T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Adaptive behavior treatment, each 15 min
Total Paid
$5.15B
$5,146,687,913
Beneficiaries
2.0M
2,018,301
Avg $/Claim
$198
Median: $263
Utilization
12.9 claims/bene
2,214 providers
Total payments per month (nominal $)
Average cost per claim per month (nominal $)
Unique beneficiaries per month
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 | 1053641498 CENTRIA HEALTHCARE LLC | MI | $345.5M | $252vs $263 med | 0.96x | 1,372,505 | 94,927 |
| 2 | 1942576905 VAV OPERATIONS LLC | IN | $179.0M | $582vs $263 med | 2.21x | 307,816 | 17,586 |
| 3 | 1053821728 ABS UTAH, P.C. | UT | $160.5M | $362vs $263 med | 1.37x | 443,101 | 22,352 |
| 4 | 1407932775 COMPREHAB LLC | NC | $92.6M | $311vs $263 med | 1.18x | 297,532 | 18,293 |
| 5 | 1891820668 HOPEBRIDGE, LLC | IN | $86.7M | $317vs $263 med | 1.20x | 273,940 | 17,544 |
| 6 | 1043622780 GATEWAY PEDIATRIC THERAPY LLC | MI | $80.0M | $186vs $263 med | 0.71x | 430,296 | 29,567 |
| 7 | 1144682873 MOSAIC GROUP, LLC | NC | $68.7M | $369vs $263 med | 1.40x | 186,109 | 9,902 |
| 8 | 1801954474 ERIC LUND | WI | $54.9M | $68vs $263 med | 0.26x | 802,356 | 25,496 |
| 9 | 1225791346 BRETT DINOVI & ASSOCIATES PA LLC | PA | $53.1M | $452vs $263 med | 1.71x | 117,645 | 7,595 |
| 10 | 1962765693 ALTERNATIVE BEHAVIOR STRATEGIES, LLC | CA | $48.0M | $182vs $263 med | 0.69x | 263,241 | 18,082 |
| 11 | 1518190669 BEHAVIOR INTERVENTIONS, INC | PA | $42.8M | $193vs $263 med | 0.73x | 221,153 | 18,355 |
| 12 | 1558841163 ACORN HEALTH OF MICHIGAN, LLC | MI | $42.1M | $146vs $263 med | 0.55x | 288,773 | 16,228 |
| 13 | 1104119619 BRIDGEWAY INTEGRATED HEALTHCARE SERVICES | UT | $41.9M | $201vs $263 med | 0.76x | 208,293 | 17,847 |
| 14 | 1275032096 PIECE BY PIECE AUTISM CENTER | IN | $41.8M | $1,311vs $263 med | 4.98x | 31,917 | 1,888 |
| 15 | 1609194000 AUTISM SPECTRUM THERAPIES, LLC | CA | $41.4M | $182vs $263 med | 0.69x | 227,928 | 16,115 |
| 16 | 1770706160 ABA PROGRAMMING INC. | IN | $41.3M | $425vs $263 med | 1.61x | 97,249 | 5,036 |
| 17 | 1760977649 MATRIX BEHAVIOR SOLUTIONS, LLC | PA | $40.3M | $252vs $263 med | 0.96x | 159,820 | 12,284 |
| 18 | 1427154814 DAMAR SERVICES INC | IN | $39.8M | $452vs $263 med | 1.72x | 87,996 | 5,431 |
| 19 | 1366047474 HIGHLIGHTS HEALTHCARE, LLC | NC | $38.8M | $388vs $263 med | 1.47x | 100,059 | 5,952 |
| 20 | 1033663430 STEPPING STONES BEHAVIORAL SOLUTIONS LLC | IN | $38.8M | $825vs $263 med | 3.13x | 46,982 | 2,976 |
| 21 | 1609135748 CHITTER CHATTER P.C. | MI | $36.7M | $216vs $263 med | 0.82x | 169,722 | 11,166 |
| 22 | 1932539582 ELIZABETH OSTENDORF LLC | CO | $34.9M | $506vs $263 med | 1.92x | 69,021 | 5,799 |
| 23 | 1669651675 CENTER FOR AUTISM AND RELATED DISORDERS LLC | TX | $34.0M | $128vs $263 med | 0.48x | 266,759 | 14,666 |
| 24 | 1467598730 PARTNERS IN EXCELLENCE INC | MN | $32.4M | $67vs $263 med | 0.25x | 485,420 | 45,111 |
| 25 | 1598295032 THRIVE THERAPY LLC | PA | $32.3M | $457vs $263 med | 1.74x | 70,596 | 4,623 |
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 | MI | $995.8M | $187 | 5,318,319 | 322,544 | 131 |
| 2 | IN | $735.4M | $435 | 1,692,418 | 103,101 | 96 |
| 3 | PA | $592.5M | $222 | 2,668,072 | 226,288 | 145 |
| 4 | NC | $559.1M | $314 | 1,782,657 | 109,173 | 88 |
| 5 | UT | $252.7M | $258 | 978,921 | 66,182 | 29 |
| 6 | CO | $232.8M | $262 | 887,154 | 102,695 | 154 |
| 7 | CA | $232.1M | $151 | 1,535,838 | 122,144 | 90 |
| 8 | WI | $165.3M | $83 | 1,982,867 | 91,051 | 114 |
| 9 | VA | $143.3M | $210 | 682,385 | 68,598 | 91 |
| 10 | MN | $139.2M | $88 | 1,586,853 | 181,273 | 45 |
| 11 | MA | $129.5M | $224 | 578,106 | 54,475 | 153 |
| 12 | NY | $112.2M | $152 | 739,739 | 46,613 | 72 |
| 13 | FL | $107.2M | $148 | 722,548 | 131,469 | 177 |
| 14 | LA | $89.3M | $107 | 834,951 | 44,877 | 64 |
| 15 | OH | $73.3M | $231 | 317,353 | 24,758 | 43 |
| 16 | NJ | $70.2M | $190 | 369,167 | 30,227 | 67 |
| 17 | AZ | $59.9M | $187 | 321,021 | 26,203 | 52 |
| 18 | TX | $51.9M | $136 | 381,597 | 27,076 | 42 |
| 19 | CT | $45.2M | $175 | 258,625 | 19,205 | 52 |
| 20 | WA | $35.4M | $125 | 284,344 | 23,033 | 36 |
| 21 | TN | $35.0M | $166 | 211,345 | 24,919 | 62 |
| 22 | MO | $32.9M | $161 | 203,955 | 21,823 | 56 |
| 23 | MD | $30.4M | $186 | 164,048 | 14,773 | 25 |
| 24 | IA | $29.9M | $135 | 221,886 | 15,171 | 13 |
| 25 | AR | $26.7M | $191 | 139,963 | 9,762 | 23 |
50 rows · Page 1 of 2