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

99199Medicine

Unlisted special service, procedure, or report

Total Paid

$2.24B

$2,244,557,525

Beneficiaries

120.0M

119,979,378

Avg $/Claim

$13

Median: $7

Utilization

1.4 claims/bene

3,837 providers

Monthly Spending

Total payments per month (nominal $)

Cost per Claim

Average cost per claim per month (nominal $)

Beneficiaries

Unique beneficiaries per month

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
1770700221

HOWARD CENTER INC

VT$224.8M$5,705vs $7 med857.83x39,41339,015
2
1538292768

NORTHEAST KINGDOM HUMAN SERVICES INC DS WAIVER

VT$144.1M$7,409vs $7 med1114.21x19,45218,666
3
1710901939

WASHINGTON COUNTY MENTAL HEALTH SERVICES, INC.

VT$101.7M$6,288vs $7 med945.63x16,17514,242
4
1376760835

HEALTH CARE & REHABILITATION SERVICES

VT$97.6M$6,462vs $7 med971.70x15,10114,247
5
1780708263

NORTHWESTERN COUNSELING & SUPPORT SERVICES

VT$90.9M$6,259vs $7 med941.24x14,52013,766
6
1235261009

RUTLAND MENTAL HEALTH SERVICES

VT$83.1M$5,863vs $7 med881.63x14,16912,804
7
1366579112

UNITED COUNSELING SERVICE OF BENNINGTON COUNTY, INC.

VT$50.3M$5,186vs $7 med779.92x9,6968,307
8
1598729014

CHILDREN'S HEALTH OF CAROLINA, PA

NC$45.6M$8vs $7 med1.18x5,831,7234,861,345
9
1730218868

COUNSELING SERVICE OF ADDISON COUNTY

VT$45.3M$5,458vs $7 med820.72x8,3097,302
10
1275651267

SPECIALIZED COMMUNITY CARE, INC

VT$40.5M$10,636vs $7 med1599.32x3,8113,660
11
1144347824

LAMOILLE COUNTY HEALTH MENTAL HEALTH SERVICES

VT$33.6M$6,954vs $7 med1045.78x4,8344,614
12
1194144873

COUNTY OF MILWAUKEE

WI$31.3M$59vs $7 med8.82x533,690108,474
13
1649838533

GREEN MOUNTAIN SUPPORT SERVICES INC.

VT$25.9M$7,925vs $7 med1191.75x3,2722,847
14
1003803032

WAKE FOREST UNIVERSITY HEALTH SCIENCES

NC$23.8M$7vs $7 med1.03x3,478,5971,895,990
15
1437533627

DANE COUNTY DEPARTMENT OF HUMAN SERVICES

WI$21.2M$62vs $7 med9.29x343,45684,630
16
1972645422

MECKLENBURG COUNTY

NC$20.3M$5vs $7 med0.77x3,987,3513,953,539
17
1891182473

WESTERN REGION RECOVERY & WELLNESS CONSORTIA

WI$17.9M$100vs $7 med15.10x177,80336,933
18
1942638077

TRANSITION II

VT$17.3M$5,927vs $7 med891.21x2,9192,805
19
1528209681

CAROLINAS MEDICAL CENTER

NC$13.7M$6vs $7 med0.85x2,409,4811,280,426
20
1801957576

COUNTY OF WAKE

NC$13.6M$5vs $7 med0.79x2,580,8492,254,829
21
1538339742

COUNTY OF SAUK

WI$12.7M$99vs $7 med14.86x128,61619,708
22
1477648731

VIDANT MEDICAL GROUP LLC

NC$12.1M$7vs $7 med1.06x1,717,585756,147
23
1083642169

COTSWOLD FAMILY MEDICINE

NC$12.0M$9vs $7 med1.39x1,299,9701,194,019
24
1245272657

COUNTY OF GUILFORD

NC$10.8M$5vs $7 med0.78x2,092,2751,983,005
25
1356390264

SUTTER VALLEY HOSPITALS

CA$10.7M$208vs $7 med31.24x51,36143,398

50 rows · Page 1 of 2

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
1VT$955.2M$6,269152,382142,87516
2NC$942.5M$6165,407,077114,861,2852,856
3WI$166.1M$642,581,438514,94257
4CA$151.4M$722,113,4761,801,214407
5NY$11.4M$16708,462673,758167
6IN$3.8M$5755,247739,9483
7AL$3.0M$15719,08218,10714
8OR$1.8M$4853,7043,1695
9SC$1.7M$5362,173189,32224
10LA$888K$7411,9383,7416
11MN$611K$3621,6861,5344
12VA$595K$4155,908131,11255
13MI$561K$3814,77612,6534
14OH$539K$1344,0123,0577
15GA$193K$535,46522,23910
16MA$161K$1021,5731,57011
17WA$147K$434,04026,93325
18NV$144K$436,19425,90918
19TX$71K$417,37613,84714
20RI$50K$1064654324
21FL$44K$219,3237,9246
22MD$38K$312,96011,6707
23IL$28K$122,3865771
24TN$26K$215,34514,3335
25NJ$26K$214,39312,4996

40 rows · Page 1 of 2