Maryland
#20 in Medicaid spending (1.73% of national total)
Total Spending
$18.88B
Total Claims
251.3M
Providers
13,007
Avg Cost/Claim
$75
Data Coverage Note: Maryland has 95% of Medicaid enrollees in managed care. This data covers only fee-for-service (FFS) claims (est. 6% of enrollees). Actual total Medicaid spending in Maryland is significantly higher than shown.
Enrollment (Latest)
1.5M
Managed Care
95%
ACA Expansion
Yes (2014)
FFS $/Enrollee
$2,464
Yearly Spending Trend
Year-over-Year Growth
Top Providers
| Provider | Total Paid▼ |
|---|---|
MID ATLANTIC PEMANENTE MEDICAL GROUP Health Maintenance Organization | $317.6M |
GENEDX LLC Medical Genetics, Ph.D. Medical Genetics | $215.3M |
QUEST DIAGNOSTICS INCORPORATED MD Clinical Medical Laboratory | $121.8M |
BALTIMORE MEDICAL SYSTEM INC Clinic/Center | $121.2M |
THREE LOWER COUNTIES COMMUNITY SERVICES, INC. Clinic/Center | $110.1M |
MNR INDUSTRIES, LLC Clinic/Center | $107.5M |
MEP HEALTH, LLC Emergency Medicine | $105.9M |
LIFELINE, INC Clinic/Center | $103.7M |
BALTIMORE COUNTY PUBLIC SCHOOLS Local Education Agency (LEA) | $102.5M |
CAPITAL CARE, INC Respite Care | $101.9M |
FRONTLINE COMMUNITY SERVICES Internal Medicine | $100.8M |
BALTIMORE CITY SCHOOLS Local Education Agency (LEA) | $95.9M |
MEDSTAR MEDICAL GROUP II LLC General Practice | $91.6M |
PRINCE GEORGES COUNTY PUBLIC SCHOOLS Local Education Agency (LEA) | $89.1M |
CHASE BREXTON HEALTH SERVICES, INC. Clinic/Center | $87.2M |
MEDI-RENTS & SALES, INC. Durable Medical Equipment & Medical Supplies | $85.8M |
SEASONS HOSPICE & PALLIATIVE CARE OF MARYLAND, LLC Hospice Care, Community Based | $84.9M |
JOHNS HOPKINS PHARMAQUIP INC Durable Medical Equipment & Medical Supplies | $81.7M |
COORDINATING CENTER FOR HOME AND COMMUNITY CARE, INC. Case Management | $78.7M |
DR. DAVID M. VIETH 2, P.C. Dentist | $77.7M |
20 rows
Top Procedures
| Code | Description | Total Paid▼ |
|---|---|---|
| H0044 | Supported housing, per month | $1.66B |
| 90834 | Psytx w pt 45 minutes | $1.31B |
| 99214 | Office o/p est mod 30 min | $1.14B |
| 99213 | Office o/p est low 20 min | $967.8M |
| S5102 | Adult day care per diem | $753.1M |
| T1003 | Lpn/lvn services up to 15min | $692.8M |
| H0015 | Alcohol and/or drug services | $584.4M |
| H2016 | Comp comm supp svc, per diem | $579.7M |
| H0020 | Alcohol and/or drug services | $518.7M |
| T2022 | Case management, per month | $367.7M |
| Q5003 | Hospice in lt/non-skilled nf | $325.6M |
| T2016 | Habil res waiver per diem | $284.0M |
| H2036 | A/d tx program, per diem | $268.8M |
| H0040 | Assert comm tx pgm per diem | $261.4M |
| T1015 | Clinic service | $237.1M |
| W7350 | (no description) | $235.0M |
| W5102 | (no description) | $202.1M |
| 90847 | Family psytx w/pt 50 min | $177.5M |
| 99284 | Emergency dept visit mod mdm | $176.9M |
| H0004 | Alcohol and/or drug services | $175.0M |
20 rows
Provider Classification Breakdown
| Classification | Total Paid▼ | Providers |
|---|---|---|
| Clinic/Center | $5.11B | 2,217 |
| Community/Behavioral Health | $2.35B | 794 |
| Counselor | $1.01B | 970 |
| Dentist | $975.4M | 1,378 |
| Substance Abuse Rehabilitation Facility | $800.9M | 238 |
| Home Health | $563.4M | 62 |
| Internal Medicine | $555.5M | 935 |
| Durable Medical Equipment & Medical Supplies | $541.3M | 197 |
| Local Education Agency (LEA) | $520.0M | 43 |
| Pediatrics | $491.6M | 397 |
| Health Maintenance Organization | $349.1M | 8 |
| Clinical Medical Laboratory | $332.4M | 93 |
| Case Management | $320.0M | 84 |
| Emergency Medicine | $272.9M | 104 |
| Nursing Care | $259.2M | 16 |
| Psychiatry & Neurology | $258.9M | 346 |
| Hospice Care, Community Based | $245.9M | 17 |
| Social Worker | $227.0M | 674 |
| General Practice | $216.9M | 40 |
| Medical Genetics, Ph.D. Medical Genetics | $215.6M | 2 |