T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Preventive visit, established patient, age 1-4
Total Paid
$2.73B
$2,727,768,296
Beneficiaries
38.1M
38,068,580
Avg $/Claim
$66
Median: $105
Utilization
1.1 claims/bene
20,431 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 | 1861506560 CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON | OH | $30.2M | $139vs $105 med | 1.33x | 217,031 | 203,330 |
| 2 | 1639138480 SALTZMAN, TANIS, PITTELL, LEVIN AND JACOBSON | FL | $29.8M | $58vs $105 med | 0.56x | 510,821 | 500,059 |
| 3 | 1134152986 NATIONWIDE CHILDREN'S HOSPITAL | OH | $23.9M | $76vs $105 med | 0.72x | 314,916 | 217,174 |
| 4 | 1285016758 TOPCARE MEDICAL GROUP INC | TX | $13.8M | $61vs $105 med | 0.58x | 226,622 | 222,350 |
| 5 | 1811062763 MID ATLANTIC PEMANENTE MEDICAL GROUP | MD | $10.1M | $112vs $105 med | 1.07x | 90,301 | 88,707 |
| 6 | 1326695255 NORTON CHILDRENS MEDICAL GROUP, LLC | KY | $7.7M | $73vs $105 med | 0.70x | 104,578 | 101,701 |
| 7 | 1700828852 THE METROHEALTH SYSTEM | OH | $7.4M | $119vs $105 med | 1.14x | 62,120 | 57,687 |
| 8 | 1679525919 THE CLEVELAND CLINIC FOUNDATION | OH | $6.7M | $84vs $105 med | 0.80x | 79,897 | 56,615 |
| 9 | 1750369203 COOK CHILDREN'S PHYSICIAN NETWORK | TX | $6.4M | $83vs $105 med | 0.79x | 76,915 | 76,170 |
| 10 | 1548266547 BALTIMORE MEDICAL SYSTEM INC | MD | $6.2M | $230vs $105 med | 2.20x | 26,921 | 24,387 |
| 11 | 1104802354 PRESBYTERIAN HEALTHCARE SERVICES | NM | $6.1M | $101vs $105 med | 0.97x | 60,536 | 60,384 |
| 12 | 1366594699 THE NEMOURS FOUNDATION | DE | $6.1M | $80vs $105 med | 0.77x | 76,333 | 64,590 |
| 13 | 1841328853 CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON | OH | $6.1M | $34vs $105 med | 0.33x | 177,060 | 170,868 |
| 14 | 1548212988 CHILDREN'S HOSPITAL MEDICAL CENTER | OH | $6.0M | $119vs $105 med | 1.14x | 50,097 | 47,820 |
| 15 | 1619105244 COMMUNITY PHYSICIANS OF INDIANA INC | IN | $5.9M | $87vs $105 med | 0.84x | 67,850 | 60,874 |
| 16 | 1184016941 SOUTH CAROLINA PEDIATRICS ALLIANCE, LLC | SC | $5.8M | $98vs $105 med | 0.94x | 59,514 | 58,101 |
| 17 | 1063525152 MONTEFIORE MEDICAL CENTER | NY | $5.8M | $81vs $105 med | 0.78x | 71,704 | 71,314 |
| 18 | 1144268277 COOPER PEDIATRICS | NJ | $5.8M | $172vs $105 med | 1.65x | 33,403 | 32,733 |
| 19 | 1346249430 EAU CLAIRE COOPERATIVE HEALTH CENTER, INC. | SC | $5.4M | $186vs $105 med | 1.78x | 28,963 | 28,477 |
| 20 | 1750443503 CHILDREN'S PHYSICIANS | NE | $5.2M | $94vs $105 med | 0.90x | 55,841 | 55,035 |
| 21 | 1558452730 YECHIEL ZAGELBAUM | NY | $5.2M | $95vs $105 med | 0.91x | 55,009 | 52,760 |
| 22 | 1033494943 OUR LADY OF THE LAKE PHYSICIAN GROUP LLC | LA | $5.2M | $63vs $105 med | 0.60x | 81,999 | 74,740 |
| 23 | 1295763217 PRISMA HEALTH UNIVERSITY MEDICAL GROUP | SC | $5.1M | $78vs $105 med | 0.75x | 65,459 | 64,906 |
| 24 | 1942241146 UTMB FACULTY GROUP PRACTICE | TX | $5.0M | $86vs $105 med | 0.82x | 58,319 | 57,669 |
| 25 | 1619969458 SUN RIVER HEALTH INC. | NY | $5.0M | $69vs $105 med | 0.66x | 72,482 | 41,182 |
50 rows · Page 1 of 2
Each dot is a state. X = average cost per claim. Y = total spending.
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| # | State | Total Paid▼ | Avg $/Claim | Claims | Beneficiaries | Providers |
|---|---|---|---|---|---|---|
| 1 | TX | $278.8M | $75 | 3,699,956 | 3,605,711 | 1,502 |
| 2 | NY | $246.4M | $69 | 3,587,742 | 3,083,300 | 1,419 |
| 3 | FL | $238.3M | $86 | 2,770,898 | 2,581,352 | 1,132 |
| 4 | NC | $143.5M | $86 | 1,670,950 | 1,456,545 | 556 |
| 5 | OH | $140.7M | $67 | 2,095,722 | 1,768,149 | 482 |
| 6 | TN | $97.1M | $71 | 1,363,104 | 1,208,385 | 521 |
| 7 | MI | $93.1M | $61 | 1,514,802 | 1,488,120 | 664 |
| 8 | CA | $89.0M | $16 | 5,427,702 | 4,832,733 | 2,408 |
| 9 | SC | $85.5M | $98 | 871,919 | 857,827 | 378 |
| 10 | MD | $74.6M | $111 | 670,119 | 618,802 | 324 |
| 11 | VA | $74.5M | $78 | 961,364 | 920,695 | 648 |
| 12 | IN | $73.8M | $83 | 894,244 | 787,429 | 295 |
| 13 | MA | $69.2M | $87 | 796,716 | 788,826 | 625 |
| 14 | IL | $63.8M | $39 | 1,636,489 | 1,376,099 | 1,391 |
| 15 | NJ | $62.2M | $63 | 987,452 | 959,596 | 549 |
| 16 | PA | $59.1M | $77 | 769,711 | 756,496 | 820 |
| 17 | LA | $56.9M | $52 | 1,089,640 | 973,460 | 414 |
| 18 | WA | $49.1M | $78 | 630,481 | 622,650 | 299 |
| 19 | AZ | $47.4M | $58 | 823,323 | 770,313 | 306 |
| 20 | KY | $46.6M | $68 | 681,064 | 655,570 | 264 |
| 21 | MS | $46.5M | $89 | 523,563 | 474,311 | 219 |
| 22 | AL | $44.2M | $54 | 819,466 | 763,740 | 299 |
| 23 | CO | $42.0M | $96 | 436,052 | 396,073 | 261 |
| 24 | GA | $40.8M | $95 | 430,771 | 409,962 | 180 |
| 25 | OK | $40.0M | $96 | 417,919 | 417,526 | 286 |
56 rows · Page 1 of 3