T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Emergency department visit, high complexity/urgent
Total Paid
$15.10B
$15,097,200,452
Beneficiaries
99.8M
99,843,804
Avg $/Claim
$136
Median: $399
Utilization
1.1 claims/bene
17,705 providers
Total payments per month (nominal $)
Average cost per claim per month (nominal $)
Unique beneficiaries per month
Each dot is a provider. X = cost index (vs procedure median). Y = total spending.
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| # | Provider | State | Total Paid▼ | $/Claim | Cost Index | Claims | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 1 | 1578778726 YALE NEW HAVEN HOSPITAL | CT | $112.7M | $709vs $399 med | 1.77x | 158,886 | 130,232 |
| 2 | 1356379382 SOUTHEASTERN EMERGENCY PHYSICIANS LLC | KY | $90.7M | $69vs $399 med | 0.17x | 1,315,225 | 1,132,070 |
| 3 | 1184779332 SCOTTISH RITE CHILDREN'S MEDICAL CENTER | GA | $88.1M | $813vs $399 med | 2.04x | 108,411 | 100,552 |
| 4 | 1477643690 TEXAS CHILDREN'S HOSPITAL | TX | $80.5M | $957vs $399 med | 2.39x | 84,138 | 82,633 |
| 5 | 1760480503 PHOENIX CHILDREN'S HOSPITAL | AZ | $68.0M | $911vs $399 med | 2.28x | 74,614 | 70,649 |
| 6 | 1134144801 HENRY FORD HEALTH SYSTEM | MI | $62.1M | $306vs $399 med | 0.76x | 203,076 | 185,738 |
| 7 | 1215913470 PRESBYTERIAN HEALTHCARE SERVICES | NM | $56.4M | $240vs $399 med | 0.60x | 234,479 | 223,340 |
| 8 | 1770696643 HARTFORD HOSPITAL | CT | $55.0M | $522vs $399 med | 1.31x | 105,392 | 86,273 |
| 9 | 1427005008 EMERGENCY COVERAGE, LLC | TN | $54.1M | $82vs $399 med | 0.20x | 662,372 | 579,282 |
| 10 | 1467538520 BAKERSFIELD MEMORIAL HOSPITAL | CA | $51.6M | $367vs $399 med | 0.92x | 140,499 | 128,177 |
| 11 | 1891765178 COOK CHILDREN'S MEDICAL CENTER | TX | $51.2M | $1,750vs $399 med | 4.38x | 29,231 | 28,256 |
| 12 | 1184795874 SHADOW EMERGENCY PHYSICIANS PLLC | NV | $50.6M | $121vs $399 med | 0.30x | 419,301 | 390,623 |
| 13 | 1871713495 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER | CT | $50.3M | $513vs $399 med | 1.28x | 97,958 | 82,745 |
| 14 | 1407897309 HENNEPIN HEALTHCARE SYSTEM, INC | MN | $49.6M | $245vs $399 med | 0.61x | 202,775 | 169,882 |
| 15 | 1720011810 BANNER DESERT MEDICAL CENTER | AZ | $46.6M | $510vs $399 med | 1.28x | 91,292 | 80,837 |
| 16 | 1558416701 EGLESTON CHILDREN'S HOSPITAL AT EMORY UNIVERSITY, INC. | GA | $45.5M | $669vs $399 med | 1.68x | 68,052 | 62,632 |
| 17 | 1679525919 THE CLEVELAND CLINIC FOUNDATION | OH | $45.3M | $87vs $399 med | 0.22x | 518,214 | 448,053 |
| 18 | 1992910152 BRIDGEPORT HOSPITAL | CT | $45.3M | $550vs $399 med | 1.38x | 82,315 | 73,073 |
| 19 | 1053688572 NORTH SHORE-LIJ MEDICAL PC | NY | $44.5M | $174vs $399 med | 0.44x | 256,008 | 252,521 |
| 20 | 1164483558 MEP HEALTH, LLC | MD | $44.2M | $121vs $399 med | 0.30x | 364,167 | 326,808 |
| 21 | 1912510041 RWJBH EMERGENCY MEDICINE ASSOCIATES, LLC | NJ | $43.5M | $153vs $399 med | 0.38x | 284,666 | 269,273 |
| 22 | 1518911338 UNIVERSITY OF KENTUCKY | KY | $43.5M | $772vs $399 med | 1.93x | 56,290 | 48,248 |
| 23 | 1134271661 CONNECTICUT CHILDREN'S MEDICAL CENTER | CT | $42.8M | $1,951vs $399 med | 4.88x | 21,914 | 19,070 |
| 24 | 1700154226 WHC PHYSICIAN GROUP LLC | DC | $42.3M | $128vs $399 med | 0.32x | 329,604 | 306,001 |
| 25 | 1902032832 INDIANA UNIVERSITY HEALTH CARE ASSOCIATES, INC | IN | $41.1M | $130vs $399 med | 0.33x | 314,776 | 279,459 |
50 rows · Page 1 of 2
Each dot is a state. X = average cost per claim. Y = total spending.
Drag to zoom into a region
| # | State | Total Paid▼ | Avg $/Claim | Claims | Beneficiaries | Providers |
|---|---|---|---|---|---|---|
| 1 | CA | $1.22B | $101 | 12,085,976 | 11,682,950 | 1,297 |
| 2 | MI | $1.06B | $191 | 5,541,043 | 5,052,276 | 405 |
| 3 | AZ | $904.1M | $236 | 3,833,754 | 3,549,886 | 256 |
| 4 | CT | $759.0M | $327 | 2,318,989 | 2,027,549 | 127 |
| 5 | NJ | $739.5M | $203 | 3,651,325 | 3,407,305 | 279 |
| 6 | OH | $736.4M | $100 | 7,385,785 | 6,658,170 | 587 |
| 7 | KY | $611.2M | $149 | 4,109,369 | 3,375,800 | 240 |
| 8 | NY | $595.4M | $138 | 4,305,737 | 4,152,900 | 2,347 |
| 9 | TX | $568.2M | $173 | 3,287,769 | 3,076,385 | 585 |
| 10 | MA | $539.4M | $132 | 4,074,630 | 3,792,458 | 523 |
| 11 | FL | $489.2M | $74 | 6,588,366 | 5,320,275 | 656 |
| 12 | LA | $477.1M | $126 | 3,776,076 | 3,434,153 | 237 |
| 13 | NC | $447.5M | $128 | 3,496,346 | 2,894,174 | 281 |
| 14 | VA | $446.9M | $128 | 3,485,905 | 3,044,469 | 342 |
| 15 | TN | $361.3M | $103 | 3,504,100 | 3,003,788 | 565 |
| 16 | IN | $359.1M | $98 | 3,651,568 | 3,125,930 | 323 |
| 17 | PA | $349.1M | $129 | 2,714,583 | 2,612,045 | 1,239 |
| 18 | WA | $339.9M | $102 | 3,333,471 | 3,108,345 | 193 |
| 19 | OR | $299.8M | $197 | 1,525,376 | 1,351,884 | 127 |
| 20 | MN | $294.2M | $174 | 1,686,845 | 1,490,746 | 159 |
| 21 | GA | $259.4M | $284 | 914,707 | 827,243 | 137 |
| 22 | IL | $253.7M | $87 | 2,921,383 | 2,659,742 | 2,493 |
| 23 | NM | $248.0M | $206 | 1,205,676 | 1,146,547 | 71 |
| 24 | NV | $241.3M | $115 | 2,106,580 | 1,835,135 | 355 |
| 25 | MO | $233.3M | $168 | 1,387,369 | 1,246,663 | 591 |
57 rows · Page 1 of 3