Ohio Medicaid Spending
Ohio's Medicaid program paid $8.56B across 32 providers from 2018–2024. 36 providers in Ohio are flagged on our risk watchlist. The top procedure code is G0463 (Hospital outpatient clinic visit) at $670.6M.
Total Spending
$8.56B
Total Claims
203.4M
Top Providers
32
Beneficiaries
161.3M
Flagged Providers
36
on risk watchlist
Avg Per Provider
$267.5M
across 32 providers
Yearly Spending Trend
Top Providers in Ohio
The Cleveland Clinic Foundation
General Acute Care Hospital · Cleveland
$863.5M
16.0M claims
Nationwide Children's Hospital
General Acute Care Hospital · Columbus
$777.5M
11.0M claims
Laboratory Corporation of America Holdings
Clinical Medical Laboratory · Dublin
$617.0M
53.5M claims
The Metrohealth System
General Acute Care Hospital · Cleveland
$574.1M
11.0M claims
Children's Hospital Medical Center of Akron
General Acute Care Hospital Children · Akron
$556.6M
6.6M claims
Brightview LLC
Internal Medicine Addiction Medicine · Cincinnati
$501.1M
7.9M claims
Rgh Enterprises, LLC
Prosthetic/Orthotic Supplier · Twinsburg
$424.8M
5.8M claims
Children's Hospital Medical Center
Clinic/Center, Primary Care · Cincinnati
$386.7M
5.3M claims
Dayton Children's Hospital
General Acute Care Hospital, Children · Dayton
$290.6M
3.0M claims
Ohiohealth Corporation
General Acute Care Hospital · Columbus
$215.0M
4.2M claims
Ohio State University Hospitals
General Acute Care Hospital · Columbus
$197.9M
4.1M claims
Ohioguidestone
Community/Behavioral Health · Berea
$195.0M
2.2M claims
Prentke Romich Company
Durable Medical Equipment & Medical Supplies · Wooster
$186.7M
77K claims
University of Cincinnati Medical Center, LLC
General Acute Care Hospital · Cincinnati
$176.5M
3.8M claims
Summa Health System
General Acute Care Hospital · Akron
$170.7M
3.7M claims
Labone of Ohio INC
Clinical Medical Laboratory · Cincinnati
$167.2M
11.9M claims
Scioto County Counseling Center, INC
Counselor, Addiction (Substance Use Disorder) · Portsmouth
$166.1M
1.4M claims
Miami Valley Hospital
General Acute Care Hospital · Dayton
$159.3M
3.6M claims
University Hospitals Cleveland Medical Center
General Acute Care Hospital · Cleveland
$156.8M
2.7M claims
The Toledo Hospital
Pediatrics · Toledo
$151.2M
3.4M claims
Edwards Health Care Services, Inc.
Durable Medical Equipment & Medical Supplies · Hudson
$149.7M
1.0M claims
Classic Optical Laboratories, Inc.
Technician/Technologist, Ocularist · Youngstown
$148.1M
18.6M claims
Southern Ohio Medical Center
Clinical Medical Laboratory · Portsmouth
$145.3M
3.5M claims
Arthur G James Cancer Hospital and Research Institute
Special Hospital · Columbus
$140.7M
795K claims
Tridia Hospice Care, LLC
Hospice Care, Community Based · Westerville
$138.8M
799K claims
Mercy Health - St Vincent Medical Center LLC
Ambulance, Land Transport · Toledo
$132.9M
3.0M claims
Integrated Services for Behavioral Health
Social Worker, Clinical · Nelsonville
$131.8M
1.3M claims
Viaquest Psychiatric & Behavioral Solutions LLC
Community/Behavioral Health · Dublin
$131.4M
1.9M claims
Sunrise Treatment Center, LLC
Clinic/Center, Adult Mental Health · Cincinnati
$130.1M
1.7M claims
Americare Healthcare Services, INC
Home Health · Blacklick
$128.9M
2.7M claims
The Metrohealth System
Anesthesiology · Cleveland
$125.5M
4.8M claims
Holzer Hospital Foundation
General Acute Care Hospital Rural · Gallipolis
$121.5M
1.9M claims
Flagged Providers in Ohio
The Cleveland Clinic Foundation
$863.5M
2 flags
The Metrohealth System
$574.1M
2 flags
Children's Hospital Medical Center of Akron
$556.6M
2 flags
Brightview LLC
$501.1M
2 flags
Ohio State University Hospitals
$197.9M
2 flags
Nationwide Children's Hospital
$777.5M
1 flag
Laboratory Corporation of America Holdings
$617.0M
1 flag
Rgh Enterprises, LLC
$424.8M
1 flag
Children's Hospital Medical Center
$386.7M
1 flag
Dayton Children's Hospital
$290.6M
1 flag
Showing 10 of 36 flagged providers. View full risk watchlist
Spending by Top Procedures
Top Procedures in Ohio
| Code | Total Paid |
|---|---|
| G0463 Hospital outpatient clinic visit | $670.6M |
| 99213 Office/outpatient visit, est. patient, low-mod complexity | $488.4M |
| 99214 Office/outpatient visit, est. patient, mod-high complexity | $359.9M |
| H2019 Therapeutic behavioral services, per 15 min | $297.2M |
| 99284 Emergency dept visit, high complexity | $286.7M |
| 99283 Emergency dept visit, moderate complexity | $269.0M |
| 99285 Emergency dept visit, high/urgent complexity | $196.4M |
| E2510 Speech generating device, synthesized speech, multiple methods | $172.5M |
| S5000 Prescription drug, generic | $145.1M |
| T1502 Administration of oral, intramuscular, or subcutaneous medication | $135.0M |
| 96361 IV infusion, hydration, each additional hour | $133.7M |
| T2046 Habilitation, residential, waiver; per month | $122.9M |
| A9276 Breath test analyzer, FDA approved, disposable | $122.4M |
| H0015 Alcohol and/or drug abuse, intensive outpatient, per hour | $113.0M |
| 90837 Psychotherapy, 60 minutes | $110.4M |