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

G0463Procedures/Services

Hospital outpt clinic visit

Total Paid

$4.45B

$4,447,234,570

Beneficiaries

58.0M

58,015,043

Avg $/Claim

$61

Median: $72

Utilization

1.3 claims/bene

3,289 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.

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Provider Rankings

#ProviderStateTotal Paid$/ClaimCost IndexClaimsBeneficiaries
1
1679525919

THE CLEVELAND CLINIC FOUNDATION

OH$270.0M$107vs $72 med1.49x2,534,3072,108,085
2
1700828852

THE METROHEALTH SYSTEM

OH$233.9M$109vs $72 med1.52x2,149,2041,815,709
3
1437175734

VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY

VA$120.6M$185vs $72 med2.58x651,324484,205
4
1578778726

YALE NEW HAVEN HOSPITAL

CT$115.8M$93vs $72 med1.30x1,248,173948,888
5
1407897309

HENNEPIN HEALTHCARE SYSTEM, INC

MN$105.1M$92vs $72 med1.29x1,139,423963,643
6
1942256888

HOLZER HOSPITAL FOUNDATION

OH$74.7M$105vs $72 med1.47x710,035597,489
7
1689747552

UNM HOSPITAL

NM$72.3M$79vs $72 med1.11x909,870749,869
8
1003878539

REGENTS OF THE UNIVERSITY OF MICHIGAN

MI$56.9M$46vs $72 med0.64x1,244,348998,265
9
1376544320

STATE UNIVERSITY OF IOWA

IA$54.9M$92vs $72 med1.28x598,678534,843
10
1669423380

MAINEGENERAL MEDICAL CENTER

ME$46.9M$66vs $72 med0.91x716,216525,350
11
1053359729

HARBORVIEW MEDICAL CENTER

WA$45.3M$81vs $72 med1.13x558,652420,823
12
1467447508

BROADLAWNS MEDICAL CENTER

IA$44.9M$99vs $72 med1.38x454,667406,053
13
1366515488

THE CHILDREN'S MERCY HOSPITAL

MO$44.6M$166vs $72 med2.32x268,474261,078
14
1588656870

UNIVERSITY OF UTAH

UT$43.6M$49vs $72 med0.68x894,326705,845
15
1134144801

HENRY FORD HEALTH SYSTEM

MI$42.1M$43vs $72 med0.60x986,870805,775
16
1053357244

PUBLIC HOSPITAL DIST NO 1 SKAGIT

WA$39.9M$88vs $72 med1.23x452,469364,073
17
1396882205

VANDERBILT UNIVERSITY MEDICAL CENTER

TN$39.7M$75vs $72 med1.05x529,039475,605
18
1053342816

SOUTHERN OHIO MEDICAL CENTER

OH$38.8M$100vs $72 med1.40x387,130304,809
19
1649209230

PUBLIC HOSPITAL DISTRICT 1 OF KING COUNTY

WA$38.1M$91vs $72 med1.27x418,964336,809
20
1700827896

COVENANT MEDICAL CENTER INC

IA$36.5M$95vs $72 med1.32x385,656347,770
21
1609824010

OREGON HEALTH & SCIENCE UNIVERSITY

OR$35.7M$80vs $72 med1.12x443,687396,649
22
1790789147

EASTERN MAINE MEDICAL CENTER

ME$34.2M$66vs $72 med0.92x519,824405,719
23
1467595793

TRUMAN MEDICAL CENTER, INCORPORATED

MO$31.8M$89vs $72 med1.25x355,858323,739
24
1972507580

KADLEC REGIONAL MEDICAL CENTER

WA$31.7M$84vs $72 med1.17x377,050310,562
25
1467537886

MERCY HEALTH SERVICES-IOWA CORP

IA$30.2M$97vs $72 med1.35x311,757273,010

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
1OH$889.7M$979,188,2727,609,691151
2MI$426.4M$528,197,0316,935,364152
3WA$391.2M$814,810,9353,702,818103
4MN$355.4M$794,492,0873,947,25081
5CT$278.4M$893,142,7832,369,89835
6ME$251.5M$624,081,2153,178,65756
7MO$209.2M$832,519,6092,278,81097
8IA$198.0M$902,208,1121,951,49971
9VA$194.3M$1121,729,3091,262,21471
10NY$181.2M$931,950,5981,557,161181
11NM$123.4M$781,581,5921,313,02938
12MA$112.9M$274,191,6053,172,583106
13CA$101.0M$343,012,2722,409,944267
14IN$91.7M$721,272,149942,89199
15KY$85.2M$342,510,2611,843,55877
16TN$70.3M$471,484,3081,260,79163
17OR$67.4M$601,117,403933,42944
18NC$58.2M$272,137,0891,837,97286
19UT$45.4M$46980,280768,07928
20FL$40.1M$321,235,894738,856133
21AL$37.2M$43868,919739,76443
22AK$34.0M$210161,573122,22226
23ND$23.2M$61382,312334,41610
24DC$22.1M$97226,418173,87811
25PA$16.6M$36454,743405,064100

53 rows · Page 1 of 3