California
#2 in Medicaid spending (11.84% of national total)
Total Spending
$129.43B
Total Claims
2.5B
Providers
52,782
Avg Cost/Claim
$51
Data Coverage Note: California has 94% of Medicaid enrollees in managed care. This data covers only fee-for-service (FFS) claims (est. 6% of enrollees). Actual total Medicaid spending in California is significantly higher than shown.
Enrollment (Latest)
14.8M
Managed Care
94%
ACA Expansion
Yes (2014)
FFS $/Enrollee
$1,491
Yearly Spending Trend
Year-over-Year Growth
Top Providers
| Provider | Total Paid▼ |
|---|---|
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH Psychiatric Unit | $6.78B |
COUNTY OF SANTA CLARA Clinic/Center | $1.73B |
COUNTY OF RIVERSIDE Community/Behavioral Health | $1.40B |
CITY & COUNTY OF SAN FRANCISCO Supports Brokerage | $1.34B |
LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH Public Health or Welfare | $1.13B |
ALAMEDA COUNTY BEHAVIORAL HEALTH CARE Community/Behavioral Health | $1.07B |
COUNTY OF SAN BERNARDINO Clinic/Center | $1.05B |
COUNTY OF SACRAMENTO Case Manager/Care Coordinator | $903.1M |
COUNTY OF ORANGE Clinic/Center | $806.7M |
COUNTY OF FRESNO Clinic/Center | $728.1M |
CALL THE CAR Non-emergency Medical Transport (VAN) | $723.9M |
UNILAB CORPORATION Clinical Medical Laboratory | $668.5M |
COUNTY OF SAN DIEGO Case Management | $642.5M |
NATERA, INC. Clinical Medical Laboratory | $641.5M |
COUNTY OF VENTURA Community/Behavioral Health | $598.2M |
MILLENNIUM HEALTH, LLC Clinical Medical Laboratory | $579.3M |
CONTRA COSTA COUNTY Community/Behavioral Health | $537.0M |
SHIELD CALIFORNIA HEALTH CARE CENTER INC Pharmacy | $522.6M |
COUNTY OF KERN Clinic/Center | $473.4M |
DAP HEALTH, INC. Family Medicine | $463.0M |
20 rows
Top Procedures
| Code | Description | Total Paid▼ |
|---|---|---|
| T1015 | Clinic service | $21.79B |
| H2015 | Comp comm supp svc, 15 min | $8.35B |
| 00003 | (no description) | $5.32B |
| S5102 | Adult day care per diem | $3.29B |
| 90999 | Unlisted dialysis procedure | $3.28B |
| H2010 | Comprehensive med svc 15 min | $3.19B |
| H2017 | Psysoc rehab svc, per 15 min | $3.02B |
| T1017 | Targeted case management | $2.63B |
| 99214 | Office o/p est mod 30 min | $2.26B |
| H2019 | Ther behav svc, per 15 min | $2.07B |
| 99213 | Office o/p est low 20 min | $1.79B |
| 90837 | Psytx w pt 60 minutes | $1.72B |
| 99283 | Emergency dept visit low mdm | $1.65B |
| 0450 | (no description) | $1.61B |
| S9484 | Crisis intervention per hour | $1.56B |
| H0019 | Alcohol and/or drug services | $1.54B |
| H0032 | Mh svc plan dev by non-md | $1.49B |
| T2031 | Assist living waiver/diem | $1.44B |
| 99284 | Emergency dept visit mod mdm | $1.23B |
| 99285 | Emergency dept visit hi mdm | $1.22B |
20 rows
Provider Classification Breakdown
| Classification | Total Paid▼ | Providers |
|---|---|---|
| Clinic/Center | $41.16B | 6,917 |
| General Acute Care Hospital | $9.91B | 466 |
| Community/Behavioral Health | $7.55B | 633 |
| Case Manager/Care Coordinator | $7.34B | 435 |
| Psychiatric Unit | $7.07B | 33 |
| Dentist | $6.89B | 5,824 |
| Clinical Medical Laboratory | $5.29B | 561 |
| Durable Medical Equipment & Medical Supplies | $3.12B | 1,158 |
| Internal Medicine | $2.66B | 5,636 |
| Family Medicine | $2.38B | 2,731 |
| Ambulance | $2.00B | 280 |
| Home Health | $1.89B | 1,072 |
| Emergency Medicine | $1.80B | 1,057 |
| Non-emergency Medical Transport (VAN) | $1.71B | 348 |
| Supports Brokerage | $1.67B | 52 |
| Case Management | $1.64B | 167 |
| Behavior Analyst | $1.51B | 385 |
| Pediatrics | $1.46B | 1,842 |
| Assisted Living Facility | $1.33B | 266 |
| Public Health or Welfare | $1.30B | 50 |