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

99223E&M

Initial hospital care, high complexity

Total Paid

$1.33B

$1,328,324,527

Beneficiaries

14.0M

14,031,414

Avg $/Claim

$84

Median: $135

Utilization

1.1 claims/bene

18,852 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
1578959318

HOSPITALIST GROUP OF MONTEBELLO INC

CA$12.3M$216vs $135 med1.59x57,09755,313
2
1124374822

BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC

AZ$10.6M$117vs $135 med0.86x91,17987,366
3
1952792475

INPATIENT SPECIALISTS OF CALIFORNIA, PC

CA$7.3M$108vs $135 med0.80x67,74766,264
4
1861627242

PLATINUM HOSPITALISTS LLP

NV$7.2M$127vs $135 med0.94x56,20751,722
5
1083008072

ALLINA HEALTH SYSTEM

MN$7.2M$97vs $135 med0.71x74,10562,853
6
1699703827

LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH

CA$7.0M$1,714vs $135 med12.66x4,0793,989
7
1710924683

GROUP HEALTH PLAN, INC.

MN$6.3M$96vs $135 med0.71x65,55642,065
8
1134742703

DESERT PHYSICIANS MEDICAL GROUP HEALTH

CA$6.2M$563vs $135 med4.16x11,06510,897
9
1013374222

LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE

LA$5.5M$131vs $135 med0.97x42,21135,825
10
1619105244

COMMUNITY PHYSICIANS OF INDIANA INC

IN$5.5M$103vs $135 med0.76x53,64648,044
11
1811044878

WILLIAM BEAUMONT HOSPITAL

MI$5.4M$104vs $135 med0.77x52,11737,454
12
1316902208

AKDHC, LLC

AZ$4.9M$107vs $135 med0.79x45,51443,302
13
1023285756

SOUTH SOUND INPATIENT PHYSICIANS PLLC

WA$4.7M$77vs $135 med0.57x61,84055,131
14
1699157701

PROVIDENCE HEALTHCARE PARTNERS,, INC

CA$4.7M$150vs $135 med1.11x31,54431,087
15
1184046187

MEDSTAR MEDICAL GROUP II LLC

MD$4.6M$83vs $135 med0.61x55,44243,958
16
1407897309

HENNEPIN HEALTHCARE SYSTEM, INC

MN$4.2M$115vs $135 med0.85x36,91028,994
17
1528650223

INLAND PHYSICIANS HOSPITALIST SERVICES

CA$4.1M$322vs $135 med2.38x12,68112,481
18
1700894466

VIRGINIA SOUTH PSYCHIATRIC & FAMILY SERVICES

VA$4.1M$114vs $135 med0.84x35,92433,134
19
1629307095

HOSPITALIST MEDICINE PHYSICIANS OF TEXAS, PLLC

TX$4.0M$72vs $135 med0.53x55,52144,473
20
1952411233

PARKVIEW HEALTH SYSTEM, INC.

IN$3.8M$103vs $135 med0.76x36,52431,637
21
1053688572

NORTH SHORE-LIJ MEDICAL PC

NY$3.7M$151vs $135 med1.11x24,60921,940
22
1588614994

COMMUNITY MEDICAL ASSOCIATES, INC.

KY$3.5M$76vs $135 med0.56x46,21341,030
23
1063525152

MONTEFIORE MEDICAL CENTER

NY$3.5M$160vs $135 med1.18x21,89620,041
24
1750343216

SUMMIT MEDICAL GROUP, INC

KY$3.5M$84vs $135 med0.62x41,51338,648
25
1629398219

STEWARD MEDICAL GROUP, INC

MA$3.5M$78vs $135 med0.57x44,57642,812

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
1CA$274.0M$883,128,9803,012,9632,731
2MI$91.8M$102903,132823,174757
3FL$85.4M$681,263,895968,4321,452
4AZ$79.0M$110716,906678,024498
5NV$69.0M$130532,518481,490435
6IL$46.0M$73633,149572,9672,481
7LA$45.5M$68669,396535,605508
8IN$41.2M$84489,101415,454325
9MN$40.4M$101399,641319,194102
10OH$40.0M$53751,677688,091608
11TX$38.2M$83463,036426,226822
12NY$31.9M$91348,870332,4771,675
13NJ$29.8M$68438,734399,817628
14VA$29.8M$83359,426314,757283
15MA$28.1M$76367,205356,138278
16KY$26.4M$71370,698325,999289
17TN$25.6M$51502,358409,865487
18MD$25.5M$78328,474280,019310
19NC$22.5M$93243,305199,018278
20PR$21.6M$94228,455192,641500
21OK$21.2M$140151,911148,895201
22WA$18.8M$85220,124206,722125
23MO$16.5M$102162,466145,186259
24CO$13.7M$108126,840112,213184
25NM$13.6M$14395,24590,89790

55 rows · Page 1 of 3