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

99212E&M

Established patient office visit, straightforward

Total Paid

$3.85B

$3,847,648,825

Beneficiaries

76.1M

76,120,004

Avg $/Claim

$42

Median: $178

Utilization

1.2 claims/bene

48,696 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
1255364923

CHICKASAW NATION DIVISION OF HEALTH

OK$161.4M$554vs $178 med3.11x291,154263,562
2
1659347623

CHOCTAW NATION OF OKLAHOMA

OK$79.2M$544vs $178 med3.05x145,540129,851
3
1407969728

CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL, INC.

OK$78.0M$605vs $178 med3.39x128,913106,661
4
1912939703

CHILDREN'S HOSPITAL

DC$58.1M$220vs $178 med1.23x264,410222,193
5
1780639971

DHHS, PHS, NAIHS, SHIPROCK HOSPITAL

NM$49.7M$409vs $178 med2.30x121,34886,175
6
1396173449

CHOCTAW NATION OF OKLAHOMA

OK$40.3M$541vs $178 med3.04x74,40865,392
7
1952377939

CHOCTAW NATION OF OKLAHOMA

OK$38.0M$554vs $178 med3.11x68,58260,599
8
1730491945

CITY MEDICAL OF UPPER EAST SIDE, PLLC

NY$33.2M$102vs $178 med0.57x324,553299,107
9
1730249186

CHICKASAW NATION DIVISION OF HEALTH

OK$30.5M$561vs $178 med3.15x54,40946,641
10
1710953799

CHOCTAW NATION OF OKLAHOMA

OK$30.3M$544vs $178 med3.05x55,68547,044
11
1831151455

UMASS MEMORIAL MEDICAL CENTER, INC.

MA$29.2M$142vs $178 med0.80x206,128173,700
12
1548202641

BETH ISRAEL DEACONESS MEDICAL CENTER, INC.

MA$25.8M$140vs $178 med0.79x183,753160,009
13
1851333686

DANA-FARBER CANCER INSTITUTE, INC.

MA$25.4M$206vs $178 med1.16x123,38580,896
14
1952476988

MONTEFIORE MEDICAL CENTER

NY$25.4M$152vs $178 med0.85x166,900142,747
15
1407822497

CHOCTAW NATION OF OKLAHOMA

OK$25.3M$528vs $178 med2.96x47,96041,246
16
1780630608

RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA

VA$23.8M$209vs $178 med1.17x113,575100,224
17
1215998323

UNIVERSITY HOSPITAL

NJ$22.7M$98vs $178 med0.55x231,979187,559
18
1265518203

KICKAPOO TRIBAL HEALTH CENTER

OK$19.9M$589vs $178 med3.30x33,74527,851
19
1902811342

NEW YORK PSYCHOTHERAPY AND COUNSELING CENTER

NY$19.7M$114vs $178 med0.64x172,270156,662
20
1649330242

CHICKASAW NATION DIVISION OF HEALTH

OK$18.0M$553vs $178 med3.10x32,55226,026
21
1982764395

CHICKASAW NATION DIVISION OF HEALTH

OK$17.8M$582vs $178 med3.26x30,55126,139
22
1659435840

MEDICAL UNIVERSITY HOSPITAL AUTHORITY

SC$17.6M$47vs $178 med0.27x372,199325,941
23
1548212988

CHILDREN'S HOSPITAL MEDICAL CENTER

OH$17.4M$107vs $178 med0.60x163,466155,859
24
1891849725

ALABAMA DEPARTMENT OF REHABILITATION SERVICES

AL$17.1M$1,835vs $178 med10.30x9,3288,798
25
1619969458

SUN RIVER HEALTH INC.

NY$16.8M$82vs $178 med0.46x204,283136,039

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
1NY$834.2M$7011,933,2039,878,0385,440
2OK$622.7M$4531,373,0761,218,071534
3CA$250.0M$1025,102,82420,031,0505,615
4MA$203.4M$1012,013,5861,736,565954
5OH$158.6M$493,269,7092,594,5571,616
6TX$126.9M$353,645,8943,214,9501,927
7NJ$111.6M$382,904,6932,543,3311,517
8NM$104.1M$161648,067562,803383
9LA$93.3M$194,789,7263,953,7981,462
10KY$88.2M$273,305,3102,491,2711,446
11CO$82.1M$94873,727763,489711
12DC$76.4M$144529,102440,558131
13VA$69.1M$691,004,152870,898976
14MI$62.4M$331,897,4311,771,7401,687
15WI$62.1M$601,028,109864,872687
16AZ$61.8M$411,511,0551,233,233849
17MS$60.1M$581,035,651853,555674
18SC$59.7M$521,146,6091,024,992608
19FL$59.3M$341,721,7561,427,8711,649
20GA$54.7M$541,013,666904,457354
21IN$52.1M$391,333,2041,082,554880
22MD$51.6M$59881,840746,997896
23WA$41.3M$49840,855752,476697
24MN$40.0M$63632,019571,778490
25PA$36.0M$331,097,8601,002,4011,629

56 rows · Page 1 of 3