Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

WA#24 of 49 states

Washington Medicaid Spending

Washington's Medicaid program paid $2.42B across 13 providers from 2018–2024. 15 providers in Washington are flagged on our risk watchlist. The top procedure code is T1015 (Clinic visit/encounter, all-inclusive) at $865.8M.

Total Spending

$2.42B

Total Claims

54.3M

Top Providers

13

Beneficiaries

44.1M

Largest Provider

Stillaguamish Tribe of Indians

$349.3M

Top Procedure

T1015

$865.8M

Flagged Providers

15

on risk watchlist

Avg Per Provider

$186.0M

across 13 providers

Yearly Spending Trend

Spending by Top Procedures

T1015Clinic visit/encounter, all-inclusive$865.8M
G0463Hospital outpatient clinic visit$163.5M
99214Office/outpatient visit, est. patient, mod-high complexity$131.7M
96361IV infusion, hydration, each additional hour$65.9M
99283Emergency dept visit, moderate complexity$63.7M

Top Procedures in Washington

CodeTotal Paid
T1015

Clinic visit/encounter, all-inclusive

$865.8M
G0463

Hospital outpatient clinic visit

$163.5M
99214

Office/outpatient visit, est. patient, mod-high complexity

$131.7M
96361

IV infusion, hydration, each additional hour

$65.9M
99283

Emergency dept visit, moderate complexity

$63.7M
80307

Drug test, presumptive, by chemistry analyzers

$55.8M
99284

Emergency dept visit, high complexity

$39.0M
G0482

Drug test, definitive, 15-21 drug classes

$38.5M
99213

Office/outpatient visit, est. patient, low-mod complexity

$33.5M
99285

Emergency dept visit, high/urgent complexity

$30.0M
H0020

Alcohol/drug services; methadone administration

$25.1M
U0003

Infectious disease detection (COVID-19)

$21.7M
99282

Emergency dept visit, low complexity

$19.6M
J9271

Injection, pembrolizumab, 1 mg

$19.5M
74177

CT abdomen and pelvis with contrast

$17.5M