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

99233E&M

Subsequent hospital care, high complexity

Total Paid

$2.61B

$2,607,048,926

Beneficiaries

20.9M

20,935,898

Avg $/Claim

$45

Median: $71

Utilization

2.8 claims/bene

21,725 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
1124374822

BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC

AZ$27.9M$64vs $71 med0.90x439,320203,714
2
1316902208

AKDHC, LLC

AZ$23.9M$61vs $71 med0.86x394,644149,830
3
1861627242

PLATINUM HOSPITALISTS LLP

NV$18.8M$70vs $71 med0.99x267,078109,259
4
1225255375

COUNTY OF SAN DIEGO

CA$16.9M$1,148vs $71 med16.23x14,7373,258
5
1184046187

MEDSTAR MEDICAL GROUP II LLC

MD$16.5M$51vs $71 med0.72x325,08095,845
6
1710924683

GROUP HEALTH PLAN, INC.

MN$14.4M$53vs $71 med0.74x273,37355,968
7
1699703827

LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH

CA$14.3M$1,189vs $71 med16.81x11,9834,312
8
1083008072

ALLINA HEALTH SYSTEM

MN$11.3M$50vs $71 med0.71x224,05266,590
9
1619987302

UAHSF NEONATOLOGY

AL$10.9M$142vs $71 med2.01x77,02723,992
10
1952792475

INPATIENT SPECIALISTS OF CALIFORNIA, PC

CA$10.8M$45vs $71 med0.63x241,10798,706
11
1407897309

HENNEPIN HEALTHCARE SYSTEM, INC

MN$10.1M$69vs $71 med0.98x145,92338,920
12
1699157701

PROVIDENCE HEALTHCARE PARTNERS,, INC

CA$9.8M$80vs $71 med1.13x122,18746,471
13
1568758266

COGENT HEALTHCARE OF ARIZONA PC

TN$9.2M$51vs $71 med0.72x180,79166,772
14
1265546261

AFFILIATED HOSPITALISTS, PLC

AZ$9.2M$63vs $71 med0.88x146,20257,311
15
1083647754

ARIZONA INPATIENT MEDICINE ASSOCIATES LLC

AZ$9.0M$58vs $71 med0.82x155,92260,068
16
1528105558

COUNTY OF TULARE

CA$8.9M$1,406vs $71 med19.87x6,340826
17
1750751566

BANNER - UNIVERSITY HOSPITAL BASED PHYSICIANS LLC

AZ$8.8M$68vs $71 med0.96x130,36957,366
18
1154369510

COOPER PHYSICIAN OFFICES, PA

NJ$8.7M$100vs $71 med1.42x86,74839,074
19
1023285756

SOUTH SOUND INPATIENT PHYSICIANS PLLC

WA$8.6M$40vs $71 med0.57x215,56683,792
20
1588614994

COMMUNITY MEDICAL ASSOCIATES, INC.

KY$8.5M$36vs $71 med0.51x236,91891,182
21
1184663965

HOSPITALIST MEDICINE PHYSICIANS OF CALIFORNIA, INC

CA$8.4M$48vs $71 med0.68x174,99966,014
22
1013374222

LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE

LA$8.2M$70vs $71 med0.99x116,65145,978
23
1831218627

UNM MEDICAL GROUP INC

NM$8.0M$80vs $71 med1.13x100,39939,546
24
1740231448

OSU INTERNAL MEDICINE, LLC

OH$7.9M$32vs $71 med0.45x245,48399,770
25
1922112044

PHOENIX CHILDREN'S HOSPITAL

AZ$7.8M$92vs $71 med1.29x85,44337,303

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
1CA$489.4M$4311,333,6923,827,7452,670
2AZ$246.2M$633,935,3671,529,110532
3NV$136.6M$652,111,220769,894472
4FL$130.8M$294,466,7821,402,7441,496
5IL$115.5M$392,999,5581,098,1473,854
6MI$112.8M$571,966,258662,153627
7TX$84.8M$421,994,735720,795949
8MN$83.7M$551,509,259397,152122
9OH$78.8M$282,805,6271,193,949594
10LA$73.3M$401,811,928709,459467
11NY$66.0M$501,314,848520,1872,634
12MD$64.8M$511,280,056411,289304
13NC$64.1M$571,130,237391,493342
14IN$62.9M$461,364,142548,029353
15NJ$54.4M$351,538,012614,931662
16TN$51.7M$291,808,723647,866553
17MA$48.9M$401,235,411547,636262
18VA$45.6M$47978,376381,330285
19KY$44.7M$351,287,942506,328285
20CO$43.0M$58736,589288,346227
21OK$40.5M$74547,093208,456185
22WA$38.7M$43894,269339,595147
23PR$37.2M$76489,252178,433386
24NM$36.5M$77471,828185,18692
25AL$32.6M$54608,680215,057244

55 rows · Page 1 of 3