District of Columbia Medicaid Spending
District of Columbia's Medicaid program paid $1.25B across 6 providers from 2018–2024. 10 providers in District of Columbia are flagged on our risk watchlist. The top procedure code is T1019 (Personal care services, per 15 min) at $190.6M.
Total Spending
$1.25B
Total Claims
11.2M
Top Providers
6
Beneficiaries
6.7M
Flagged Providers
10
on risk watchlist
Avg Per Provider
$207.9M
across 6 providers
Yearly Spending Trend
Top Providers in District of Columbia
Mbi Health Services LLC
Case Management · Washington
$270.1M
2.8M claims
Children's Hospital
General Acute Care Hospital Children · Washington
$243.0M
2.2M claims
Medstar Washington Hospital Center
General Acute Care Hospital · Washington
$239.1M
2.8M claims
Government of the District of Columbia Office of Tax and Revenue
Ambulance Land Transport · Washington
$213.4M
644K claims
Integrated Community Services, Inc.
Clinic/Center, Developmental Disabilities · Washington
$145.7M
886K claims
District Hospital Partners L P
Nurse Practitioner, Family · Washington
$136.3M
1.8M claims
Flagged Providers in District of Columbia
Children's Hospital
$243.0M
2 flags
Government of the District of Columbia Office of Tax and Revenue
$213.4M
2 flags
Mbi Health Services LLC
$270.1M
1 flag
Medstar Washington Hospital Center
$239.1M
1 flag
Preventive Measure of Washington Dc, LLC
$85.4M
1 flag
Aba INC
$80.8M
1 flag
Health Management, Inc.
$71.1M
1 flag
Unity Health Care Inc.
$48.3M
1 flag
Affordable Health Care Services LLC
$25.9M
1 flag
Goshen Healthcare & Management Services
$18.2M
1 flag
Spending by Top Procedures
Top Procedures in District of Columbia
| Code | Total Paid |
|---|---|
| T1019 Personal care services, per 15 min | $190.6M |
| H0036 Community psychiatric supportive treatment, per 15 min | $137.9M |
| A0429 Ambulance, BLS emergency transport | $135.6M |
| 99212 Office/outpatient visit, low complexity | $67.6M |
| A0427 Ambulance, ALS emergency transport Level 1 | $66.6M |
| 99283 Emergency dept visit, moderate complexity | $65.2M |
| 99284 Emergency dept visit, high complexity | $40.4M |
| H0039 Assertive community treatment, per diem | $34.4M |
| 96361 IV infusion, hydration, each additional hour | $28.1M |
| 99285 Emergency dept visit, high/urgent complexity | $22.9M |
| 99213 Office/outpatient visit, est. patient, low-mod complexity | $22.0M |
| 97110 Therapeutic exercises, each 15 min | $19.0M |
| G0463 Hospital outpatient clinic visit | $18.4M |
| T2016 Habilitation, residential, waiver; per diem | $17.5M |
| 99214 Office/outpatient visit, est. patient, mod-high complexity | $14.2M |