← medicaid-provider-spending

Provider Lookup

Visuals in this post: EyePic Case Per-Enrollee Spending Concentration Top Providers Outlier Screen Provider Lookup Random Sample Methodology
data.nycuriosity.com › Medicaid Provider Spending › Provider Lookup
Medicaid July 2026

Filter 314,121 provider-year payment records yourself

Every billing organization paid at least $100,000 between 2018 and 2024, one row per year. Search by name, filter by procedure code, or set payment, volume, and growth ranges to run your own billing screens on three states' Medicaid data.

Download CSV (members) (gzipped, 6.6 MB)
Search and filter 314,121 provider-year payment records in New York, Texas, and California
One row per provider per year (plus a shaded 2018 to 2024 total row per provider) for every billing organization paid at least $100,000 overall. Filter by procedure code, payments, volume, and year-over-year growth. Click a column header to sort.
Loading data (about 16 MB)…
State: Rows:
Filters
HCPCS code: Optional. Shows providers paid at least $1,000 for that code.
Provider State City Specialty Year Patient Services Claim Lines Paid YoY
Loading 314,121 provider-year records…
Created by Tal Roded · NYCuriosity · Source: HHS Open Data, Medicaid Provider Spending by HCPCS

This is the "how much did Company X make" table, now at year level. Type a provider's name for its full payment history, or work the other way: filter to a procedure code and a growth range to see which billers of that code exploded in a given year. The screens from the outlier page are one slider setting here.

Coverage: billing organizations with NPPES practice locations in NY, TX, or CA and at least $100,000 in total 2018 to 2024 paid amounts (55,501 providers; the floor drops 87,645 small billers holding 0.5% of dollars). One row per provider per year with billing, plus a shaded total row per provider.

Column definitions: Patient services sums the unique-beneficiary counts of each provider, servicing provider, procedure, month cell; because one person can appear in many cells, it overstates unique patients and is best read as service volume. Claim lines count lines, not claims. YoY growth compares a year's paid amount to the immediately preceding year and is blank when a provider had no prior-year billing. The HCPCS filter matches providers paid at least $1,000 for that code across 2018 to 2024; dollar figures shown remain all-procedure totals.

Reading the numbers: figures are Medicaid and CHIP paid amounts on outpatient and professional claim lines with HCPCS codes, from the federal T-MSIS system. Cells under 12 claim lines or 12 beneficiaries are suppressed at the source, so all figures are floors. 2024 is preliminary. High values and high growth are facts about payments, not accusations; see the methodology.

Sources: HHS Open Data, Medicaid Provider Spending by HCPCS; CMS NPPES (July 2026). Author's analysis; replication steps in the methodology.