Ohio
#7 in Medicaid spending (3.38% of national total)
Total Spending
$36.98B
Total Claims
865.6M
Providers
20,967
Avg Cost/Claim
$43
Data Coverage Note: Ohio has 88% of Medicaid enrollees in managed care. This data covers only fee-for-service (FFS) claims (est. 12% of enrollees). Actual total Medicaid spending in Ohio is significantly higher than shown.
Enrollment (Latest)
3.2M
Managed Care
88%
ACA Expansion
Yes (2014)
FFS $/Enrollee
$2,238
Yearly Spending Trend
Year-over-Year Growth
Top Providers
| Provider | Total Paid▼ |
|---|---|
THE CLEVELAND CLINIC FOUNDATION General Acute Care Hospital | $863.5M |
NATIONWIDE CHILDREN'S HOSPITAL Clinic/Center | $777.5M |
LABORATORY CORPORATION OF AMERICA HOLDINGS Clinical Medical Laboratory | $617.0M |
THE METROHEALTH SYSTEM General Acute Care Hospital | $574.1M |
CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON General Acute Care Hospital | $556.6M |
BRIGHTVIEW, LLC Clinic/Center | $501.1M |
RGH ENTERPRISES, LLC Prosthetic/Orthotic Supplier | $424.8M |
CHILDREN'S HOSPITAL MEDICAL CENTER Clinic/Center | $386.7M |
DAYTON CHILDREN'S HOSPITAL General Acute Care Hospital | $290.6M |
OHIOHEALTH CORPORATION General Acute Care Hospital | $215.0M |
OHIO STATE UNIVERSITY HOSPITALS General Acute Care Hospital | $197.9M |
OHIOGUIDESTONE Community/Behavioral Health | $195.0M |
PRENTKE ROMICH COMPANY Durable Medical Equipment & Medical Supplies | $186.7M |
UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC General Acute Care Hospital | $176.5M |
SUMMA HEALTH SYSTEM General Acute Care Hospital | $170.7M |
LABONE OF OHIO INC Clinical Medical Laboratory | $167.2M |
SCIOTO COUNTY COUNSELING CENTER, INC Counselor | $166.1M |
MIAMI VALLEY HOSPITAL Ambulance | $159.3M |
UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER General Acute Care Hospital | $156.8M |
THE TOLEDO HOSPITAL Pediatrics | $151.2M |
20 rows
Top Procedures
| Code | Description | Total Paid▼ |
|---|---|---|
| T1019 | Personal care ser per 15 min | $2.58B |
| 99214 | Office o/p est mod 30 min | $1.71B |
| 99213 | Office o/p est low 20 min | $1.65B |
| H2019 | Ther behav svc, per 15 min | $1.51B |
| T2046 | Hospice long term care, r&b | $1.32B |
| G0156 | Hhcp-svs of aide,ea 15 min | $1.22B |
| H0015 | Alcohol and/or drug services | $1.18B |
| 90837 | Psytx w pt 60 minutes | $1.08B |
| 99284 | Emergency dept visit mod mdm | $969.2M |
| G0463 | Hospital outpt clinic visit | $889.7M |
| 99283 | Emergency dept visit low mdm | $886.0M |
| T1015 | Clinic service | $825.2M |
| 99285 | Emergency dept visit hi mdm | $736.4M |
| H2036 | A/d tx program, per diem | $681.7M |
| H0036 | Comm psy face-face per 15min | $492.1M |
| T1000 | Private duty/independent nsg | $485.6M |
| H2020 | Ther behav svc, per diem | $452.8M |
| 96361 | Hydrate iv infusion add-on | $429.2M |
| H0011 | Alcohol and/or drug services | $349.3M |
| G0299 | Hhs/hospice of rn ea 15 min | $305.2M |
20 rows
Provider Classification Breakdown
| Classification | Total Paid▼ | Providers |
|---|---|---|
| General Acute Care Hospital | $6.11B | 138 |
| Clinic/Center | $6.02B | 1,922 |
| Home Health | $4.54B | 915 |
| Community/Behavioral Health | $2.09B | 417 |
| Counselor | $1.83B | 1,480 |
| Clinical Medical Laboratory | $1.57B | 116 |
| Durable Medical Equipment & Medical Supplies | $1.55B | 541 |
| Hospice Care, Community Based | $1.12B | 122 |
| Dentist | $1.06B | 1,909 |
| Family Medicine | $873.6M | 818 |
| Ambulance | $777.9M | 651 |
| Substance Abuse Rehabilitation Facility | $739.2M | 68 |
| Internal Medicine | $712.3M | 1,182 |
| Pediatrics | $520.9M | 482 |
| Case Management | $491.1M | 90 |
| Emergency Medicine | $472.5M | 383 |
| Prosthetic/Orthotic Supplier | $455.2M | 37 |
| Social Worker | $294.0M | 575 |
| Physician Assistant | $290.4M | 195 |
| Local Education Agency (LEA) | $267.5M | 595 |