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

G9012Procedures/Services

Other specified case mgmt

Total Paid

$2.25B

$2,253,706,986

Beneficiaries

8.3M

8,270,802

Avg $/Claim

$108

Median: $108

Utilization

2.5 claims/bene

1,562 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
1265529168

STATE OF OKLAHOMA DEPT OF HUMAN SERVICES

OK$224.5M$455vs $108 med4.20x493,379454,552
2
1174610075

STATE OF OKLAHOMA DEPT. OF HUMAN SERVICES

OK$187.3M$230vs $108 med2.12x814,826381,018
3
1205906948

STATE OF MISSOURI

MO$78.4M$85vs $108 med0.78x922,871258,592
4
1346731171

ARS TREATMENT CENTERS, P.C.

PA$46.2M$247vs $108 med2.28x186,745179,991
5
1861521809

ABILITIES FIRST

MO$46.0M$81vs $108 med0.75x564,829116,938
6
1649809526

SERENE HEALTH

CA$41.4M$138vs $108 med1.27x299,97297,716
7
1861662827

DEVELOPMENTAL DISABILITY SERVICES OF JACKSON COUNTY - EITAS

MO$41.2M$67vs $108 med0.61x618,938115,462
8
1366807760

MEDZED PHYSICIAN SERVICES, INC.

CA$33.6M$240vs $108 med2.21x140,36091,451
9
1366576514

CHILDREN'S THERAPY CENTER OF PETTIS COUNTY, INC

MO$33.5M$67vs $108 med0.61x503,07395,413
10
1780801837

HANDICAP FACILITIES OF ST CHARLES COUNTY

MO$29.6M$48vs $108 med0.44x619,40285,032
11
1356889539

AMERICAN TRUECARE, INC

CA$26.8M$366vs $108 med3.38x73,13059,839
12
1003186156

DEVELOPMENTAL DISABILITIES RESOURCE BOARD OF CLAY COUNTY

MO$24.5M$51vs $108 med0.47x480,88981,125
13
1831239383

BOONE COUNTY FAMILY RESOURCES

MO$23.0M$49vs $108 med0.45x473,652109,652
14
1831237080

JASPER COUNTY SHELTERED FACILITIES BOARD

MO$21.3M$88vs $108 med0.81x241,66358,858
15
1548739170

SAVIDA HEALTH, PC

VA$18.4M$231vs $108 med2.13x79,64674,914
16
1669782850

ALLIANCE CASE MANAGEMENT

ME$17.7M$122vs $108 med1.13x145,39648,676
17
1073644076

JEFFERSON COUNTY DEVELOPMENTAL DISBILITIES RESOURCE BOARD

MO$17.4M$70vs $108 med0.64x249,11148,597
18
1083764724

INDEPENDENT LIVING SYSTEMS LLC

FL$16.2M$156vs $108 med1.44x103,72458,217
19
1952328700

COMMUNITY RESEARCH FOUNDATION INC

CA$15.7M$299vs $108 med2.76x52,53126,706
20
1689375230

FULL CIRCLE HEALTH NETWORK

CA$15.1M$93vs $108 med0.86x163,08191,960
21
1245300987

STATE OF MISSOURI

MO$14.6M$84vs $108 med0.78x173,69152,912
22
1477643104

OFFICE OF JUVENILE AFFAIRS, STATE OF OKLAHOMA

OK$14.2M$300vs $108 med2.77x47,39142,952
23
1114052024

PROGRESSIVE COMMUNITY SERVICES

MO$14.0M$50vs $108 med0.46x279,04239,499
24
1699135939

PETTIS COUNTY BOARD OF SERVICES FOR THE DEVELOPMENTALLY DISABLED

MO$13.8M$46vs $108 med0.43x298,58441,122
25
1407518780

UPWARD HEALTH OF CALIFORNIA, PC

CA$13.5M$192vs $108 med1.77x70,55434,557

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
1MO$645.0M$6310,205,7751,977,40480
2CA$467.6M$1074,363,7142,384,397718
3OK$426.0M$3141,355,596878,5223
4PA$238.8M$255935,712913,050315
5VA$180.0M$220819,720755,288116
6ME$147.6M$771,907,810463,09750
7FL$65.5M$149440,151376,25047
8TN$12.2M$18565,65754,83414
9MA$11.6M$26843,41343,1883
10TX$10.4M$12583,70458,18034
11IA$7.4M$11763,46816,6009
12NC$7.4M$7598,73330,68421
13NH$6.5M$9369,59622,6854
14WY$4.3M$5578,83129,92944
15IN$4.2M$21319,52618,8611
16MD$3.4M$20017,14816,9414
17OR$2.6M$3278,0937,34015
18MN$2.4M$16145,599102,30611
19DC$2.2M$1,0212,1212,0821
20AR$1.4M$1974,55134,6031
21AL$1.3M$1871,15934,4552
22RI$929K$959,7376,7679
23OH$927K$2004,6233,8882
24WV$640K$2802,2832,2812
25DE$583K$1244,6823,9736

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