T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Immunization admin, first component, w/ counseling
Total Paid
$1.32B
$1,315,894,787
Beneficiaries
52.8M
52,757,966
Avg $/Claim
$19
Median: $36
Utilization
1.3 claims/bene
17,821 providers
Each dot is a provider. X = cost index (vs procedure median). Y = total spending.
Drag to zoom into a region
| # | Provider | State | Total Paid▼ | $/Claim | Cost Index | Claims | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 1 | 1285016758 TOPCARE MEDICAL GROUP INC | TX | $11.3M | $9vs $36 med | 0.25x | 1,274,860 | 604,459 |
| 2 | 1326695255 NORTON CHILDRENS MEDICAL GROUP, LLC | KY | $8.5M | $34vs $36 med | 0.94x | 254,010 | 246,502 |
| 3 | 1639138480 SALTZMAN, TANIS, PITTELL, LEVIN AND JACOBSON | FL | $8.1M | $8vs $36 med | 0.22x | 1,016,064 | 991,334 |
| 4 | 1720220098 UNIVERSITY PRIMARY CARE PRACTICES INC | OH | $6.0M | $21vs $36 med | 0.58x | 292,781 | 170,945 |
| 5 | 1578665048 OPTUM MEDICAL CARE OF NEW JERSEY PC | NJ | $5.8M | $27vs $36 med | 0.75x | 216,337 | 209,491 |
| 6 | 1477742807 PLEASANT PEDIATRICS PLC | AZ | $5.4M | $63vs $36 med | 1.76x | 86,150 | 85,163 |
| 7 | 1366425274 IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION | IA | $5.3M | $45vs $36 med | 1.25x | 119,631 | 117,345 |
| 8 | 1669404018 PEDIATRIC AFFILIATES PA | NJ | $5.3M | $32vs $36 med | 0.89x | 166,879 | 160,983 |
| 9 | 1720194053 PROHEALTH PHYSICIANS PC | CT | $5.3M | $38vs $36 med | 1.08x | 137,931 | 128,084 |
| 10 | 1184016941 SOUTH CAROLINA PEDIATRICS ALLIANCE, LLC | SC | $5.0M | $31vs $36 med | 0.87x | 161,524 | 152,603 |
| 11 | 1942532189 THE ARIZONA PARTNERSHIP FOR IMMUNIZATION | AZ | $4.7M | $45vs $36 med | 1.26x | 104,583 | 103,122 |
| 12 | 1427125269 GOLDSBORO PEDIATRICS PA | NC | $4.7M | $53vs $36 med | 1.50x | 88,061 | 75,159 |
| 13 | 1255411294 MEMPHIS CHILDREN'S CLINIC, PLLC | TN | $4.5M | $46vs $36 med | 1.30x | 97,121 | 82,684 |
| 14 | 1114196557 SOUTHERN MEDICAL MANAGEMENT, LLC | SC | $4.3M | $55vs $36 med | 1.53x | 78,626 | 77,059 |
| 15 | 1487737912 VIP MIDSOUTH, LLC | TN | $4.0M | $49vs $36 med | 1.38x | 80,843 | 73,857 |
| 16 | 1295763217 PRISMA HEALTH UNIVERSITY MEDICAL GROUP | SC | $4.0M | $28vs $36 med | 0.80x | 140,066 | 138,088 |
| 17 | 1407191216 BANNER CHILDRENS BANNER HEALTH CLINIC LLC | AZ | $3.8M | $44vs $36 med | 1.24x | 86,943 | 85,228 |
| 18 | 1235350901 EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. | TN | $3.7M | $45vs $36 med | 1.26x | 82,567 | 75,179 |
| 19 | 1821288606 HAPPY KIDS PEDIATRICS P.C. | AZ | $3.6M | $35vs $36 med | 0.97x | 102,903 | 100,140 |
| 20 | 1063525152 MONTEFIORE MEDICAL CENTER | NY | $3.5M | $29vs $36 med | 0.82x | 119,854 | 115,417 |
| 21 | 1548349186 SUMMIT MEDICAL GROUP, PLLC | TN | $3.4M | $52vs $36 med | 1.45x | 65,948 | 57,716 |
| 22 | 1093016651 PRIMARY CARE GROUP LLC | TN | $3.3M | $49vs $36 med | 1.39x | 66,805 | 60,461 |
| 23 | 1942241146 UTMB FACULTY GROUP PRACTICE | TX | $3.3M | $11vs $36 med | 0.31x | 299,285 | 121,939 |
| 24 | 1396944799 ALLIED PHYSICIANS GROUP, PLLC | NY | $3.1M | $31vs $36 med | 0.87x | 101,023 | 100,239 |
| 25 | 1205871076 ARIZONA COMMUNITY PHYSICIANS PC | AZ | $3.1M | $38vs $36 med | 1.08x | 81,723 | 77,657 |
50 rows · Page 1 of 2
Each dot is a state. X = average cost per claim. Y = total spending.
Drag to zoom into a region
| # | State | Total Paid▼ | Avg $/Claim | Claims | Beneficiaries | Providers |
|---|---|---|---|---|---|---|
| 1 | NY | $191.6M | $22 | 8,600,925 | 8,283,751 | 2,320 |
| 2 | TX | $146.3M | $10 | 15,373,346 | 6,939,482 | 1,649 |
| 3 | TN | $126.3M | $37 | 3,452,159 | 2,681,568 | 614 |
| 4 | FL | $80.8M | $14 | 5,865,190 | 4,992,604 | 1,139 |
| 5 | OH | $74.9M | $17 | 4,513,958 | 2,669,863 | 746 |
| 6 | AZ | $73.9M | $32 | 2,328,808 | 2,227,528 | 418 |
| 7 | NC | $66.3M | $42 | 1,593,645 | 1,374,183 | 383 |
| 8 | SC | $64.0M | $29 | 2,231,528 | 2,128,477 | 653 |
| 9 | NJ | $61.6M | $21 | 2,870,270 | 2,672,666 | 679 |
| 10 | KY | $44.7M | $29 | 1,517,690 | 1,380,786 | 395 |
| 11 | GA | $42.5M | $43 | 998,613 | 944,073 | 247 |
| 12 | MA | $39.5M | $22 | 1,786,945 | 1,580,509 | 1,018 |
| 13 | CT | $38.9M | $24 | 1,648,762 | 1,475,229 | 244 |
| 14 | CO | $32.8M | $35 | 949,291 | 861,627 | 329 |
| 15 | MI | $30.9M | $20 | 1,576,176 | 1,494,894 | 541 |
| 16 | NV | $29.5M | $36 | 818,764 | 727,909 | 312 |
| 17 | MS | $19.1M | $26 | 728,034 | 640,757 | 160 |
| 18 | NM | $18.6M | $27 | 690,277 | 632,833 | 150 |
| 19 | MN | $18.4M | $26 | 706,630 | 676,740 | 201 |
| 20 | IA | $18.1M | $31 | 574,698 | 508,265 | 247 |
| 21 | OK | $15.2M | $38 | 398,989 | 388,298 | 209 |
| 22 | AL | $13.3M | $39 | 339,998 | 306,343 | 225 |
| 23 | CA | $8.7M | $3 | 3,168,905 | 2,460,790 | 1,303 |
| 24 | KS | $8.4M | $34 | 247,131 | 236,235 | 115 |
| 25 | PA | $8.3M | $15 | 569,433 | 504,090 | 541 |
58 rows · Page 1 of 3