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

43239Surgery

Upper GI endoscopy with biopsy

Total Paid

$1.51B

$1,512,205,741

Beneficiaries

5.5M

5,488,164

Avg $/Claim

$254

Median: $607

Utilization

1.1 claims/bene

6,504 providers

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
1568442309

THE COOPER HEALTH SYSTEM

NJ$16.4M$1,180vs $607 med1.94x13,85813,123
2
1083612881

ENGLEWOOD HOSPITAL AND MEDICAL CENTER

NJ$7.4M$1,059vs $607 med1.74x6,9966,625
3
1801992631

NYU LANGONE HOSPITALS

NY$7.1M$690vs $607 med1.14x10,27410,165
4
1215027966

NEWARK BETH ISRAEL MEDICAL CENTER INC

NJ$6.9M$1,845vs $607 med3.04x3,7233,519
5
1760476659

EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.

TN$6.8M$768vs $607 med1.27x8,7987,996
6
1346218294

BOSTON MEDICAL CENTER CORPORATION

MA$6.6M$692vs $607 med1.14x9,5069,196
7
1205853041

EUCLID ENDOSCOPY CENTER, LP

CA$6.3M$431vs $607 med0.71x14,60914,334
8
1912567884

CHINATOWN TRUE CARE MEDICAL PLLC

NY$5.8M$418vs $607 med0.69x13,99513,986
9
1053384776

AHS HOSPITAL CORP.

NJ$5.8M$1,137vs $607 med1.87x5,1214,798
10
1467538520

BAKERSFIELD MEMORIAL HOSPITAL

CA$5.7M$1,348vs $607 med2.22x4,2273,970
11
1376774208

DIGESTIVE DISEASES DIAGNOSTIC & TREATMENT CENTER LLC

NY$5.7M$458vs $607 med0.75x12,36612,322
12
1558612762

QUEENS BOULEVARD ASC LLC

NY$5.4M$474vs $607 med0.78x11,37611,349
13
1588938682

WEST SIDE GI, LLC

NY$5.3M$495vs $607 med0.82x10,76910,680
14
1710087127

CHILDREN'S HOSPITAL CORPORATION

MA$5.3M$966vs $607 med1.59x5,4555,314
15
1780727636

UNION SURGERY CENTER, INC

CA$5.2M$439vs $607 med0.72x11,92011,827
16
1619166097

GPDDC, LLC

NY$5.2M$394vs $607 med0.65x13,26513,195
17
1679525919

THE CLEVELAND CLINIC FOUNDATION

OH$5.2M$358vs $607 med0.59x14,52410,579
18
1548202641

BETH ISRAEL DEACONESS MEDICAL CENTER, INC.

MA$5.1M$578vs $607 med0.95x8,8788,750
19
1669462420

ST JOSEPHS UNIVERSITY MEDICAL CENTER INC.

NJ$5.1M$570vs $607 med0.94x8,9908,661
20
1457456279

HMH HOSPITALS CORPORATION

NJ$5.0M$1,840vs $607 med3.03x2,7382,644
21
1023049236

THE GENERAL HOSPITAL CORPORATION

MA$5.0M$588vs $607 med0.97x8,4858,218
22
1437175734

VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY

VA$4.9M$767vs $607 med1.26x6,3775,081
23
1861743601

FLUSHING ENDOSCOPY CENTER

NY$4.9M$403vs $607 med0.66x12,07812,011
24
1184779332

SCOTTISH RITE CHILDREN'S MEDICAL CENTER

GA$4.9M$1,173vs $607 med1.93x4,1453,911
25
1508891508

MICHAEL LI MD PLLC

NY$4.8M$382vs $607 med0.63x12,61412,588

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
1NY$242.2M$384631,034624,869616
2NJ$164.3M$553296,881279,977286
3CA$157.0M$185848,413827,941782
4MA$84.7M$453187,060181,725124
5OH$77.4M$254304,799271,685280
6KY$76.7M$232330,802256,090174
7AZ$63.9M$251254,204239,697176
8VA$55.6M$418133,187118,321145
9MI$53.9M$184293,365287,657217
10CT$49.1M$263187,089168,16583
11WA$39.4M$228172,540166,869120
12TN$35.2M$194181,374151,343170
13LA$31.7M$168188,922167,154163
14IN$30.9M$275112,43096,524132
15FL$27.2M$132206,330176,854329
16PA$25.0M$29285,84583,545293
17NM$23.1M$25989,46087,07953
18WI$21.7M$182119,250108,320116
19PR$16.9M$28160,05452,982114
20IL$15.3M$17985,13876,707302
21OR$15.1M$25858,50253,78160
22MS$14.6M$17882,35270,98473
23CO$14.0M$17480,74870,065114
24NC$13.5M$122110,60487,686192
25MO$12.6M$25050,25846,29189

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