236M
  6. T2025Waiver services not otherwise specified
    $225M
  7. 99284Emergency room visit (serious)
    $217M
  8. 99214Doctor's office visit, returning patient (more involved)
    $202M
  9. 99283Emergency room visit (moderate)
    $185M
  10. T2017Habilitation, residential, waiver; 15 minutes
    $165M
Box 32 · Location

By city

Atlanta$1.7BAlpharetta$584MValdosta$426MTucker$223MDecatur$220MMarietta$204MGainesville$157MRome$136MAlbany$120MDalton$110MSavannah$98MRichland$93MAugusta$88MMacon$85MNorcross$71MBrookhaven$69MNewnan$67MStockbridge$61MStatesboro$61MBrunswick$56MLawrenceville$54MColumbus$51MThomasville$50MStone Mountain$41MRiverdale$39MMonroe$35MCarrollton$34MAthens$33MBuford$32MWaycross$27MHiram$26MMilledgeville$26MGriffin$26MCalhoun$25MMcdonough$23MColbert$20MVilla Rica$20MKennesaw$20MFlowery Branch$20MAmericus$19MFitzgerald$19MDuluth$17MDacula$16MWarner Robins$16MLithonia$15MMartinez$15MBremen$14MPerry$14MJonesboro$14MRoswell$13M
Auditor's notes

Billing flags in Georgia

Statistical outliers on claims per beneficiary, single-code billing, and OIG exclusion. Not evidence of fraud — how these work.

#ProviderFlagsPaid
1 Columbus Medical Services single-code billing $68.48M
2 Ace Care Management LLC single-code billing $16.52M
3 Springhealth Behavioral Health and Integrated Care Georgia, LLC single-code billing $12.54M
4 Always on Time Homecare LLC single-code billing $8.22M
5 Refuge Family Care single-code billing $3.80M
6 JR'S Loving Care Services, INC. single-code billing $2.71M
7 Hamilton Mill Medical Services, INC. single-code billing $2.48M
8 Caring Together, INC single-code billing $1.74M
9 Access Home Care, LLC single-code billing $1.64M
10 Copeland, Brenda OIG excluded $802K
11 Lacey, Antonio OIG excluded $527K
12 Miller, William OIG excluded $242K
13 Harris, James OIG excluded $146K
14 Flowers, Wax OIG excluded $78K
15 Cedeno, Rosa OIG excluded $17K
Ranked

Top 100 providers in Georgia

#ProviderTypeCityClaimsPaid
1 Public Partnerships LLC Agency Alpharetta 6,692,783 $520.35M
2 Scottish Rite Children's Medical Center Physician Atlanta 3,556,445 $493.38M
3 Egleston Children's Hospital at Emory University, INC. NP / PA Atlanta 1,940,630 $222.59M
4 Southern Home Care Services, INC. Agency Valdosta 3,024,851 $212.18M
5 Quest Diagnostics Clinical Laboratories INC Lab Tucker 19,587,798 $211.13M
6 Normal Life of Georgia Agency Atlanta 948,518 $165.12M
7 Optum Women's and Children's Health, LLC Agency Marietta 636,803 $160.44M
8 United Cerebral Palsy of Georgia INC. Supplier Atlanta 129,757 $154.30M
9 Candler Road Dental, PC Dental Decatur 3,444,220 $123.84M
10 Arthur M. Blank Hospital, INC. Hospital Atlanta 693,665 $116.52M
11 Northeast Georgia Medical Center, INC. Hospital Gainesville 3,277,629 $112.63M
12 Floyd Healthcare Management INC Transport Rome 2,125,324 $98.41M
13 Rescare Georgia Agency Atlanta 487,267 $93.90M
14 Careconnect Health, INC. Clinic Richland 3,151,114 $93.24M
15 Phoebe Putney Memorial Hospital INC Hospital Albany 2,293,849 $84.34M
16 Columbus Medical Services Agency Atlanta 351,122 $68.48M
17 Coastal Home Care, LLC Agency Valdosta 552,205 $57.07M
18 Urgent Care at Children's, INC. Physician Brookhaven 636,358 $48.86M
19 Georgia Pines Community Service Board Agency Thomasville 271,136 $45.34M
20 Highland Rivers Community Service Board Agency Dalton 548,519 $44.03M
21 Southern Home Care Services, INC. Agency Valdosta 551,252 $42.94M
22 Wellstreet of Georgia PC Clinic Newnan 802,373 $42.39M
23 Emory Medical Care Foundation INC Atlanta 1,257,552 $41.34M
24 Pineland Area Community Services Board Agency Statesboro 405,240 $39.01M
25 Dekalb Community Service Board Agency Decatur 443,541 $38.78M
26 Atlanta Perinatal Associates Physician Atlanta 457,421 $38.36M
27 Verida, INC. Transport Atlanta 7,621,085 $35.75M
28 Dekalb Medical Psych Unit Hospital Decatur 1,155,026 $34.29M
29 Primary Pediatrics, PC Macon 873,942 $32.94M
30 Behavioral Health Services of South Georgia Clinic Valdosta 459,327 $30.12M
31 Southside Medical Center, INC. Clinic Atlanta 752,800 $28.82M
32 Amerimed Emergency Medical Services, LLC Transport Buford 194,581 $28.51M
33 Childrens Healthcare of Atlanta Cardiology INC Physician Atlanta 546,072 $28.21M
34 Au Medical Center, INC Hospital Augusta 659,060 $26.66M
35 The Emory Clinic INC Clinic Atlanta 1,002,260 $26.58M
36 Prime Healthcare Foundation - Southern Regional, LLC Physician Riverdale 703,790 $25.96M
37 Unison Behavioral Health Agency Waycross 395,335 $25.49M
38 White's Pediatrics Physician Dalton 707,453 $25.17M
39 Peachtree Immediate Care FP, LLC Clinic Hiram 277,678 $24.89M
40 The Art of Living Cla LLC. Agency Stone Mountain 11,301 $22.57M
41 Gateway Community Service Board Agency Brunswick 320,389 $22.39M
42 Otogenetics Corporation Lab Atlanta 93,367 $21.30M
43 Phoebe Physician Group INC Clinic Albany 558,486 $20.10M
44 Medlink Georgia INC Colbert 475,616 $19.93M
45 Paradigm Labs, LLC Lab Brunswick 236,064 $19.64M
46 Premier Kids Care, INC. Supplier Monroe 54,999 $19.63M
47 Family and Children First LLC Agency Dalton 269,708 $19.49M
48 Georgia Mountains Community Services Behavioral Flowery Branch 280,844 $19.15M
49 Apex Family Healthcare Services, LLC Agency Stockbridge 215,283 $19.03M
50 DR. Miniyars Pediatrics, P.C. Physician Rome 424,519 $18.79M
51 1ST America Infusion Services LLC Supplier Valdosta 98,952 $18.47M
52 Health Services of Central Georgia Physician Macon 475,875 $18.47M
53 Tanner Medical Group INC Physician Carrollton 484,020 $17.94M
54 Georgia Emergency Department Services, P.C. Physician Gainesville 262,780 $17.90M
55 Cai Hong Senior Services INC Clinic Norcross 66,420 $17.00M
56 Rhema Housing INC Agency Villa Rica 54,553 $16.56M
57 Curtis V. Cooper Primary Health Care INC. Clinic Savannah 1,415,084 $16.53M
58 Ace Care Management LLC Agency Atlanta 87,458 $16.52M
59 Phoebe Sumter Medical Center, INC. Hospital Americus 588,776 $16.49M
60 Ben Hill Mental Retardation Service Agency Fitzgerald 108,497 $16.32M
61 Autism Behavioral Institute, LLC Behavioral Savannah 78,917 $15.13M
62 Oconee Area Home Care Services, INC. Agency Athens 52,121 $14.87M
63 Easter Seals West Georgia, INC Behavioral Columbus 54,949 $14.34M
64 Med-Lake Laboratory, LLC Lab Milledgeville 537,331 $14.16M
65 Hospital Authority of Valdosta and Lowndes County Georgia Clinic Valdosta 455,647 $14.01M
66 Cornerstone Medical Assoc., LLC Physician Perry 428,340 $13.94M
67 Creative Community Service, INC. Agency Norcross 17,628 $13.49M
68 Bakotic Pathology Associates, LLC Lab Alpharetta 650,091 $13.34M
69 Byram Healthcare Centers, INC. Supplier Kennesaw 291,986 $13.29M
70 Kes INC Residential Lithonia 23,854 $12.71M
71 Georgia Emergency Physician Specialists Physician Savannah 235,084 $12.69M
72 Springhealth Behavioral Health and Integrated Care Georgia, LLC Agency Valdosta 133,024 $12.54M
73 Tmc/Higgins General Hospital Hospital Bremen 236,452 $12.23M
74 Cauley, Stephen Statesboro 601,736 $11.93M
75 The Hospital Authority of Habersham County Hospital Demorest 360,720 $11.79M
76 H-Squared Health Resources INC Agency Mcdonough 32,680 $11.74M
77 Nuestros Ninos Our Kids Pediatrics INC. NP / PA Marietta 377,421 $11.38M
78 Northside Psychological Services, INC. Behavioral Alpharetta 140,883 $11.29M
79 Ebenezer Healthcare Services, INC. Clinic Norcross 247,583 $11.25M
80 Gwinnett Neonatology,pc Physician Lawrenceville 66,342 $11.13M
81 Pediatria Healthcare LLC Agency Norcross 34,138 $11.06M
82 Carrollton Emergency Physicians, PC Physician Carrollton 179,807 $10.97M
83 Etowah Emergency Physicians, LLC Physician Cedartown 140,998 $10.77M
84 Savannah Children's Heart Center, PC Physician Savannah 120,356 $10.24M
85 Cardona-Rohena, Yadira Dental Dacula 83,389 $10.23M
86 Obstetrix Medical Group of Atlanta, LLC Physician Atlanta 133,279 $10.03M
87 Pacific Health Systems LLC Agency Stockbridge 57,216 $9.88M
88 Adventist Health System Georgia INC Clinic Calhoun 714,096 $9.80M
89 Southern Crescent Pediatrics PC Physician Stockbridge 253,537 $9.67M
90 Advance Rehabilitation for Kids of Gordon County, INC Clinic Calhoun 125,079 $9.53M
91 Family Bridge International INC Agency Jonesboro 53,412 $9.51M
92 Coker Pediatrics LLC Physician Griffin 183,670 $9.49M
93 Lifebrite Laboratories, LLC Lab Brookhaven 390,027 $9.38M
94 Southeast Medical, INC. Supplier Clayton 100,616 $9.36M
95 The Children's Dental Group, LLC Dental Lithia Springs 307,480 $9.33M
96 Choices for Life of Georgia, LLC Agency Valdosta 98,946 $9.02M
97 Au Medical Associates Emergency Medicine Billing Services, LLC Physician Augusta 125,832 $8.90M
98 Pediatric Associates of Savannah, P.C. Physician Savannah 273,898 $8.78M
99 Central Georgia Emergency Group, LLC Physician Macon 122,281 $8.75M
100 Empowering Youth for Positive Change Agency Duluth 48,001 $8.45M