T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Mccd, risk adj, maintenance
Total Paid
$2.08B
$2,075,643,464
Beneficiaries
10.7M
10,715,973
Avg $/Claim
$161
Median: $26
Utilization
1.2 claims/bene
220 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 | 1730451071 COORDINATED BEHAVIORAL CARE, INC | NY | $288.4M | $307vs $26 med | 11.90x | 939,464 | 938,744 |
| 2 | 1366780850 COMMUNITY CARE MANAGEMENT PARTNERS LLC (CCMP) | NY | $226.9M | $291vs $26 med | 11.29x | 778,913 | 778,411 |
| 3 | 1750053948 SRH CHN LEAD HEALTH HOME LLC | NY | $209.0M | $296vs $26 med | 11.48x | 705,561 | 705,166 |
| 4 | 1619969458 SUN RIVER HEALTH INC. | NY | $161.8M | $309vs $26 med | 11.98x | 523,334 | 522,952 |
| 5 | 1932472107 NORTH SHORE UNIVERSITY HOSPITAL | NY | $130.9M | $310vs $26 med | 12.01x | 422,424 | 420,937 |
| 6 | 1023354933 SOUTHWEST BROOKLYN HEALTH HOME, LLC | NY | $109.2M | $300vs $26 med | 11.63x | 363,922 | 363,564 |
| 7 | 1275937518 HUDSON VALLEY CARE COALITION | NY | $80.3M | $331vs $26 med | 12.83x | 242,621 | 242,447 |
| 8 | 1952518078 COMMUNITY HEALTHCARE NETWORK, INC | NY | $75.7M | $262vs $26 med | 10.15x | 289,199 | 289,075 |
| 9 | 1073614533 HUTHER DOYLE MEMORIAL INSTITUTE | NY | $73.2M | $316vs $26 med | 12.25x | 231,687 | 231,687 |
| 10 | 1831461847 MONTEFIORE MEDICAL CENTER | NY | $68.4M | $303vs $26 med | 11.73x | 226,102 | 225,622 |
| 11 | 1235184235 ONONDAGA CASE MANAGEMENT SERVICES INC. | NY | $63.6M | $333vs $26 med | 12.90x | 191,123 | 191,117 |
| 12 | 1922210657 BESTSELF BEHAVIORAL HEALTH, INC. | NY | $57.6M | $307vs $26 med | 11.92x | 187,476 | 187,473 |
| 13 | 1740554229 GREATER ROCHESTER HEALTH HOME NETWORK, LLC | NY | $55.2M | $334vs $26 med | 12.94x | 165,307 | 165,254 |
| 14 | 1396151791 CNYHHN INC | NY | $54.6M | $310vs $26 med | 12.02x | 175,959 | 175,952 |
| 15 | 1043267727 SAMARITAN HOSPITAL OF TROY, NEW YORK | NY | $43.4M | $331vs $26 med | 12.83x | 131,014 | 131,014 |
| 16 | 1033484894 GREATER BUFFALO UNITED IPA | NY | $41.5M | $233vs $26 med | 9.02x | 178,342 | 178,272 |
| 17 | 1740557735 ADIRONDACK HEALTH INSTITUTE | NY | $37.5M | $347vs $26 med | 13.47x | 108,036 | 108,027 |
| 18 | 1114558509 NEW YORK CITY HEALTH AND HOSPITAL CORPORATION | NY | $31.6M | $322vs $26 med | 12.47x | 98,231 | 97,990 |
| 19 | 1215292305 QUEENS COORDINATED CARE PARTNERS | NY | $31.1M | $289vs $26 med | 11.19x | 107,523 | 107,462 |
| 20 | 1679236756 CINQ-NY HEALTH HOME IPA, LLC | NY | $26.2M | $248vs $26 med | 9.63x | 105,507 | 105,136 |
| 21 | 1508868407 BESTSELF BEHAVIORAL HEALTH, INC. | NY | $25.8M | $302vs $26 med | 11.72x | 85,503 | 85,503 |
| 22 | 1477807097 CHAUTAUQUA COUNTY DMH HEALTH HOMES | NY | $25.7M | $319vs $26 med | 12.38x | 80,572 | 80,570 |
| 23 | 1285717298 NIAGARA FALLS MEMORIAL MEDICAL CENTER | NY | $20.3M | $259vs $26 med | 10.04x | 78,220 | 78,162 |
| 24 | 1104982917 ST LUKES ROOSEVELT HOSPITAL CENTER | NY | $17.9M | $291vs $26 med | 11.27x | 61,622 | 61,595 |
| 25 | 1508815333 ST JOSEPHS HOSPITAL HEALTH CENTER | NY | $16.3M | $260vs $26 med | 10.07x | 62,760 | 62,739 |
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 | NY | $2.06B | $302 | 6,815,319 | 6,809,027 | 37 |
| 2 | MN | $9.1M | $47 | 194,719 | 84,032 | 17 |
| 3 | OR | $2.3M | $34 | 67,812 | 45,533 | 40 |
| 4 | OK | $1.9M | $452 | 4,186 | 4,132 | 19 |
| 5 | FL | $923K | $54 | 17,003 | 16,212 | 18 |
| 6 | NM | $844K | $213 | 3,968 | 3,956 | 3 |
| 7 | AZ | $738K | $181 | 4,071 | 4,070 | 2 |
| 8 | AL | $625K | $182 | 3,427 | 2,631 | 2 |
| 9 | TN | $34K | $0 | 3,078,069 | 2,145,421 | 38 |
| 10 | PA | $3K | $35 | 97 | 97 | 1 |
| 11 | IN | $0 | $0 | 56 | 56 | 1 |
| 12 | MA | $0 | $0 | 2,692,990 | 1,589,487 | 29 |
| 13 | OH | $0 | $0 | 166 | 166 | 7 |