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

99284E&M

Emergency department visit, high complexity

Total Paid

$20.15B

$20,151,783,534

Beneficiaries

154.9M

154,899,942

Avg $/Claim

$118

Median: $310

Utilization

1.1 claims/bene

21,452 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.

Drag to zoom into a region

Provider Rankings

#ProviderStateTotal Paid$/ClaimCost IndexClaimsBeneficiaries
1
1578778726

YALE NEW HAVEN HOSPITAL

CT$95.2M$392vs $310 med1.27x242,485202,899
2
1356379382

SOUTHEASTERN EMERGENCY PHYSICIANS LLC

KY$84.5M$58vs $310 med0.19x1,446,5821,299,615
3
1760480503

PHOENIX CHILDREN'S HOSPITAL

AZ$82.4M$635vs $310 med2.05x129,761124,914
4
1528064409

VIRTUA - WEST JERSEY HEALTH SYSTEM, INC.

NJ$74.9M$473vs $310 med1.53x158,358145,826
5
1518911338

UNIVERSITY OF KENTUCKY

KY$71.0M$422vs $310 med1.36x168,001143,108
6
1891765178

COOK CHILDREN'S MEDICAL CENTER

TX$70.1M$1,646vs $310 med5.32x42,58941,652
7
1386746592

KENNEDY UNIVERSITY HOSPITAL INC.

NJ$67.5M$545vs $310 med1.76x123,887108,634
8
1972579837

WAKEMED

NC$65.6M$357vs $310 med1.15x183,814169,605
9
1770573586

MCALLEN HOSPITALS L P

TX$62.9M$598vs $310 med1.93x105,161101,948
10
1669462420

ST JOSEPHS UNIVERSITY MEDICAL CENTER INC.

NJ$59.3M$353vs $310 med1.14x168,032148,694
11
1184779332

SCOTTISH RITE CHILDREN'S MEDICAL CENTER

GA$56.4M$419vs $310 med1.35x134,482129,698
12
1366419517

ANTELOPE VALLEY HEALTH CARE DISTRICT

CA$55.2M$500vs $310 med1.62x110,29499,262
13
1043348808

NORTON HOSPITALS INC

KY$53.8M$312vs $310 med1.01x172,180145,714
14
1992910152

BRIDGEPORT HOSPITAL

CT$53.6M$253vs $310 med0.82x211,494190,221
15
1407897309

HENNEPIN HEALTHCARE SYSTEM, INC

MN$53.3M$203vs $310 med0.66x262,223224,415
16
1477643690

TEXAS CHILDREN'S HOSPITAL

TX$52.7M$796vs $310 med2.57x66,20565,501
17
1912510041

RWJBH EMERGENCY MEDICINE ASSOCIATES, LLC

NJ$52.2M$147vs $310 med0.48x354,615337,537
18
1164487542

INSPIRA MEDICAL CENTERS, INC.

NJ$51.6M$580vs $310 med1.87x88,89478,758
19
1053688572

NORTH SHORE-LIJ MEDICAL PC

NY$51.0M$123vs $310 med0.40x415,276410,045
20
1811973100

OCHSNER CLINIC FOUNDATION

LA$48.4M$213vs $310 med0.69x227,670209,495
21
1427005008

EMERGENCY COVERAGE, LLC

TN$47.2M$61vs $310 med0.20x770,104684,344
22
1215913470

PRESBYTERIAN HEALTHCARE SERVICES

NM$46.5M$180vs $310 med0.58x258,134245,986
23
1013919315

ATLANTICARE REGIONAL MEDICAL CENTER

NJ$45.3M$454vs $310 med1.47x99,90189,103
24
1730132234

MEMORIAL HERMANN HEALTH SYSTEM

TX$44.4M$506vs $310 med1.64x87,60983,037
25
1164483558

MEP HEALTH, LLC

MD$43.1M$93vs $310 med0.30x464,487427,726

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
1TX$1.50B$2027,449,0986,918,785711
2NJ$1.28B$2305,550,5165,157,024313
3CA$1.23B$7915,657,06715,191,3801,390
4NY$1.05B$1298,093,8977,774,2592,229
5OH$969.2M$9010,753,0379,870,655660
6AZ$873.7M$1864,695,9574,392,845260
7NC$868.4M$1336,552,6195,587,710327
8KY$859.5M$1465,905,6165,121,953283
9MI$812.1M$1147,138,7116,615,676478
10FL$780.0M$7210,843,6838,997,829731
11LA$699.2M$1116,316,1645,800,646267
12TN$684.5M$1165,906,6865,183,147625
13PA$657.6M$1235,341,6225,163,8261,614
14VA$627.7M$1205,211,9744,569,228622
15CT$597.3M$1843,251,8222,890,884126
16IN$579.8M$1015,746,3514,942,437378
17MA$558.9M$1164,825,3014,550,734831
18WA$411.2M$954,332,2454,071,257224
19OR$405.3M$1652,454,1772,147,075141
20MN$341.4M$1382,474,3322,237,155206
21MS$312.7M$1232,543,0172,061,505226
22NM$299.0M$1601,870,6111,775,80776
23OK$286.8M$1671,719,7951,678,921232
24MO$277.5M$1461,897,9811,742,525956
25CO$255.3M$962,651,3322,399,271266

58 rows · Page 1 of 3