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

92012Medicine

Eye exam, established patient, intermediate

Total Paid

$435.8M

$435,812,543

Beneficiaries

9.3M

9,335,008

Avg $/Claim

$42

Utilization

1.1 claims/bene

462 providers

State Breakdown

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

Drag to zoom into a region

State Rankings

#StateTotal PaidAvg $/ClaimClaimsBeneficiariesProviders
1NY$128.4M$592,186,1851,918,1581,458
2CA$60.2M$262,300,9252,143,956988
3PR$34.5M$50684,266588,104354
4TX$16.5M$42393,876364,940377
5AZ$16.3M$47346,827328,56486
6MA$12.1M$49250,089235,524190
7NJ$11.9M$32373,158335,143229
8LA$10.9M$31351,567294,478262
9IL$10.6M$27386,578339,023667
10FL$10.6M$34307,659234,840228
11VA$9.2M$64144,394121,134145
12MS$7.8M$46169,624146,977309
13MI$7.7M$43178,608165,966143
14OK$6.6M$8576,82874,98397
15AK$5.4M$31517,29215,57126
16CT$5.1M$19273,055228,291139
17MN$5.1M$47109,38697,17983
18PA$5.0M$29173,727166,542347
19KS$4.7M$47100,29893,694158
20CO$4.7M$6572,87659,96999
21NM$4.6M$5680,95874,35079
22MD$3.9M$35112,188100,49898
23SC$3.8M$6261,22356,01972
24TN$3.8M$31121,081102,724158
25WI$3.4M$4281,22767,18349

55 rows · Page 1 of 3