Indiana
#21 in Medicaid spending (1.59% of national total)
Total Spending
$17.40B
Total Claims
327.4M
Providers
9,988
Avg Cost/Claim
$53
Data Coverage Note: Indiana has 82% of Medicaid enrollees in managed care. This data covers only fee-for-service (FFS) claims (est. 18% of enrollees). Actual total Medicaid spending in Indiana is significantly higher than shown.
Enrollment (Latest)
1.9M
Managed Care
82%
ACA Expansion
Yes (2015)
FFS $/Enrollee
$1,340
Yearly Spending Trend
Year-over-Year Growth
Top Providers
| Provider | Total Paid▼ |
|---|---|
BOWEN HEALTH INC Psychiatric Hospital | $509.3M |
CENTERSTONE OF INDIANA, INC. Community/Behavioral Health | $318.9M |
A.W. HOLDINGS, LLC Behavior Analyst | $260.2M |
MERIDIAN SERVICES Community/Behavioral Health | $245.2M |
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY Psychiatric Unit | $231.5M |
HELP AT HOME, LLC Home Health | $207.9M |
VAV OPERATIONS LLC Behavior Analyst | $198.7M |
COMMUNITY PHYSICIANS OF INDIANA INC Internal Medicine | $185.3M |
INDIANA UNIVERSITY HEALTH, INC Durable Medical Equipment & Medical Supplies | $178.1M |
APRIA HEALTHCARE LLC Durable Medical Equipment & Medical Supplies | $176.2M |
COMMUNITY HEALTH NETWORK, INC General Acute Care Hospital | $161.7M |
HOPEBRIDGE, LLC Assistant Behavior Analyst | $140.4M |
VALLEY OAKS HEALTH INC Clinic/Center | $135.9M |
FOUR COUNTY COMPREHENSIVE MENTAL HEALTH CENTER INC Clinic/Center | $131.2M |
INDIANA UNIVERSITY HEALTH CARE ASSOCIATES, INC Physician Assistant | $125.3M |
RECOVER TOGETHER, INC. Internal Medicine | $122.5M |
ADULT AND CHILD CENTER, INC Community/Behavioral Health | $113.9M |
INDIANA UNIVERSITY HEALTH INC Ambulance | $111.3M |
STATE OF INDIANA AUDITOR OF THE STATE Case Management | $110.2M |
CUMMINS BEHAVIORAL HEALTH SYSTEMS, INCORPORATED Non-emergency Medical Transport (VAN) | $108.5M |
20 rows
Top Procedures
| Code | Description | Total Paid▼ |
|---|---|---|
| H2014 | Skills train and dev, 15 min | $1.67B |
| 99214 | Office o/p est mod 30 min | $956.2M |
| T2016 | Habil res waiver per diem | $955.1M |
| 99213 | Office o/p est low 20 min | $896.5M |
| 97153 | Adaptive behavior tx by tech | $735.4M |
| H0010 | Alcohol and/or drug services | $728.4M |
| 99284 | Emergency dept visit mod mdm | $579.8M |
| 99283 | Emergency dept visit low mdm | $546.1M |
| 99600 | Unlisted home visit svc/px | $495.1M |
| 99285 | Emergency dept visit hi mdm | $359.1M |
| 90834 | Psytx w pt 45 minutes | $340.4M |
| 90837 | Psytx w pt 60 minutes | $285.0M |
| 92507 | Tx sp lang voice comm indiv | $198.5M |
| T1016 | Case management | $196.7M |
| H0020 | Alcohol and/or drug services | $179.3M |
| S5125 | Attendant care service /15m | $167.7M |
| 97530 | Therapeutic activities | $154.4M |
| T1015 | Clinic service | $145.6M |
| A0429 | Bls-emergency | $142.4M |
| H0004 | Alcohol and/or drug services | $138.7M |
20 rows
Provider Classification Breakdown
| Classification | Total Paid▼ | Providers |
|---|---|---|
| Clinic/Center | $2.50B | 994 |
| General Acute Care Hospital | $1.41B | 97 |
| Community/Behavioral Health | $1.08B | 82 |
| Dentist | $939.9M | 1,442 |
| Internal Medicine | $901.9M | 651 |
| Durable Medical Equipment & Medical Supplies | $889.2M | 631 |
| Psychiatric Hospital | $776.8M | 22 |
| Home Health | $701.5M | 189 |
| Behavior Analyst | $677.3M | 54 |
| Psychologist | $496.1M | 154 |
| Ambulance | $471.8M | 234 |
| Family Medicine | $417.5M | 437 |
| Day Training, Developmentally Disabled Services | $404.1M | 34 |
| Emergency Medicine | $402.3M | 203 |
| Substance Abuse Rehabilitation Facility | $355.5M | 29 |
| Counselor | $344.4M | 208 |
| Psychiatric Unit | $324.8M | 5 |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $276.0M | 18 |
| Physician Assistant | $254.3M | 56 |
| Optometrist | $245.4M | 763 |