T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Preventive visit, established patient, infant (<1)
Total Paid
$2.47B
$2,473,077,263
Beneficiaries
33.0M
33,037,065
Avg $/Claim
$67
Median: $102
Utilization
1.1 claims/bene
18,099 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.
Drag to zoom into a region
| # | Provider | State | Total Paid▼ | $/Claim | Cost Index | Claims | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 1 | 1861506560 CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON | OH | $28.9M | $134vs $102 med | 1.32x | 215,592 | 198,126 |
| 2 | 1639138480 SALTZMAN, TANIS, PITTELL, LEVIN AND JACOBSON | FL | $25.8M | $58vs $102 med | 0.57x | 441,996 | 406,946 |
| 3 | 1134152986 NATIONWIDE CHILDREN'S HOSPITAL | OH | $23.6M | $78vs $102 med | 0.77x | 301,591 | 211,567 |
| 4 | 1285016758 TOPCARE MEDICAL GROUP INC | TX | $9.9M | $61vs $102 med | 0.60x | 161,579 | 151,919 |
| 5 | 1679524961 LEGACY COMMUNITY HEALTH SERVICES, INC | TX | $9.1M | $100vs $102 med | 0.98x | 91,519 | 88,531 |
| 6 | 1811062763 MID ATLANTIC PEMANENTE MEDICAL GROUP | MD | $8.6M | $100vs $102 med | 0.99x | 85,268 | 75,399 |
| 7 | 1104802354 PRESBYTERIAN HEALTHCARE SERVICES | NM | $7.2M | $102vs $102 med | 1.00x | 70,543 | 66,044 |
| 8 | 1679525919 THE CLEVELAND CLINIC FOUNDATION | OH | $7.0M | $77vs $102 med | 0.76x | 90,120 | 60,276 |
| 9 | 1619105244 COMMUNITY PHYSICIANS OF INDIANA INC | IN | $6.9M | $82vs $102 med | 0.80x | 85,174 | 69,963 |
| 10 | 1700828852 THE METROHEALTH SYSTEM | OH | $6.8M | $116vs $102 med | 1.14x | 58,861 | 51,766 |
| 11 | 1942241146 UTMB FACULTY GROUP PRACTICE | TX | $6.8M | $81vs $102 med | 0.80x | 83,232 | 80,775 |
| 12 | 1326695255 NORTON CHILDRENS MEDICAL GROUP, LLC | KY | $6.7M | $64vs $102 med | 0.63x | 105,188 | 98,877 |
| 13 | 1750369203 COOK CHILDREN'S PHYSICIAN NETWORK | TX | $6.5M | $81vs $102 med | 0.80x | 80,309 | 78,469 |
| 14 | 1346249430 EAU CLAIRE COOPERATIVE HEALTH CENTER, INC. | SC | $6.5M | $184vs $102 med | 1.81x | 35,082 | 31,432 |
| 15 | 1548266547 BALTIMORE MEDICAL SYSTEM INC | MD | $6.3M | $220vs $102 med | 2.16x | 28,907 | 25,581 |
| 16 | 1194832477 THE NEW YORK AND PRESBYTERIAN HOSPITAL | NY | $6.2M | $183vs $102 med | 1.80x | 33,934 | 31,615 |
| 17 | 1548212988 CHILDREN'S HOSPITAL MEDICAL CENTER | OH | $5.4M | $114vs $102 med | 1.12x | 47,517 | 44,436 |
| 18 | 1295763217 PRISMA HEALTH UNIVERSITY MEDICAL GROUP | SC | $5.4M | $72vs $102 med | 0.70x | 74,791 | 70,077 |
| 19 | 1144268277 COOPER PEDIATRICS | NJ | $5.2M | $148vs $102 med | 1.45x | 35,022 | 33,836 |
| 20 | 1184016941 SOUTH CAROLINA PEDIATRICS ALLIANCE, LLC | SC | $5.1M | $92vs $102 med | 0.90x | 55,414 | 52,848 |
| 21 | 1124321880 PEAK VISTA COMMUNITY HEALTH CENTERS | CO | $5.1M | $214vs $102 med | 2.10x | 23,637 | 22,231 |
| 22 | 1619969458 SUN RIVER HEALTH INC. | NY | $4.7M | $72vs $102 med | 0.71x | 65,861 | 36,842 |
| 23 | 1952476988 MONTEFIORE MEDICAL CENTER | NY | $4.7M | $141vs $102 med | 1.38x | 33,321 | 32,690 |
| 24 | 1841328853 CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON | OH | $4.7M | $30vs $102 med | 0.29x | 158,622 | 150,725 |
| 25 | 1366594699 THE NEMOURS FOUNDATION | DE | $4.7M | $64vs $102 med | 0.63x | 72,871 | 55,868 |
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 | TX | $253.0M | $76 | 3,311,843 | 3,104,599 | 1,364 |
| 2 | NY | $201.3M | $71 | 2,827,988 | 2,353,210 | 1,145 |
| 3 | FL | $192.3M | $82 | 2,351,371 | 2,091,688 | 1,046 |
| 4 | NC | $136.6M | $82 | 1,664,866 | 1,392,222 | 523 |
| 5 | OH | $129.8M | $64 | 2,025,534 | 1,672,198 | 429 |
| 6 | SC | $84.9M | $95 | 897,231 | 848,494 | 284 |
| 7 | TN | $84.3M | $63 | 1,335,798 | 1,139,068 | 483 |
| 8 | CA | $81.6M | $24 | 3,456,957 | 3,068,848 | 1,955 |
| 9 | MI | $78.9M | $53 | 1,480,003 | 1,392,723 | 585 |
| 10 | IN | $74.3M | $78 | 955,858 | 795,336 | 279 |
| 11 | MA | $67.2M | $91 | 737,890 | 693,662 | 549 |
| 12 | VA | $63.0M | $71 | 889,037 | 785,292 | 581 |
| 13 | MD | $61.5M | $104 | 589,591 | 509,596 | 288 |
| 14 | IL | $51.9M | $35 | 1,474,036 | 1,223,425 | 1,277 |
| 15 | LA | $51.5M | $49 | 1,054,221 | 917,639 | 363 |
| 16 | CO | $50.5M | $108 | 469,335 | 415,910 | 244 |
| 17 | AZ | $49.5M | $53 | 929,146 | 837,419 | 300 |
| 18 | NJ | $46.7M | $57 | 818,073 | 782,067 | 454 |
| 19 | MS | $46.5M | $86 | 537,481 | 480,544 | 169 |
| 20 | WA | $46.4M | $74 | 629,709 | 599,567 | 279 |
| 21 | MO | $44.8M | $87 | 515,474 | 487,316 | 686 |
| 22 | OK | $43.6M | $95 | 460,840 | 444,372 | 276 |
| 23 | AL | $43.1M | $56 | 769,301 | 714,646 | 270 |
| 24 | PA | $42.5M | $73 | 585,741 | 564,989 | 666 |
| 25 | KY | $42.1M | $60 | 698,048 | 647,666 | 234 |
57 rows · Page 1 of 3