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
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H0035Behavioral Health

Mh partial hosp tx under 24h

Total Paid

$1.81B

$1,807,047,518

Beneficiaries

1.3M

1,277,289

Avg $/Claim

$128

Median: $141

Utilization

11.1 claims/bene

794 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
1942217054

RUTGERS HEALTH - UNIVERSITY BEHAVIORAL HEALTH CARE

NJ$69.9M$301vs $141 med2.14x232,02120,770
2
1891871489

POSITIVE CHANGES LLC

OK$44.3M$151vs $141 med1.07x293,08419,437
3
1518009588

PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NON-PROFIT CORPORATION

NJ$33.2M$213vs $141 med1.51x156,30618,751
4
1093891335

FAMILY PRESERVATION SERVICES LLC

VA$31.7M$89vs $141 med0.63x357,10528,481
5
1730421553

ADDICTION RECOVERY CARE LLC

KY$27.5M$168vs $141 med1.19x164,00931,410
6
1528064409

VIRTUA - WEST JERSEY HEALTH SYSTEM, INC.

NJ$26.8M$298vs $141 med2.11x89,9617,484
7
1568512010

HELPING HAND BEHAVIORAL HEALTH CORP.

NJ$22.3M$89vs $141 med0.63x251,57115,337
8$21.8M$150vs $141 med1.07x145,07819,188
9
1689744856

JERSEY CITY MEDICAL CENTER

NJ$21.0M$270vs $141 med1.92x77,7677,206
10
1447614698

BLUEPRINTS FOR ADDICTION RECOVERY

PA$18.6M$282vs $141 med2.00x65,9224,371
11
1083765689

ALABAMA DEPARTMENT OF MENTAL HEALTH AND MENTAL RETARDATION

AL$18.2M$178vs $141 med1.26x102,2968,672
12
1730366824

HEALTH CONNECT AMERICA, INC

TN$18.1M$82vs $141 med0.58x219,58518,840
13
1811053101

COMMUNITY PSYCHIATRIC INSTITUTE

NJ$18.0M$84vs $141 med0.60x213,23116,439
14
1871658757

PSYCHIATRIC SERVICES OF EAST TENNESSEE

TN$16.1M$183vs $141 med1.30x88,0587,047
15
1619289634

MERAKEY PENNSYLVANIA

PA$16.1M$428vs $141 med3.04x37,5562,713
16
1861983413

MOONLIGHT MOUNTAIN RECOVERY, INC

ID$16.0M$401vs $141 med2.84x39,9273,689
17
1598992182

NEW ESSECARE OF NJ LLC

NJ$15.1M$83vs $141 med0.59x181,26011,977
18
1609995141

OKLAHOMA FAMILY COUNSELING CENTERS

OK$14.5M$160vs $141 med1.14x90,3685,468
19
1215182928

PRAIRIECARE LLC

MN$14.0M$296vs $141 med2.10x47,4415,289
20
1164487542

INSPIRA MEDICAL CENTERS, INC.

NJ$12.7M$325vs $141 med2.30x39,1683,497
21
1629169016

DOMINION DAY TREATMENT LLC.

VA$12.6M$100vs $141 med0.71x125,3468,988
22
1043354442

ADVANCED BEHAVIORAL CARE SERVICES, LLC

NJ$12.5M$86vs $141 med0.61x145,14410,476
23
1255365599

MOUNT ROGERS COMMUNITY SERVICES

VA$12.1M$96vs $141 med0.68x126,42311,082
24
1942270699

REGION TEN COMMUNITY COMMUNITY SERVICES BOARD

VA$12.1M$100vs $141 med0.71x121,3679,881
25
1093928731

BEHAVIORAL CROSSROADS LLC

NJ$12.1M$89vs $141 med0.63x136,19211,192

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
1NJ$717.7M$1056,868,064586,412171
2VA$279.1M$1072,602,435232,126144
3PA$232.8M$1491,563,504137,344111
4KY$121.9M$170715,41878,14757
5OK$59.8M$154389,20225,3634
6TN$58.9M$133442,33340,16720
7IN$44.3M$199222,96121,49620
8MN$31.6M$304103,80011,11713
9MA$25.6M$31581,26011,59433
10ID$21.9M$40154,6255,2917
11NY$21.7M$217100,11613,17025
12CT$19.6M$165118,96218,38512
13AL$18.4M$179102,9248,7392
14RI$18.0M$73724,4643,0367
15TX$17.1M$24869,0969,40717
16NV$13.3M$23855,7597,92317
17CO$11.6M$46824,8243,15310
18ND$7.2M$36419,8092,6582
19OR$6.7M$45014,8971,3366
20MS$4.9M$12539,1073,0253
21WA$4.5M$7336,1336025
22NC$4.2M$16425,9182,01412
23IA$4.2M$15027,9443,10010
24OH$2.9M$3009,7239347
25FL$2.8M$4168,4722,9749

36 rows · Page 1 of 2