Total Spending
$17.5M
Providers
26
Total Claims
441,505
Unique Procedures
257

Procedures by Expenditure

All procedure codes billed by Medicaid providers in Humboldt County, sorted by total payments from highest to lowest.

# Code Description Total Paid % of County Claims Avg/Claim
1T1015All-inclusive clinic visit — covers everything in one trip to the clinic$9,293,133
53.1%
57,716$161
299284Emergency room visit for a serious problem$1,176,707
6.7%
10,681$110
399283Emergency room visit for a moderate problem$1,108,500
6.3%
11,902$93
499285Emergency room visit for a severe or life-threatening problem$805,570
4.6%
6,721$120
574177CT scan of the abdomen and pelvis (with contrast dye)$547,817
3.1%
1,453$377
670450CT scan of the head (without contrast dye)$340,965
1.9%
2,028$168
7A0425Ground mileage — per mile for ambulance transportation$317,909
1.8%
3,627$88
890999Dialysis or kidney treatment — other related procedure$261,700
1.5%
4,959$53
992508Group speech therapy session$248,084
1.4%
11,447$22
10G0378Hospital observation services — being watched and monitored in the hospital (per hour)$221,214
1.3%
2,044$108
1197110Physical therapy exercises to build strength, flexibility, or range of motion$217,755
1.2%
10,290$21
12V2020Frames, purchases$212,607
1.2%
3,041$70
1392014Eye exam or vision test$201,287
1.2%
2,078$97
1490837Individual therapy session (60 minutes)$194,052
1.1%
1,944$100
15A0427Ambulance ride with advanced life support — emergency (ALS 1 — paramedics on board)$190,979
1.1%
1,556$123
16E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate$177,554
1.0%
6,268$28
1799282Emergency room visit for a minor problem$162,565
0.9%
2,233$73
1892507Speech therapy session — treatment for speech, language, or swallowing problems$155,630
0.9%
3,852$40
1987591Gonorrhea test$109,753
0.6%
1,745$63
2080053Comprehensive metabolic panel blood test (checks liver, kidney, blood sugar, electrolytes)$106,659
0.6%
16,638$6
2199214Office visit for a moderate problem (established patient)$91,033
0.5%
12,151$7
2292004Eye exam or vision test$71,434
0.4%
717$100
23A0429Ambulance ride with basic life support — emergency (BLS — EMTs on board)$66,244
0.4%
664$100
2499213Office visit for a simple problem (established patient)$61,877
0.4%
19,737$3
2592015Eye exam or vision test$57,081
0.3%
3,479$16
2682306Vitamin D blood test$52,715
0.3%
1,503$35
2793306Heart ultrasound (echocardiogram)$52,331
0.3%
356$147
2880050General health panel blood test$46,174
0.3%
420$110
2977067Screening mammogram (breast cancer screening)$44,667
0.3%
1,164$38
3086703HIV test$43,343
0.2%
1,139$38
3197530Therapeutic activities — exercises and tasks to improve daily function$43,120
0.2%
1,892$23
32V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens$41,862
0.2%
650$64
3374176CT scan of the abdomen and pelvis (without contrast)$39,644
0.2%
214$185
3484443Thyroid function test (TSH)$39,125
0.2%
6,868$6
3593005Heart monitoring test (ECG/EKG)$38,903
0.2%
4,763$8
36V2784Lens, polycarbonate or equal, any index, per lens$36,797
0.2%
1,012$36
37Q3014Telehealth originating site facility fee$36,694
0.2%
1,490$25
38H0047Alcohol and/or other drug abuse services, not otherwise specified$36,441
0.2%
726$50
3971046Chest X-ray (two views — front and side)$34,925
0.2%
4,587$8
40V2410Variable asphericity lens, single vision, full field, glass or plastic, per lens$32,055
0.2%
345$93
41E0431Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing$26,796
0.2%
4,006$7
4280307Drug test — checking urine or blood for multiple types of drugs$22,940
0.1%
1,939$12
4380061Cholesterol and lipid panel blood test$22,855
0.1%
4,994$5
4499203New patient office visit — moderate problem$22,497
0.1%
2,639$9
4576805Ultrasound of pregnancy (after first trimester)$20,892
0.1%
271$77
4671045Chest X-ray (single view)$20,506
0.1%
6,808$3
4787086Urine culture — checking for a urinary tract infection$20,193
0.1%
3,172$6
4897150Group therapy session (physical, occupational, or speech)$20,112
0.1%
2,885$7
4987635Microbiology test — checking for infections (bacteria, viruses, fungi)$19,833
0.1%
2,881$7
5085025Complete blood count (CBC) — checks red cells, white cells, and platelets$17,436
0.1%
19,452$1
5187811Microbiology test — checking for infections (bacteria, viruses, fungi)$17,033
0.1%
840$20
5296365IV infusion of medication — giving medicine through an IV (first hour)$16,353
0.1%
1,799$9
5384702Blood chemistry test (checking specific substances in your blood)$15,456
0.1%
1,866$8
54V2760Scratch resistant coating, per lens$14,626
0.1%
747$20
5597112Neuromuscular re-education — retraining muscles and movement patterns$11,884
0.1%
606$20
5676815Limited ultrasound of pregnancy (quick check)$10,396
0.1%
388$27
5780048Basic metabolic panel blood test (checks kidney function, blood sugar, electrolytes)$9,492
0.1%
3,687$3
58E0570Nebulizer, with compressor$9,242
0.1%
1,587$6
59V2100Sphere, single vision, plano to plus or minus 4.00, per lens$8,000
0.0%
216$37
6099212Office visit for a minor problem (established patient)$7,613
0.0%
1,274$6
6177063Breast imaging (mammogram or MRI)$7,455
0.0%
765$10
6236415Drawing blood from a vein (routine blood draw)$7,443
0.0%
24,173$0
6383880Blood chemistry test (checking specific substances in your blood)$6,837
0.0%
607$11
6496374IV push — giving medicine quickly through an IV (single injection)$5,962
0.0%
3,872$2
6586850Blood type and antibody screening$5,116
0.0%
1,321$4
6673630X-ray of the foot$4,874
0.0%
211$23
67A7031Face mask interface, replacement for full face mask, each$4,162
0.0%
122$34
68A4649Surgical supply; miscellaneous$4,082
0.0%
3,689$1
6959025Pregnancy, delivery, and maternity care$3,894
0.0%
146$27
7073030X-ray of the shoulder$3,734
0.0%
112$33
7199215Office visit for a complex or serious problem (established patient)$3,613
0.0%
28$129
72T1001Nursing assessment / evaluation$3,441
0.0%
213$16
7381000Urinalysis (urine test)$3,393
0.0%
5,231$1
7476801Ultrasound of pregnancy (first trimester)$3,318
0.0%
58$57
7587804Flu test (rapid)$3,277
0.0%
2,692$1
7696360IV infusion — giving fluids through an IV (first hour)$3,067
0.0%
221$14
7776856Pelvic ultrasound (complete)$3,022
0.0%
113$27
7881002Urinalysis — quick dipstick test$2,890
0.0%
4,599$1
7999391Wellness checkup — infant (under 1 year)$2,836
0.0%
2,177$1
8088305Tissue examination under a microscope (surgical pathology)$2,521
0.0%
328$8
8183540Iron blood test$2,448
0.0%
347$7
8283036Hemoglobin A1c test (shows average blood sugar over 3 months — used for diabetes)$2,397
0.0%
5,273$0
8392340Eye exam or vision test$2,339
0.0%
74$32
8480076Liver function blood test panel$2,331
0.0%
184$13
8597140Manual therapy — hands-on treatment like massage or joint mobilization$2,317
0.0%
187$12
8676830Transvaginal ultrasound of the uterus$2,245
0.0%
77$29
8773564Lower extremity imaging (hip, knee, leg, foot)$2,116
0.0%
167$13
8887081Culture test — checking for a specific organism$1,994
0.0%
1,286$2
8990471Giving a vaccine by injection (shot)$1,986
0.0%
5,916$0
9099392Wellness checkup — ages 1-4$1,984
0.0%
1,499$1
9188174Cell examination under a microscope$1,955
0.0%
70$28
9296372IV infusion or injection of medication$1,783
0.0%
2,665$1
9396375IV push — additional medication through an IV$1,726
0.0%
2,447$1
9496361IV infusion — additional hour$1,719
0.0%
2,133$1
9573130X-ray of the hand$1,641
0.0%
83$20
96A7038Filter, disposable, used with positive airway pressure device$1,570
0.0%
425$4
97H0002Behavioral health screening to determine need for treatment$1,557
0.0%
53$29
9883690Blood chemistry test (checking specific substances in your blood)$1,458
0.0%
2,720$1
9999204New patient office visit — detailed visit for a serious problem$1,412
0.0%
531$3
10082607Blood chemistry test (checking specific substances in your blood)$1,276
0.0%
499$3
101A0428Ambulance ride with basic life support (non-emergency, BLS)$1,230
0.0%
20$61
10299202New patient office visit — simple problem$1,192
0.0%
405$3
10383735Blood chemistry test (checking specific substances in your blood)$1,189
0.0%
1,335$1
10476376Diagnostic ultrasound or fluoroscopy$1,147
0.0%
108$11
105G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including$1,121
0.0%
623$2
10699460Newborn baby care — first exam in the hospital$1,101
0.0%
14$79
10787077Culture test — checking for specific bacteria$1,031
0.0%
928$1
108V2104Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens$864
0.0%
24$36
10987624HPV test (checks for cancer-causing virus)$829
0.0%
39$21
11082728Blood chemistry test (checking specific substances in your blood)$777
0.0%
61$13
11199238Hospital discharge — doctor manages your release (30 minutes or less)$777
0.0%
13$60
11294640Breathing test or lung function test$770
0.0%
936$1
11373110X-ray of the wrist (complete)$736
0.0%
15$49
11472148MRI of the lower spine (without contrast)$653
0.0%
12$54
11573610X-ray of the ankle (complete)$646
0.0%
66$10
11676705Ultrasound of the abdomen (limited)$580
0.0%
45$13
11782652Blood chemistry test (checking specific substances in your blood)$555
0.0%
17$33
11884439Blood chemistry test (checking specific substances in your blood)$514
0.0%
2,079$0
11982570Blood chemistry test (checking specific substances in your blood)$510
0.0%
1,478$0
12099232Hospital care — daily check by your doctor (moderate update)$472
0.0%
22$21
12180069Kidney function blood test panel$456
0.0%
115$4
12272125Spine imaging (X-ray, CT, or MRI)$451
0.0%
13$35
12385027Complete blood count — automated$401
0.0%
1,294$0
12485610Prothrombin time (PT) — blood clotting test$394
0.0%
1,756$0
12590472Additional vaccine injection at the same visit$374
0.0%
6,502$0
12673562X-ray of the knee (3 views)$372
0.0%
46$8
12782043Blood chemistry test (checking specific substances in your blood)$354
0.0%
1,133$0
12897032Physical therapy, occupational therapy, or rehabilitation$349
0.0%
111$3
12982784Blood chemistry test (checking specific substances in your blood)$343
0.0%
114$3
13086803Immune system or allergy test$330
0.0%
367$1
13184703Blood chemistry test (checking specific substances in your blood)$328
0.0%
1,244$0
13284484Troponin test (checks for heart damage or heart attack)$257
0.0%
3,268$0
13387340Microbiology test — checking for infections (bacteria, viruses, fungi)$246
0.0%
713$0
13481001Urinalysis — checking your pee for infections or health problems (with microscope)$211
0.0%
2,184$0
13586901Blood typing — Rh (determines if you're Rh positive or negative)$189
0.0%
1,043$0
136J3010Injection of fentanyl (strong pain medicine)$183
0.0%
833$0
13787880Strep throat test (rapid)$182
0.0%
1,098$0
13882951Blood chemistry test (checking specific substances in your blood)$127
0.0%
73$2
139J7040IV fluid — normal saline with 5% dextrose (sugar water, 1000 ml)$127
0.0%
3,937$0
14088142Cell examination under a microscope$111
0.0%
86$1
14190474Additional oral or nasal vaccine at the same visit$110
0.0%
782$0
142E0562Humidifier, heated, used with positive airway pressure device$91
0.0%
17$5
14387430Microbiology test — checking for infections (bacteria, viruses, fungi)$88
0.0%
489$0
144J1885Injection, ketorolac tromethamine, per 15 mg$72
0.0%
2,287$0
14536416Finger or heel stick for blood collection$61
0.0%
70$1
14687070Culture test — checking a sample for bacteria$59
0.0%
12$5
14786317Immune system or allergy test$49
0.0%
258$0
148J2704Injection of propofol (anesthesia for procedures)$49
0.0%
1,060$0
14987661Microbiology test — checking for infections (bacteria, viruses, fungi)$48
0.0%
28$2
150J1100Injection of dexamethasone (steroid for inflammation, allergies, or breathing problems)$47
0.0%
837$0
151E1392Portable oxygen concentrator, rental$44
0.0%
20$2
15290715Tdap vaccine (tetanus, diphtheria, and whooping cough booster)$44
0.0%
323$0
15394664Breathing test or lung function test$37
0.0%
80$0
15482950Glucose tolerance test — post glucose dose$34
0.0%
29$1
15583605Blood chemistry test (checking specific substances in your blood)$33
0.0%
368$0
15687210Wet mount — checking a sample under a microscope$32
0.0%
159$0
15786593Immune system or allergy test$31
0.0%
672$0
158J7030IV fluid — normal saline (salt water, 1000 ml)$28
0.0%
904$0
15985730Partial thromboplastin time (PTT) — blood clotting test$27
0.0%
324$0
16086900Blood typing — ABO (determines your blood group)$23
0.0%
1,176$0
161J2270Injection of morphine (strong pain medicine)$21
0.0%
205$0
162J2405Injection, ondansetron hydrochloride, per 1 mg$20
0.0%
2,881$0
16385379Blood cell or clotting test$19
0.0%
107$0
16482948Blood chemistry test (checking specific substances in your blood)$18
0.0%
394$0
16593010Heart monitoring test (ECG/EKG)$17
0.0%
44$0
16686140Immune system or allergy test$14
0.0%
835$0
16787040Blood culture — test to see if bacteria are growing in your blood$14
0.0%
204$0
16886592Immune system or allergy test$12
0.0%
1,010$0
16990647Haemophilus influenzae type b (Hib) vaccine$12
0.0%
1,674$0
17087181Microbiology test — checking for infections (bacteria, viruses, fungi)$12
0.0%
1,103$0
17185651Blood cell or clotting test$11
0.0%
625$0
172J7120Ringer's lactate solution — IV fluid (1000 ml)$10
0.0%
1,748$0
173A4216Sterile water, saline and/or dextrose, diluent/flush, 10 ml$7
0.0%
1,169$0
174Q0162Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment$3
0.0%
371$0
175J0696Injection of ceftriaxone (antibiotic, usually given for serious infections)$0
0.0%
98$0
176Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml$0
0.0%
626$0
177J8499Prescription drug, oral, non chemotherapeutic, nos$0
0.0%
47$0
17883550Iron binding capacity test$0
0.0%
170$0
17984481Blood chemistry test (checking specific substances in your blood)$0
0.0%
48$0
1807025FMedical service or procedure$0
0.0%
74$0
18182746Blood chemistry test (checking specific substances in your blood)$0
0.0%
175$0
1823341FMedical service or procedure$0
0.0%
40$0
1830064AMedical service or procedure$0
0.0%
13$0
18499307Nursing facility visit — minor problem$0
0.0%
37$0
18599308Nursing facility visit — simple problem$0
0.0%
13$0
18699381Wellness checkup — new patient, infant (under 1 year)$0
0.0%
42$0
18799382Wellness checkup — new patient, ages 1-4$0
0.0%
42$0
18899383Wellness checkup — new patient, ages 5-11$0
0.0%
93$0
18999384Wellness checkup — new patient, ages 12-17$0
0.0%
38$0
1900502FMedical service or procedure$0
0.0%
221$0
1910134AMedical service or procedure$0
0.0%
22$0
19299393Wellness checkup — ages 5-11$0
0.0%
73$0
19399442Medical service or procedure$0
0.0%
12$0
19484550Blood chemistry test (checking specific substances in your blood)$0
0.0%
85$0
19582550Blood chemistry test (checking specific substances in your blood)$0
0.0%
52$0
196A4253Blood glucose test strips (for checking blood sugar at home)$0
0.0%
16$0
197A4657Syringe, with or without needle, each$0
0.0%
590$0
19890834Individual therapy session (45 minutes)$0
0.0%
306$0
199A9270Non-covered item or service$0
0.0%
1,121$0
20090833Individual therapy session added to a regular doctor visit (30 minutes)$0
0.0%
1,446$0
20190791Mental health evaluation — first visit with a therapist or psychiatrist$0
0.0%
33$0
20290734Meningitis vaccine$0
0.0%
33$0
20390723DTaP-HepB-IPV combination vaccine$0
0.0%
1,571$0
20490710MMRV vaccine (measles, mumps, rubella, and chickenpox)$0
0.0%
526$0
205G0008Administration of influenza virus vaccine$0
0.0%
86$0
206G0071Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (co...$0
0.0%
195$0
20790696DTaP-IPV vaccine (protects against diphtheria, tetanus, whooping cough, and polio)$0
0.0%
32$0
20890686Vaccine or immunization$0
0.0%
1,667$0
209G2025Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (community health center) only$0
0.0%
147$0
210G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications$0
0.0%
14$0
211G9638Final reports without documentation of one or more dose reduction techniques (for example., automated exposure control, adjustment of the ma and/or kv according to patient size$0
0.0%
2,017$0
212G9656Patient transferred directly from anesthetizing location to pacu or other non-icu location$0
0.0%
507$0
21384436Blood chemistry test (checking specific substances in your blood)$0
0.0%
64$0
21490670Pneumonia vaccine (PCV13, protects against pneumonia)$0
0.0%
1,884$0
21590662Vaccine or immunization$0
0.0%
36$0
216J1170Injection, hydromorphone, up to 4 mg$0
0.0%
159$0
217J1200Injection, diphenhydramine hcl, up to 50 mg$0
0.0%
38$0
218J1756Injection, iron sucrose, 1 mg$0
0.0%
164$0
21990649Vaccine or immunization$0
0.0%
48$0
220J2001Injection of lidocaine (numbing medicine)$0
0.0%
312$0
221J2060Injection, lorazepam, 2 mg$0
0.0%
19$0
222J2250Injection of midazolam (sedation medicine for procedures)$0
0.0%
207$0
223J2274Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg$0
0.0%
141$0
22490633Hepatitis A vaccine (child dose)$0
0.0%
683$0
225J3490Unclassified drug injection$0
0.0%
92$0
22690461Additional vaccine given to a child at the same visit$0
0.0%
53$0
227J7613Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through medical equipment, unit dose, 1 mg$0
0.0%
32$0
228J7620Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through medical equipment$0
0.0%
21$0
229J8540Dexamethasone, oral, 0.25 mg$0
0.0%
13$0
23090460Giving a vaccine to a child, including talking with the family about it$0
0.0%
81$0
231Q4081Injection, epoetin alfa, 100 units (for end-stage kidney disease on dialysis)$0
0.0%
461$0
232Q9964High osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml$0
0.0%
48$0
23386704Immune system or allergy test$0
0.0%
14$0
23486706Immune system or allergy test$0
0.0%
105$0
23586708Immune system or allergy test$0
0.0%
14$0
23686762Immune system or allergy test$0
0.0%
12$0
23787491Chlamydia test$0
0.0%
48$0
23890680Vaccine or immunization$0
0.0%
1,220$0
23984425Blood chemistry test (checking specific substances in your blood)$0
0.0%
13$0
24084295Blood chemistry test (checking specific substances in your blood)$0
0.0%
13$0
24184207Blood chemistry test (checking specific substances in your blood)$0
0.0%
15$0
24296376IV infusion or injection of medication$0
0.0%
32$0
24384479Blood chemistry test (checking specific substances in your blood)$0
0.0%
29$0
24484100Phosphorus blood test$0
0.0%
45$0
24596161Medical service or procedure$0
0.0%
43$0
2460011AMedical service or procedure$0
0.0%
19$0
24780143Drug or substance testing$0
0.0%
15$0
24881015Urinalysis (urine test)$0
0.0%
17$0
24999001Special medical service$0
0.0%
40$0
25099002Special medical service$0
0.0%
88$0
25199053Special medical service$0
0.0%
35$0
25296127Brief emotional or behavioral screening (like a depression or anxiety questionnaire)$0
0.0%
15$0
25380179Drug or substance testing$0
0.0%
15$0
25494761Breathing test or lung function test$0
0.0%
653$0
2550012AMedical service or procedure$0
0.0%
15$0
25680329Drug or substance testing$0
0.0%
17$0
25711721Nail surgery or treatment$0
0.0%
183$0

Top Providers

The highest-paid Medicaid providers in Humboldt County, sorted by total payments received.

# Provider Specialty Total Paid Claims Beneficiaries
1HUMBOLDT GENERAL HOSPITALClinic/Center, Rural Health$6,257,441118,50780,626
2HUMBOLDT GENERAL HOSPITALGeneral Acute Care Hospital, Critical Access$4,440,426221,450156,368
3FT. MCDERMITT PAIUTE SHOSHONE TRIBEClinic/Center, Federally Qualified Health Center (FQHC)$3,045,0116,7753,892
4WINNEMUCCA EMERGENCY PHYSICIANS LLCEmergency Medicine$812,8289,5849,173
5HUMBOLDT GENERAL HOSPITALAmbulance, Land Transport$576,3625,6514,038
6HUMBOLDT COUNTY SCHOOL DISTRICTLocal Education Agency (LEA)$539,59923,6005,543
7BENGOA EYE CARE LTDOptometrist$461,9938,5608,204
8TOTAL RENAL CARE INCClinic/Center, End-Stage Renal Disease (ESRD) Treatment$261,7005,584238
9FAMILY SUPPORT CENTERCommunity/Behavioral Health$236,4502,9381,528
10LINCARE INC.Durable Medical Equipment & Medical Supplies$219,46012,4459,100
11AMY E SULLIVAN LLCOptometrist$178,1062,9152,770
12NORTHSTAR RADIOLOGYRadiology, Diagnostic Radiology$131,26911,9379,649
13STATE OF NEVADAClinic/Center, Mental Health (Including Community Mental Health Center)$118,4421,4371,326
14REHAB SERVICES B AND RIS LLCPhysical Therapist$74,9503,7801,290
15CHAD BACKUS PHYSICAL THERAPYPhysical Therapist$41,5152,004473
16HUMBOLDT GENERAL HOSPITALFamily Medicine, Adult Medicine$29,6722,0981,652
17AMY SULLIVANOptometrist$21,436573542
18B. MICHAEL SOUTHAM, OD, PCOptometrist$19,021385329
19CHAD FARREmergency Medicine$11,691220200
20ADVANCED MOVEMENT & WELLNESS, LLCClinic/Center, Physical Therapy$9,94824256
21ROBERT LECKIERadiology, Diagnostic Radiology$4,793420343
22LEE CHURCHHospitalist$4,7565251
23NEVADA STATE HEALTH DIVISION/FAR NURSINNursing Care$60811396
24BETTINA ALVAREZNurse Practitioner, Family$4521614
25WALMART INC.Pharmacy, Community/Retail Pharmacy$0207193
About This Data
Providers are assigned to Humboldt County based on their practice ZIP code from the NPPES registry, mapped via the nv_zip_county reference table. Spending data covers 2018–2024 from HHS Medicaid Provider Spending (T-MSIS).