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

G0467Procedures/Services

Fqhc visit, estab pt

Total Paid

$909.0M

$909,015,665

Beneficiaries

15.2M

15,215,878

Avg $/Claim

$46

Median: $76

Utilization

1.3 claims/bene

4,920 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
1669479929

WESTSIDE FAMILY HEALTHCARE, INC.

DE$30.5M$174vs $76 med2.27x175,679128,861
2
1811065576

FAMILY HEALTH CENTER INC

MI$25.1M$75vs $76 med0.98x335,590224,146
3
1780784439

CENTER FOR FAMILY HEALTH

MI$20.4M$70vs $76 med0.92x289,854249,631
4
1518945278

GRACE HEALTH, INC.

MI$20.2M$72vs $76 med0.95x279,245224,499
5
1093894172

UNITY HEALTH CARE, INC.

DC$16.0M$41vs $76 med0.54x386,266302,191
6
1881697381

LAKE COUNTY TRIBAL HEALTH CONSORTIUM INC.

CA$13.7M$417vs $76 med5.46x32,88522,197
7
1669530986

CHERRY STREET SERVICES, INC.

MI$11.8M$66vs $76 med0.86x180,498157,621
8
1326055450

ALCONA CITIZENS FOR HEALTH, INC.

MI$11.0M$46vs $76 med0.60x241,157202,362
9
1477721058

SAULT TRIBE OF CHIPPEWA INDIANS

MI$10.9M$372vs $76 med4.87x29,30725,723
10
1043373244

THE WELLNESS PLAN MEDICAL CENTERS

MI$10.6M$65vs $76 med0.86x162,863137,856
11
1023560331

FAMILY HEALTH CENTER, INC.

MI$9.6M$72vs $76 med0.95x132,67193,329
12
1255331583

MGH FAMILY HEALTH CENTER

MI$8.2M$62vs $76 med0.81x131,226107,329
13
1568455053

GREENVILLE RANCHERIA

CA$8.1M$249vs $76 med3.25x32,76517,757
14
1114057163

CHAPA-DE INDIAN HEALTH PROGRAM, INC.

CA$8.1M$307vs $76 med4.02x26,26121,021
15
1629066238

HACKLEY COMMUNITY CARE CENTER INC

MI$8.1M$69vs $76 med0.91x116,31899,191
16
1982614103

INTERCARE COMMUNITY HEALTH NETWORK

MI$7.8M$69vs $76 med0.90x114,154102,083
17
1780702571

GREAT LAKES BAY HEALTH CENTERS

MI$6.3M$48vs $76 med0.63x129,623111,504
18
1720152275

HAMILTON COMMUNITY HEALTH NETWORK INC.

MI$5.9M$54vs $76 med0.70x110,42187,542
19
1205004884

SAULT TRIBE OF CHIPPEWA INDIANS

MI$5.8M$421vs $76 med5.52x13,67111,970
20
1518911304

NORTH EAST MEDICAL SERVICES

CA$5.5M$52vs $76 med0.69x104,95685,963
21
1992012306

ROLLING HILLS CLINIC

CA$5.4M$398vs $76 med5.21x13,68111,272
22
1912998287

MIDMICHIGAN HEALTH SERVICES

MI$5.4M$54vs $76 med0.71x98,93779,675
23
1497833271

POKAGON BAND OF POTAWATOMI INDIANS

MI$5.3M$371vs $76 med4.86x14,40810,839
24
1184616617

WHITMAN-WALKER CLINIC, INC

DC$5.3M$72vs $76 med0.94x73,25743,357
25
1265519813

NEVADA HEALTH CENTERS INC

NV$5.2M$108vs $76 med1.41x48,22739,456

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
1MI$402.8M$685,889,7444,959,656289
2CA$226.1M$683,345,0572,675,0291,030
3DE$44.0M$165266,806197,24315
4MA$33.7M$38883,144722,147106
5DC$29.3M$39753,602529,60631
6NV$26.2M$88297,885237,51442
7NY$23.8M$44546,169245,231117
8ME$21.6M$52414,654309,67480
9HI$8.2M$57143,142108,98033
10WA$7.9M$14546,096436,633165
11NM$7.1M$25285,487216,061102
12IN$6.5M$21305,912228,545156
13CT$5.9M$16372,899299,54533
14KY$5.8M$8707,754277,30744
15OH$5.3M$15345,690283,553225
16MN$4.7M$8257,10245,58022
17VT$4.3M$21208,436145,99849
18TX$4.2M$31132,805118,904146
19MO$3.9M$25157,473139,943116
20OK$3.8M$31125,122113,86184
21CO$3.5M$16214,397165,501107
22AR$3.3M$19173,334143,294115
23VA$3.2M$13245,835196,846121
24AK$2.8M$4266,09956,03415
25IA$2.0M$3361,23150,93125

53 rows · Page 1 of 3