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
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99211E&M

Established patient office visit, minimal complexity

Total Paid

$1.73B

$1,731,507,496

Beneficiaries

32.3M

32,259,778

Avg $/Claim

$39

Median: $102

Utilization

1.4 claims/bene

20,174 providers

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
1427335140

DHHS IHS PHOENIX AREA

AZ$89.2M$544vs $102 med5.34x163,967107,146
2
1437368891

ALASKA NATIVE TRIBAL HEALTH CONSORTIUM

AK$73.5M$287vs $102 med2.81x256,406189,437
3
1487655064

BAYSTATE MEDICAL CENTER INC

MA$72.4M$146vs $102 med1.43x495,590414,086
4
1780639971

DHHS, PHS, NAIHS, SHIPROCK HOSPITAL

NM$71.2M$491vs $102 med4.82x144,914105,858
5
1023049236

THE GENERAL HOSPITAL CORPORATION

MA$52.2M$114vs $102 med1.12x458,423392,435
6
1790717650

BRIGHAM & WOMENS HOSPITAL, INC.

MA$47.3M$127vs $102 med1.25x372,174313,004
7
1619341716

NYU LANGONE HOSPITALS

NY$45.9M$94vs $102 med0.92x488,964412,175
8
1770662348

CHEROKEE INDIAN HOSPITAL AUTHORITY

NC$42.4M$477vs $102 med4.68x88,88167,727
9
1275665457

NEW YORK NETWORK IPA INC

NY$34.7M$24vs $102 med0.24x1,427,961397,225
10
1033154026

UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC

OH$26.1M$99vs $102 med0.97x263,113214,334
11
1356628028

DHHS IHS PHOENIX AREA

AZ$25.6M$459vs $102 med4.50x55,83539,163
12
1194706655

YUMA REGIONAL MEDICAL CENTER

AZ$25.3M$65vs $102 med0.64x390,685307,935
13
1881637403

ANADARKO INDIAN HEALTH CENTER

OK$19.8M$579vs $102 med5.68x34,22729,905
14
1255334173

FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.

WI$17.4M$71vs $102 med0.70x244,360194,888
15
1134206386

MARTHA'S VINEYARD HOSPITAL, INC.

MA$16.6M$321vs $102 med3.15x51,75441,436
16
1447359997

OHIO STATE UNIVERSITY HOSPITALS

OH$16.6M$108vs $102 med1.06x153,205133,793
17
1063431286

BROCKTON HOSPITAL, INC.

MA$15.5M$147vs $102 med1.44x105,44394,774
18
1659435840

MEDICAL UNIVERSITY HOSPITAL AUTHORITY

SC$15.5M$66vs $102 med0.65x233,261206,779
19
1548202641

BETH ISRAEL DEACONESS MEDICAL CENTER, INC.

MA$14.1M$144vs $102 med1.42x97,64983,567
20
1518911338

UNIVERSITY OF KENTUCKY

KY$13.6M$51vs $102 med0.50x267,242220,241
21
1386643294

KENT COUNTY MEMORIAL HOSPITAL

RI$11.8M$176vs $102 med1.72x67,32048,088
22
1194743013

CHILDREN'S HEALTH SYSTEM OF TEXAS

TX$11.2M$58vs $102 med0.57x193,728185,835
23
1346218294

BOSTON MEDICAL CENTER CORPORATION

MA$10.1M$121vs $102 med1.18x83,40465,497
24
1831151455

UMASS MEMORIAL MEDICAL CENTER, INC.

MA$9.5M$141vs $102 med1.38x67,30161,637
25
1215907522

GALION COMMUNITY HOSPITAL

OH$9.4M$82vs $102 med0.80x114,63797,605

50 rows · Page 1 of 2

State Breakdown

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

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State Rankings

#StateTotal PaidAvg $/ClaimClaimsBeneficiariesProviders
1MA$306.7M$1102,777,6852,341,912410
2NY$175.8M$257,122,7814,332,5001,663
3AZ$159.2M$1191,332,816939,409393
4PA$133.6M$492,700,3942,345,978978
5OH$108.4M$591,848,4461,384,193706
6AK$92.6M$233398,040292,28190
7CA$80.7M$136,027,4694,697,6492,726
8NM$78.4M$223351,455279,951136
9WI$55.9M$541,029,278827,889359
10NC$53.1M$70759,420532,917572
11TX$44.5M$311,452,9381,292,305961
12KY$42.6M$192,257,3271,164,860545
13FL$30.7M$43715,325526,853592
14LA$30.7M$152,021,6301,753,783839
15VA$29.4M$261,121,540533,386436
16NJ$28.0M$261,063,053854,430659
17SC$24.9M$47526,250440,774268
18OK$24.7M$201122,759108,488194
19RI$21.6M$79272,578216,899233
20IN$20.5M$41504,844388,242293
21IA$19.9M$171,154,190864,928167
22MN$19.4M$49398,659323,826162
23MD$17.4M$23739,805537,771400
24OR$12.2M$58211,623151,487207
25MS$10.8M$19575,163444,486192

56 rows · Page 1 of 3