Michigan
#6 in Medicaid spending (3.55% of national total)
Total Spending
$38.86B
Total Claims
668.7M
Providers
16,727
Avg Cost/Claim
$58
Data Coverage Note: Michigan has 98% of Medicaid enrollees in managed care. This data covers only fee-for-service (FFS) claims (est. 2% of enrollees). Actual total Medicaid spending in Michigan is significantly higher than shown.
Enrollment (Latest)
2.5M
Managed Care
98%
ACA Expansion
Yes (2014)
FFS $/Enrollee
$2,526
Yearly Spending Trend
Year-over-Year Growth
Top Providers
| Provider | Total Paid▼ |
|---|---|
GUARDIANTRAC. LLC Supports Brokerage | $2.68B |
CENTRIA HEALTHCARE LLC Behavior Analyst | $590.6M |
INTEGRA PARTNERS LLC Orthotic Fitter | $422.3M |
COMMUNITY MENTAL HEALTH AUTHORITY OF CLINTON EATON INGHAM COUNTIES Clinic/Center | $368.4M |
MACOMB OAKLAND REGIONAL CENTER INC. Community/Behavioral Health | $342.6M |
J&B MEDICAL SUPPLY CO INC Durable Medical Equipment & Medical Supplies | $339.0M |
HENRY FORD HEALTH SYSTEM General Acute Care Hospital | $334.9M |
REGENTS OF THE UNIVERSITY OF MICHIGAN Clinic/Center | $317.8M |
BEACON SPECIALIZED LIVING SERVICES, INC. Community Based Residential Treatment Facility, Mental Illness | $302.4M |
MACOMB COUNTY COMMUNITY MENTAL HEALTH Clinic/Center | $300.0M |
NEW ENGLAND EMERGENCY RESPONSE SYSTEMS INC Durable Medical Equipment & Medical Supplies | $264.1M |
COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN Counselor | $255.7M |
SPECTRUM HEALTH HOSPITALS General Acute Care Hospital | $243.2M |
STUART T.WILSON C.P.A.,P.C. Supports Brokerage | $228.5M |
SPECTRUM HEALTH PRIMARY CARE PARTNERS Psychologist | $219.6M |
PRO CARE UNLIMITED, INC Home Health | $216.3M |
CNS HEALTHCARE Clinic/Center | $214.3M |
TEAM MENTAL HEALTH SERVICES INC. Radiology | $208.4M |
PAS-PERSONAL ACCOUNTING SERVICES, INC. Contractor | $192.7M |
EASTERSEALS MORC HEALTH CARE, INC. Community/Behavioral Health | $188.3M |
20 rows
Top Procedures
| Code | Description | Total Paid▼ |
|---|---|---|
| H2015 | Comp comm supp svc, 15 min | $3.66B |
| H2016 | Comp comm supp svc, per diem | $2.60B |
| T1017 | Targeted case management | $1.41B |
| 99214 | Office o/p est mod 30 min | $1.27B |
| T1019 | Personal care ser per 15 min | $1.24B |
| 99213 | Office o/p est low 20 min | $1.18B |
| 99285 | Emergency dept visit hi mdm | $1.06B |
| T1020 | Personal care ser per diem | $1.02B |
| 97153 | Adaptive behavior tx by tech | $995.8M |
| 99284 | Emergency dept visit mod mdm | $812.1M |
| 90837 | Psytx w pt 60 minutes | $736.7M |
| S5135 | Adult companioncare per 15m | $649.1M |
| H0043 | Supported housing, per diem | $590.5M |
| 99283 | Emergency dept visit low mdm | $581.7M |
| H2014 | Skills train and dev, 15 min | $485.9M |
| H0036 | Comm psy face-face per 15min | $435.0M |
| G0463 | Hospital outpt clinic visit | $426.4M |
| T1016 | Case management | $412.5M |
| G0467 | Fqhc visit, estab pt | $402.8M |
| T2022 | Case management, per month | $393.6M |
20 rows
Provider Classification Breakdown
| Classification | Total Paid▼ | Providers |
|---|---|---|
| Clinic/Center | $4.89B | 2,052 |
| General Acute Care Hospital | $3.78B | 122 |
| Community/Behavioral Health | $3.32B | 263 |
| Supports Brokerage | $2.94B | 7 |
| Home Health | $1.53B | 328 |
| Durable Medical Equipment & Medical Supplies | $1.36B | 416 |
| Dentist | $1.32B | 2,918 |
| Internal Medicine | $1.25B | 1,413 |
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $1.23B | 49 |
| Counselor | $1.06B | 654 |
| Case Management | $995.9M | 80 |
| Behavior Analyst | $952.0M | 50 |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $935.2M | 48 |
| Psychologist | $743.6M | 299 |
| Social Worker | $724.8M | 556 |
| Family Medicine | $692.7M | 882 |
| Pediatrics | $675.7M | 434 |
| Ambulance | $637.0M | 190 |
| Day Training, Developmentally Disabled Services | $609.1M | 59 |
| Emergency Medicine | $582.0M | 280 |