Washington
#22 in Medicaid spending (1.52% of national total)
Total Spending
$16.65B
Total Claims
357.9M
Providers
8,128
Avg Cost/Claim
$47
Data Coverage Note: Washington has 84% of Medicaid enrollees in managed care. This data covers only fee-for-service (FFS) claims (est. 16% of enrollees). Actual total Medicaid spending in Washington is significantly higher than shown.
Enrollment (Latest)
1.9M
Managed Care
84%
ACA Expansion
Yes (2014)
FFS $/Enrollee
$1,400
Yearly Spending Trend
Year-over-Year Growth
Top Providers
| Provider | Total Paid▼ |
|---|---|
STILLAGUAMISH TRIBE OF INDIANS Counselor | $349.3M |
WE CARE DAILY CLINICS LLC Clinic/Center | $260.6M |
IDEAL OPTION, PLLC Preventive Medicine | $259.1M |
SEATTLE CHILDREN'S HOSPITAL Prosthetic/Orthotic Supplier | $219.5M |
SWINOMISH HEALTH SERVICES Dentist | $195.9M |
LABORATORY CORPORATION OF AMERICA Clinical Medical Laboratory | $186.7M |
MULTICARE HEALTH SYSTEM Community/Behavioral Health | $162.2M |
KADLEC REGIONAL MEDICAL CENTER General Acute Care Hospital | $151.6M |
UNIVERSITY OF WASHINGTON Pharmacy | $129.6M |
COMMUNITY HEALTH CARE Case Management | $128.5M |
HARBORVIEW MEDICAL CENTER Rehabilitation Unit | $128.0M |
SWEDISH HEALTH SERVICES General Acute Care Hospital | $125.5M |
PUBLIC HOSPITAL DISTRICT 1 OF KING COUNTY General Acute Care Hospital | $120.8M |
WASHINGTON INSTITUTE FOR COAGULATION Pharmacy | $117.0M |
COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY Dentist | $112.1M |
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC Clinical Medical Laboratory | $109.2M |
MULTICARE HEALTH SYSTEM General Acute Care Hospital | $108.5M |
UNIVERSAL LANGUAGE SERVICE, INC. Contractor | $104.6M |
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION Psychiatric Unit | $103.5M |
FRANCISCAN MEDICAL GROUP Family Medicine | $93.0M |
20 rows
Top Procedures
| Code | Description | Total Paid▼ |
|---|---|---|
| T1015 | Clinic service | $3.20B |
| 99214 | Office o/p est mod 30 min | $692.2M |
| 99213 | Office o/p est low 20 min | $550.7M |
| 99283 | Emergency dept visit low mdm | $418.5M |
| 99284 | Emergency dept visit mod mdm | $411.2M |
| A0999 | Unlisted ambulance service | $396.2M |
| G0463 | Hospital outpt clinic visit | $391.2M |
| 99285 | Emergency dept visit hi mdm | $339.9M |
| H0018 | Alcohol and/or drug services | $287.5M |
| 96361 | Hydrate iv infusion add-on | $274.2M |
| H0020 | Alcohol and/or drug services | $246.8M |
| 90837 | Psytx w pt 60 minutes | $242.6M |
| 90999 | Unlisted dialysis procedure | $212.0M |
| T1000 | Private duty/independent nsg | $176.2M |
| H0004 | Alcohol and/or drug services | $157.1M |
| 74177 | Ct abd & pelvis w/contrast | $147.5M |
| 97530 | Therapeutic activities | $144.5M |
| 80307 | Drug test prsmv chem anlyzr | $134.0M |
| G9149 | Medical home level ii | $132.5M |
| D0120 | Periodic oral evaluation | $120.5M |
20 rows
Provider Classification Breakdown
| Classification | Total Paid▼ | Providers |
|---|---|---|
| Clinic/Center | $3.44B | 1,169 |
| General Acute Care Hospital | $2.11B | 83 |
| Dentist | $1.54B | 952 |
| Durable Medical Equipment & Medical Supplies | $752.5M | 331 |
| Counselor | $725.7M | 552 |
| Community/Behavioral Health | $719.4M | 176 |
| Ambulance | $690.6M | 157 |
| Family Medicine | $636.4M | 368 |
| Clinical Medical Laboratory | $621.5M | 76 |
| Case Management | $480.3M | 129 |
| Pharmacy | $347.1M | 102 |
| Preventive Medicine | $292.0M | 7 |
| Substance Abuse Rehabilitation Facility | $285.8M | 51 |
| Pediatrics | $281.4M | 142 |
| Psychiatric Unit | $259.8M | 11 |
| Emergency Medicine | $252.6M | 89 |
| Prosthetic/Orthotic Supplier | $241.8M | 15 |
| Home Health | $172.7M | 70 |
| Social Worker | $163.1M | 108 |
| Physical Therapist | $139.0M | 171 |