T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Eye exam, established patient, comprehensive
Total Paid
$1.86B
$1,855,061,785
Beneficiaries
32.6M
32,590,752
Avg $/Claim
$53
Median: $104
Utilization
1.1 claims/bene
23,594 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 | 1932363934 PREMIER EYE CARE OF FLORIDA LLC | FL | $22.2M | $81vs $104 med | 0.78x | 273,056 | 267,734 |
| 2 | 1942644661 ICARE HEALTH SOLUTIONS LLC | FL | $16.6M | $52vs $104 med | 0.50x | 316,679 | 277,653 |
| 3 | 1326472945 NATIONWIDE OPTOMETRY P.C. | AZ | $8.9M | $33vs $104 med | 0.31x | 274,196 | 268,043 |
| 4 | 1083660815 SOUTHCENTRAL FOUNDATION | AK | $7.8M | $561vs $104 med | 5.37x | 13,886 | 12,559 |
| 5 | 1922112044 PHOENIX CHILDREN'S HOSPITAL | AZ | $6.6M | $120vs $104 med | 1.15x | 54,617 | 53,555 |
| 6 | 1811062763 MID ATLANTIC PEMANENTE MEDICAL GROUP | MD | $6.2M | $123vs $104 med | 1.18x | 50,301 | 49,370 |
| 7 | 1700828852 THE METROHEALTH SYSTEM | OH | $5.9M | $82vs $104 med | 0.78x | 72,506 | 69,135 |
| 8 | 1104868520 EYE ASSOCIATES OF NEW MEXICO LTD | NM | $5.0M | $68vs $104 med | 0.65x | 73,549 | 71,429 |
| 9 | 1164578894 ASSOCIATED RETINAL CONSULTANTS LLC | NJ | $4.7M | $60vs $104 med | 0.57x | 79,089 | 65,080 |
| 10 | 1649563636 EYE CENTERS OF AMERICA, LLC | NJ | $4.7M | $65vs $104 med | 0.62x | 72,009 | 66,030 |
| 11 | 1356860811 NJ EYE AND EAR LLC | NJ | $4.7M | $53vs $104 med | 0.51x | 87,877 | 81,932 |
| 12 | 1760541569 RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR | CA | $4.4M | $24vs $104 med | 0.23x | 182,087 | 174,931 |
| 13 | 1487077483 SIGHT MEDICAL DOCTORS PLLC | NY | $4.3M | $91vs $104 med | 0.88x | 47,182 | 47,039 |
| 14 | 1346218294 BOSTON MEDICAL CENTER CORPORATION | MA | $4.3M | $91vs $104 med | 0.87x | 46,817 | 45,927 |
| 15 | 1487603585 CAMBRIDGE PUBLIC HEALTH COMMISSION | MA | $4.0M | $75vs $104 med | 0.72x | 53,889 | 52,087 |
| 16 | 1619959731 EYE HEALTH NORTHWEST, PC | OR | $3.6M | $82vs $104 med | 0.78x | 44,635 | 40,993 |
| 17 | 1639339930 ACADEMY KIDS VISION CENTER LLC | CO | $3.5M | $99vs $104 med | 0.95x | 35,599 | 33,379 |
| 18 | 1316146574 SEAN J. MCCAFFERTY, MD, PC | AZ | $3.5M | $88vs $104 med | 0.85x | 39,984 | 37,525 |
| 19 | 1962762765 HERO VISION OF DENVER LLC | CO | $3.5M | $101vs $104 med | 0.97x | 34,922 | 32,736 |
| 20 | 1588703995 KEITH CHANG | NY | $3.4M | $86vs $104 med | 0.83x | 40,039 | 39,925 |
| 21 | 1174734560 HERO VISION OF GREELEY LLC | CO | $3.4M | $101vs $104 med | 0.96x | 33,328 | 31,305 |
| 22 | 1255451597 MEDICAL ASSOCIATES OF EBNHC | MA | $3.3M | $72vs $104 med | 0.69x | 45,258 | 44,932 |
| 23 | 1023063187 SOUTHWESTERN EYE CENTER LTD | AZ | $3.1M | $70vs $104 med | 0.67x | 44,265 | 40,764 |
| 24 | 1033161195 ROBERT W MOSES O.D. PROFESSIONAL CORPORATION | IN | $3.1M | $85vs $104 med | 0.81x | 36,520 | 34,691 |
| 25 | 1437175734 VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY | VA | $3.0M | $140vs $104 med | 1.34x | 21,721 | 19,247 |
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 | $225.5M | $68 | 3,329,856 | 3,191,251 | 2,443 |
| 2 | CA | $118.9M | $26 | 4,615,313 | 4,429,185 | 2,460 |
| 3 | LA | $84.7M | $58 | 1,463,442 | 1,317,106 | 657 |
| 4 | FL | $83.1M | $56 | 1,492,847 | 1,323,238 | 975 |
| 5 | MA | $80.8M | $58 | 1,395,953 | 1,372,190 | 664 |
| 6 | CO | $77.5M | $92 | 840,486 | 770,928 | 411 |
| 7 | IN | $76.1M | $74 | 1,026,975 | 932,288 | 685 |
| 8 | KY | $70.1M | $58 | 1,207,955 | 1,126,383 | 716 |
| 9 | IL | $66.9M | $39 | 1,703,458 | 1,562,853 | 1,242 |
| 10 | MN | $57.4M | $75 | 765,574 | 739,213 | 427 |
| 11 | TX | $51.4M | $64 | 804,718 | 770,938 | 750 |
| 12 | OH | $50.4M | $37 | 1,349,322 | 1,271,752 | 1,075 |
| 13 | OK | $49.8M | $101 | 492,741 | 492,382 | 348 |
| 14 | AZ | $43.8M | $62 | 703,293 | 676,585 | 148 |
| 15 | TN | $42.8M | $46 | 929,652 | 855,786 | 717 |
| 16 | NJ | $42.1M | $26 | 1,598,771 | 1,532,917 | 730 |
| 17 | VA | $40.6M | $64 | 632,577 | 579,920 | 454 |
| 18 | CT | $40.2M | $38 | 1,048,643 | 954,268 | 408 |
| 19 | MS | $38.7M | $72 | 539,547 | 483,326 | 421 |
| 20 | MI | $35.9M | $57 | 629,522 | 620,253 | 392 |
| 21 | AK | $32.4M | $245 | 132,129 | 119,678 | 101 |
| 22 | NM | $31.9M | $83 | 384,421 | 376,074 | 134 |
| 23 | PA | $31.9M | $39 | 808,785 | 785,996 | 862 |
| 24 | WA | $31.6M | $55 | 569,815 | 557,004 | 486 |
| 25 | OR | $30.5M | $81 | 376,167 | 350,741 | 251 |
57 rows · Page 1 of 3