Georgia
#41 in Medicaid spending (0.53% of national total)
Total Spending
$5.79B
Total Claims
122.8M
Providers
3,628
Avg Cost/Claim
$47
Data Coverage Note: Georgia has 85% of Medicaid enrollees in managed care. This data covers only fee-for-service (FFS) claims (est. 15% of enrollees). Actual total Medicaid spending in Georgia is significantly higher than shown.
Enrollment (Latest)
2.2M
Managed Care
85%
ACA Expansion
Not Expanded
FFS $/Enrollee
$316
Yearly Spending Trend
Year-over-Year Growth
Top Providers
| Provider | Total Paid▼ |
|---|---|
PUBLIC PARTNERSHIPS LLC Supports Brokerage | $520.3M |
SCOTTISH RITE CHILDREN'S MEDICAL CENTER Physical Medicine & Rehabilitation | $493.4M |
EGLESTON CHILDREN'S HOSPITAL AT EMORY UNIVERSITY, INC. Nurse Practitioner | $222.6M |
SOUTHERN HOME CARE SERVICES, INC. Home Health | $212.2M |
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC Clinical Medical Laboratory | $211.1M |
NORMAL LIFE OF GEORGIA Community/Behavioral Health | $165.1M |
OPTUM WOMEN'S AND CHILDREN'S HEALTH, LLC Home Health | $160.4M |
UNITED CEREBRAL PALSY OF GEORGIA INC. Durable Medical Equipment & Medical Supplies | $154.3M |
CANDLER ROAD DENTAL, PC Dentist | $123.8M |
ARTHUR M. BLANK HOSPITAL, INC. General Acute Care Hospital | $116.5M |
NORTHEAST GEORGIA MEDICAL CENTER, INC. General Acute Care Hospital | $112.6M |
FLOYD HEALTHCARE MANAGEMENT INC Ambulance | $98.4M |
RESCARE GEORGIA Community/Behavioral Health | $93.9M |
CARECONNECT HEALTH, INC. Clinic/Center | $93.2M |
PHOEBE PUTNEY MEMORIAL HOSPITAL INC General Acute Care Hospital | $84.3M |
COLUMBUS MEDICAL SERVICES Case Management | $68.5M |
COASTAL HOME CARE, LLC Home Health | $57.1M |
URGENT CARE AT CHILDREN'S, INC. Pediatrics | $48.9M |
GEORGIA PINES COMMUNITY SERVICE BOARD Community/Behavioral Health | $45.3M |
HIGHLAND RIVERS COMMUNITY SERVICE BOARD Day Training, Developmentally Disabled Services | $44.0M |
20 rows
Top Procedures
| Code | Description | Total Paid▼ |
|---|---|---|
| S5125 | Attendant care service /15m | $477.7M |
| 99213 | Office o/p est low 20 min | $330.6M |
| T2033 | Res, nos waiver per diem | $304.1M |
| 99285 | Emergency dept visit hi mdm | $259.4M |
| T1019 | Personal care ser per 15 min | $235.6M |
| T2025 | Waiver service, nos | $224.6M |
| 99284 | Emergency dept visit mod mdm | $216.5M |
| 99214 | Office o/p est mod 30 min | $201.8M |
| 99283 | Emergency dept visit low mdm | $184.7M |
| T2017 | Habil res waiver 15 min | $165.5M |
| 90837 | Psytx w pt 60 minutes | $131.1M |
| T2022 | Case management, per month | $85.0M |
| S9351 | Hit cont antiemetic diem | $78.8M |
| T1021 | Hh aide or cn aide per visit | $77.0M |
| T1005 | Respite care service 15 min | $60.9M |
| 99212 | Office o/p est sf 10 min | $54.7M |
| 99203 | Office o/p new low 30 min | $42.8M |
| 90460 | Im admin 1st/only component | $42.5M |
| 99392 | Prev visit est age 1-4 | $40.8M |
| U0003 | (no description) | $38.3M |
20 rows
Provider Classification Breakdown
| Classification | Total Paid▼ | Providers |
|---|---|---|
| Community/Behavioral Health | $536.6M | 42 |
| Home Health | $527.8M | 19 |
| Supports Brokerage | $527.5M | 2 |
| Physical Medicine & Rehabilitation | $494.0M | 14 |
| Clinic/Center | $435.0M | 161 |
| Pediatrics | $419.2M | 270 |
| General Acute Care Hospital | $409.3M | 43 |
| Clinical Medical Laboratory | $356.9M | 66 |
| Nurse Practitioner | $251.1M | 177 |
| Durable Medical Equipment & Medical Supplies | $230.8M | 63 |
| Dentist | $220.5M | 172 |
| Ambulance | $129.6M | 29 |
| Counselor | $121.5M | 710 |
| Emergency Medicine | $112.6M | 119 |
| Case Management | $104.5M | 6 |
| Internal Medicine | $79.3M | 243 |
| Obstetrics & Gynecology | $72.5M | 85 |
| In Home Supportive Care | $72.5M | 10 |
| Day Training, Developmentally Disabled Services | $66.8M | 5 |
| Specialist | $64.9M | 52 |