District of Columbia
#39 in Medicaid spending (0.56% of national total)
Total Spending
$6.11B
Total Claims
66.1M
Providers
1,354
Avg Cost/Claim
$92
Data Coverage Note: District of Columbia has 96% of Medicaid enrollees in managed care. This data covers only fee-for-service (FFS) claims (est. 4% of enrollees). Actual total Medicaid spending in District of Columbia is significantly higher than shown.
Enrollment (Latest)
267K
Managed Care
96%
ACA Expansion
Yes (2014)
FFS $/Enrollee
$3,856
Yearly Spending Trend
Year-over-Year Growth
Top Providers
| Provider | Total Paid▼ |
|---|---|
MBI HEALTH SERVICES LLC Case Management | $270.1M |
CHILDREN'S HOSPITAL Clinic/Center | $243.0M |
MEDSTAR WASHINGTON HOSPITAL CENTER General Acute Care Hospital | $239.1M |
GOVERNMENT OF THE DISTRICT OF COLUMBIA OFFICE OF TAX AND REVENUE Ambulance | $213.4M |
INTEGRATED COMMUNITY SERVICES, INC. Clinic/Center | $145.7M |
DISTRICT HOSPITAL PARTNERS L P Nurse Practitioner | $136.3M |
CHILDREN'S HOSPITAL Pediatrics | $115.3M |
T & N RELIABLE NURSING CARE,LLC Case Management | $103.3M |
NATIONAL CHILDREN'S CENTER, INC. Private Vehicle | $101.0M |
ST. JOHN'S COMMUNITY SERVICES-DC Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $98.9M |
HOWARD UNIVERSITY HOSPITAL CORP General Acute Care Hospital | $98.8M |
WHC PHYSICIAN GROUP LLC Dermatology | $93.9M |
PREVENTIVE MEASURE OF WASHINGTON DC, LLC Community/Behavioral Health | $85.4M |
SPECIALTY HOME CARE LLC Home Health | $85.2M |
CAPITAL CARE, INC Respite Care | $83.6M |
KBC NURSING AGENCY HM HEALTH INC Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $82.5M |
IMMACULATE HEALTH CARE SERVICES,INC Home Health | $81.9M |
ABA INC Home Health | $80.8M |
DISTRICT HEALTHCARE SERVICES, LLC Community/Behavioral Health | $78.1M |
BERHAN HOME HEALTH CARE AGENCY INC Home Health | $76.9M |
20 rows
Top Procedures
| Code | Description | Total Paid▼ |
|---|---|---|
| T1019 | Personal care ser per 15 min | $1.38B |
| H0036 | Comm psy face-face per 15min | $796.1M |
| T2016 | Habil res waiver per diem | $559.0M |
| T1015 | Clinic service | $187.6M |
| H0039 | Asser com tx face-face/15min | $155.9M |
| A0429 | Bls-emergency | $136.2M |
| 99283 | Emergency dept visit low mdm | $124.3M |
| 99284 | Emergency dept visit mod mdm | $117.3M |
| 99213 | Office o/p est low 20 min | $99.0M |
| 99214 | Office o/p est mod 30 min | $98.9M |
| 99285 | Emergency dept visit hi mdm | $91.8M |
| 99212 | Office o/p est sf 10 min | $76.4M |
| H0044 | Supported housing, per month | $75.7M |
| H0025 | Alcohol and/or drug preventi | $69.9M |
| A0427 | Als1-emergency | $67.2M |
| T2033 | Res, nos waiver per diem | $63.6M |
| T2021 | Day habil waiver per 15 min | $62.9M |
| 99509 | Home visit day life activity | $58.7M |
| S5135 | Adult companioncare per 15m | $56.5M |
| H0034 | Med trng & support per 15min | $53.2M |
20 rows
Provider Classification Breakdown
| Classification | Total Paid▼ | Providers |
|---|---|---|
| Clinic/Center | $972.3M | 164 |
| Home Health | $670.4M | 24 |
| Case Management | $585.3M | 45 |
| Community/Behavioral Health | $454.0M | 35 |
| General Acute Care Hospital | $419.2M | 4 |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $344.0M | 14 |
| Respite Care | $287.5M | 5 |
| Ambulance | $220.0M | 3 |
| Counselor | $211.6M | 37 |
| Dermatology | $169.7M | 6 |
| Nurse Practitioner | $149.6M | 50 |
| Pediatrics | $146.8M | 41 |
| Dentist | $146.2M | 219 |
| Assisted Living Facility | $137.2M | 7 |
| Durable Medical Equipment & Medical Supplies | $136.9M | 34 |
| Day Training, Developmentally Disabled Services | $107.4M | 16 |
| Internal Medicine | $101.8M | 133 |
| Private Vehicle | $101.0M | 1 |
| Intermediate Care Facility, Intellectual Disabilities | $83.7M | 3 |
| In Home Supportive Care | $72.9M | 4 |