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

99291E&M

Critical care, first 30-74 minutes

Total Paid

$1.31B

$1,313,592,202

Beneficiaries

5.8M

5,752,369

Avg $/Claim

$120

Median: $228

Utilization

1.9 claims/bene

7,643 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
1407897309

HENNEPIN HEALTHCARE SYSTEM, INC

MN$13.5M$194vs $228 med0.85x69,48332,817
2
1124374822

BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC

AZ$8.6M$137vs $228 med0.60x63,14924,235
3
1952792475

INPATIENT SPECIALISTS OF CALIFORNIA, PC

CA$8.0M$81vs $228 med0.35x99,59145,623
4
1386813103

EL-BERSHAWI MEDICAL CORP

CA$7.3M$100vs $228 med0.44x72,89931,591
5
1578778726

YALE NEW HAVEN HOSPITAL

CT$6.7M$829vs $228 med3.63x8,0657,217
6
1235188673

SPECTRUM HEALTH PRIMARY CARE PARTNERS

MI$6.6M$112vs $228 med0.49x58,93613,964
7
1164483558

MEP HEALTH, LLC

MD$5.8M$123vs $228 med0.54x47,30943,106
8
1992910152

BRIDGEPORT HOSPITAL

CT$5.7M$716vs $228 med3.14x7,9827,120
9
1154355188

BANNER THUNDERBIRD MEDICAL CENTER

AZ$5.7M$876vs $228 med3.84x6,4975,835
10
1417285230

INDIANA CLINIC CRITICAL CARE LLC

IN$5.7M$177vs $228 med0.78x31,94011,387
11
1033157821

UT PHYSICIANS

TX$5.6M$474vs $228 med2.08x11,9113,852
12
1962712828

EID NEVADA CRITICAL CARE PLLC

NV$5.4M$171vs $228 med0.75x31,56917,686
13
1700154226

WHC PHYSICIAN GROUP LLC

DC$5.4M$111vs $228 med0.49x48,37733,567
14
1508809427

BANNER-UNIVERSITY MEDICAL GROUP

AZ$5.2M$143vs $228 med0.63x36,38113,936
15
1962461889

UNIVERSITY PHYSICIANS INCORPORATED

CO$5.1M$179vs $228 med0.78x28,70011,112
16
1750751566

BANNER - UNIVERSITY HOSPITAL BASED PHYSICIANS LLC

AZ$5.1M$147vs $228 med0.64x34,62113,702
17
1831296995

ALASKA HOSPITALIST GROUP LLC

AK$5.0M$259vs $228 med1.14x19,4088,482
18
1952533887

QURESHI AL-OWIR PLLC

NV$5.0M$165vs $228 med0.72x30,26912,802
19
1033135520

CRITICAL CARE & PULMONARY CONSULTANTS, PC

CO$5.0M$164vs $228 med0.72x30,28614,000
20
1831218627

UNM MEDICAL GROUP INC

NM$4.9M$138vs $228 med0.60x35,58317,815
21
1215986468

ARIZONA PULMONARY SPECIALISTS LTD

AZ$4.7M$142vs $228 med0.62x33,06314,825
22
1407880719

PULMONARY MEDICINE ASSOCIATES MEDICAL GROUP, INC

CA$4.6M$65vs $228 med0.28x70,75235,156
23
1437100039

CRITICAL CARE PULMONARY AND SLEEP ASSOCIATES PROFESSIONAL LLP

CO$4.6M$150vs $228 med0.66x30,29613,699
24
1871713495

SAINT FRANCIS HOSPITAL AND MEDICAL CENTER

CT$4.4M$726vs $228 med3.18x6,0295,357
25
1063525152

MONTEFIORE MEDICAL CENTER

NY$4.4M$228vs $228 med1.00x19,07110,056

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$283.2M$1092,599,0321,465,0771,073
2MI$108.3M$138786,811464,386272
3AZ$88.5M$171516,259247,593197
4CT$52.0M$240216,719131,00880
5FL$47.7M$79602,967257,832403
6IL$47.6M$113420,063186,6151,004
7KY$42.7M$139307,962144,682158
8NJ$42.7M$162263,815137,914224
9TX$41.6M$135308,618151,065277
10NY$40.3M$122329,631181,829872
11MA$39.3M$109361,181221,746153
12MN$32.5M$133244,286119,14848
13OH$31.2M$53587,743292,350261
14LA$29.7M$116255,398134,766145
15NV$28.9M$156185,853102,47388
16CO$27.5M$151182,34783,417105
17IN$27.4M$128214,25594,815141
18VA$26.4M$118223,357138,863133
19MD$25.1M$91276,850139,109111
20PA$18.6M$138135,11863,952253
21NC$18.5M$116159,09269,435143
22WA$17.4M$90193,984123,337126
23DC$15.7M$116135,14276,14827
24NM$15.7M$149104,97057,39348
25TN$15.6M$86181,23492,712164

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