Medicaid Provider Spending Explorer

T-MSIS provider-level spending data, Jan 2018 – Dec 2024

Data note: November and December 2024 data may be incomplete due to CMS reporting delays (typically 3–6 months for full coverage). Learn more
← All Procedures

00003E&M

State-specific or local procedure code

Total Paid

$5.33B

$5,330,165,953

Beneficiaries

14.3M

14,346,885

Avg $/Claim

$264

Median: $289

Utilization

1.4 claims/bene

693 providers

Monthly Spending

Total payments per month (nominal $)

Cost per Claim

Average cost per claim per month (nominal $)

Beneficiaries

Unique beneficiaries per month

Top Providers for This Procedure

Each dot is a provider. X = cost index (vs procedure median). Y = total spending.

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Provider Rankings

#ProviderStateTotal Paid$/ClaimCost IndexClaimsBeneficiaries
1
1275849283

DAP HEALTH, INC.

CA$410.1M$280vs $289 med0.97x1,465,619555,123
2
1154480069

DAP HEALTH, INC.

CA$186.8M$261vs $289 med0.90x716,736364,609
3
1295752384

NORTHERN VALLEY INDIAN HEALTH INC

CA$115.9M$528vs $289 med1.83x219,682157,767
4
1184791998

BAY AREA COMMUNITY HEALTH

CA$74.1M$311vs $289 med1.08x238,192172,844
5
1952364747

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.

CA$63.3M$266vs $289 med0.92x237,984108,096
6
1609849074

LA MAESTRA FAMILY CLINIC, INC.

CA$56.8M$268vs $289 med0.93x212,232142,517
7
1366519431

M A C T HEALTH BOARD INCORPORATED

CA$55.6M$552vs $289 med1.91x100,60066,506
8
1902267479

ALTAMED HEALTH SERVICES CORP

CA$54.8M$356vs $289 med1.23x153,98899,775
9
1396756938

COUNTY OF LOS ANGELES

CA$47.5M$1,109vs $289 med3.84x42,86137,397
10
1114057163

CHAPA-DE INDIAN HEALTH PROGRAM, INC.

CA$47.3M$528vs $289 med1.83x89,60268,362
11
1922138841

CHAPA-DE INDIAN HEALTH PROGRAM, INC.

CA$46.1M$548vs $289 med1.90x84,17963,423
12
1881697381

LAKE COUNTY TRIBAL HEALTH CONSORTIUM INC.

CA$46.1M$587vs $289 med2.04x78,43156,462
13
1437213279

DIENTES COMMUNITY DENTAL CARE.

CA$40.9M$236vs $289 med0.82x173,217159,759
14
1326486861

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.

CA$40.4M$239vs $289 med0.83x169,13087,537
15
1154503399

MARIN COMMUNITY CLINIC

CA$40.2M$257vs $289 med0.89x156,822153,117
16
1154736429

ARIA COMMUNITY HEALTH CENTER

CA$37.9M$213vs $289 med0.74x178,115150,970
17
1083132849

ALTAMED HEALTH SERVICES CORP

CA$37.7M$391vs $289 med1.36x96,39365,758
18
1245356674

SHINGLE SPRINGS RANCHERIA

CA$37.4M$537vs $289 med1.86x69,68554,669
19
1992012306

ROLLING HILLS CLINIC

CA$36.6M$538vs $289 med1.86x68,04153,553
20
1679988950

ROLLING HILLS CLINIC

CA$36.4M$520vs $289 med1.80x69,95153,951
21
1528080470

LA CLINICA DE LA RAZA INC

CA$36.0M$425vs $289 med1.47x84,83678,171
22
1124286885

TUOLUMNE ME-WUK INDIAN HEALTH CENTER, INC.

CA$35.4M$538vs $289 med1.86x65,78645,477
23
1780195255

SANTA ROSA COMMUNITY HEALTH CENTERS

CA$34.3M$259vs $289 med0.90x132,34780,138
24
1376538991

COUNTY OF SANTA CLARA

CA$33.8M$521vs $289 med1.80x64,89556,731
25
1639186539

COUNTY OF LOS ANGELES AUDITOR CONTROLLER

CA$33.3M$1,338vs $289 med4.64x24,85122,767

50 rows · Page 1 of 2

State Breakdown

Each dot is a state. X = average cost per claim. Y = total spending.

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State Rankings

#StateTotal PaidAvg $/ClaimClaimsBeneficiariesProviders
1CA$5.32B$26420,150,95014,323,679689