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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. States
  3. California

California Medicare Spending

Medicare provider payments and utilization data for California (CA)

🔎 Data Analysis

California received $93.2B in total Medicare provider payments across 10 years of data.

The top specialty by spending is Clinical Laboratory, accounting for $1.6B in payments across 336 providers.

In 2023, 93.5K providers were actively billing Medicare in California.

Annual Medicare spending grew 43% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

⚠️

56 AI-Flagged Providers in California

Providers in this state flagged by the ML v2 fraud detection model

Tuan DuongInternal Medicine
95.6%
Jeremy LamInternal Medicine
94.7%
Alla LibersteinInternal Medicine
93.7%
View all ML-flagged providers →
Total Payments (10yr)
$93.2B
+8.0% vs 2022
Active Providers (2023)
93.5K
268.1M services
Top Specialty
Clinical Laboratory
$1.6B total
Specialties
30
$123.3K per provider

Spending Trends (2014-2023)

Year-over-Year Breakdown

YearPaymentsServicesProvidersYoY Change
2014$8.1B206.9M75.0K—
2015$8.3B214.8M76.9K+3.3%
2016$8.4B216.5M79.5K+0.5%
2017$8.7B237.6M81.8K+3.3%
2018$9.0B246.4M83.9K+3.9%
2019$9.4B251.9M85.8K+4.8%
2020$8.8B233.3M84.4K-7.1%
2021$10.3B247.2M87.4K+18.1%
2022$10.7B255.1M90.4K+3.2%
2023$11.5B268.1M93.5K+8.0%

Top Providers in California

#ProviderSpecialtyPaymentsServices
1Guardant Health, Inc.Clinical Laboratory$174.5M42.9K
2Natera, Inc.Clinical Laboratory$133.1M36.3K
3Caredx Inc.Clinical Laboratory$122.5M42.8K
4Cardionet, Llc.Independent Diagnostic Testing Facility (IDTF)$112.2M232.0K
5Genomic Health, Inc.Clinical Laboratory$96.8M26.7K
6Irhythm Technologies, Inc.Independent Diagnostic Testing Facility (IDTF)$94.0M377.3K
7Unilab CorporationClinical Laboratory$94.0M7.6M
8Veracyte Labs Sd CorporationClinical Laboratory$75.0M37.0K
9Invitae CorporationClinical Laboratory$71.4M47.3K
10Laboratory Corporation Of AmericaClinical Laboratory$59.8M5.3M
11Unilab CorporationClinical Laboratory$47.1M3.9M
12Aaron JengInternal Medicine$43.2M49.8K
13Ambry Genetics CorporationClinical Laboratory$40.8M23.2K
14Biotheranostics, Inc.Clinical Laboratory$38.4M10.2K
15Veracyte, Inc.Clinical Laboratory$37.7M31.5K
16Neogenomics Laboratories IncClinical Laboratory$32.6M246.4K
17Richard ParkInternal Medicine$31.7M75.1K
18Falck Mobile Health CorpAmbulance Service Provider$25.5M315.9K
19Mdinr, LlcIndependent Diagnostic Testing Facility (IDTF)$25.2M369.7K
20Mdxhealth, Inc.Clinical Laboratory$24.0M10.7K
21Johnson LeePlastic and Reconstructive Surgery$22.5M38.6K
22Alere Home Monitoring, Inc.Independent Diagnostic Testing Facility (IDTF)$20.7M299.4K
23Millennium Health, LlcClinical Laboratory$20.4M128.9K
24James MichailGeriatric Medicine$20.4M37.5K
25Biological Laboratory, Inc.Clinical Laboratory$19.4M1.7M

Most Billed Procedures in California

CodeDescriptionPaymentsServicesProviders
99214Established patient office or other outpatient visit, 30-39 minutes$880.4M9.4M38.0K
99213Established patient office or other outpatient visit, 20-29 minutes$457.9M6.9M34.7K
81479Molecular pathology procedure$315.6M137.8K19
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes$302.1M3.1M11.5K
99215Established patient office or other outpatient visit, 40-54 minutes$220.6M1.7M15.4K
A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)$205.5M454.7K206
J0178Injection, aflibercept, 1 mg$200.6M291.7K310
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes$199.9M3.1M12.3K
93229Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional$164.1M184.7K350
K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count$163.3M14.1M2.8K
66984Removal of cataract with insertion of prosthetic lens$153.9M222.0K1.3K
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes$149.0M1.1M13.2K
99204New patient office or other outpatient visit, 45-59 minutes$139.4M1.1M19.4K
99291Critical care, first 30-74 minutes$134.5M761.9K7.2K
Q4236Carepatch, per square centimeter$117.6M122.1K19
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes$114.8M5.9M6.7K
99285Emergency department visit with high level of medical decision making$105.6M755.0K5.3K
0242UGene analysis of 55-74 genes associated with solid organ cancer in cell-free circulating dna, targeted genomic sequence analysis panel$104.7M21.4K1
97530Therapy procedure using functional activities$99.9M3.7M5.2K
81519Test for detecting genes associated with breast cancer$94.7M25.0K1

Spending by Specialty

SpecialtyPaymentsProvidersAvg per Provider
Clinical Laboratory$1.6B336$4.7M
Internal Medicine$941.1M9.2K$102.4K
Ophthalmology$774.7M2.0K$396.3K
Cardiology$526.4M1.8K$290.2K
Ambulatory Surgical Center$469.5M631$744.1K
Family Practice$455.9M7.0K$65.3K
Diagnostic Radiology$434.5M3.2K$135.5K
Ambulance Service Provider$410.4M259$1.6M
Dermatology$402.6M1.4K$282.5K
Physical Therapist in Private Practice$387.2M6.6K$58.8K
Independent Diagnostic Testing Facility (IDTF)$352.3M245$1.4M
Hematology-Oncology$326.9M879$371.9K
Nurse Practitioner$319.8M7.1K$44.8K
Physician Assistant$219.4M5.8K$38.0K
Orthopedic Surgery$208.6M1.8K$115.3K
Emergency Medicine$204.0M4.9K$42.0K
Podiatry$194.8M1.4K$135.5K
Mass Immunizer Roster Biller$175.2M2.5K$70.0K
Nephrology$174.4M921$189.4K
Neurology$154.9M1.5K$102.3K
Rheumatology$151.8M489$310.5K
Radiation Oncology$151.3M457$331.0K
Urology$141.8M795$178.4K
Pulmonary Disease$120.8M884$136.6K
Gastroenterology$118.2M1.3K$92.3K

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • CMS National Health Expenditure Data

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.