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

H0036Behavioral Health

Comm psy face-face per 15min

Total Paid

$4.54B

$4,540,606,914

Beneficiaries

13.6M

13,613,698

Avg $/Claim

$80

Median: $160

Utilization

4.2 claims/bene

2,659 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.

Drag to zoom into a region

Provider Rankings

#ProviderStateTotal Paid$/ClaimCost IndexClaimsBeneficiaries
1
1447886288

STATE OF MISSOURI

MO$206.6M$145vs $160 med0.91x1,425,131422,928
2
1396048070

MBI HEALTH SERVICES LLC

DC$137.9M$86vs $160 med0.54x1,603,480222,894
3
1902999022

SATE OF ALABAMA DEPT OF FINANCE

AL$137.3M$102vs $160 med0.64x1,347,59849,368
4
1083765689

ALABAMA DEPARTMENT OF MENTAL HEALTH AND MENTAL RETARDATION

AL$131.1M$46vs $160 med0.29x2,864,369168,964
5
1306875695

YOUTH VILLAGES, INC.

TN$74.7M$541vs $160 med3.38x138,08025,657
6
1619279940

PREVENTIVE MEASURE OF WASHINGTON DC, LLC

DC$74.3M$89vs $160 med0.55x839,25892,814
7
1831361773

ALABAMA DEPARTMENT OF YOUTH SERVICES

AL$63.4M$122vs $160 med0.76x520,74915,513
8
1366939225

DISTRICT HEALTHCARE SERVICES, LLC

DC$61.8M$91vs $160 med0.57x680,96178,050
9
1437628914

NEW HOPE HEALTH SERVICES, LLC

DC$50.0M$100vs $160 med0.62x500,71645,867
10
1578199238

STATE OF MISSOURI

MO$42.2M$134vs $160 med0.83x315,623100,109
11
1255857405

KINARA HEALTH AND HOME CARE SERVICES LLC

DC$39.9M$87vs $160 med0.54x458,43955,490
12
1265483457

COMMUNITY MENTAL HEALTH AUTHORITY OF CLINTON EATON INGHAM COUNTIES

MI$39.5M$305vs $160 med1.91x129,46841,150
13
1467837104

EMPOWER U.

NJ$39.3M$237vs $160 med1.48x165,84444,711
14
1033685953

WELLNESS HEALTH SERVICES, LLC

DC$37.2M$89vs $160 med0.56x418,46054,315
15
1184865776

STARFISH FAMILY SERVICES INC.

MI$35.3M$382vs $160 med2.39x92,27024,771
16
1144516824

PRESTIGE HEALTHCARE RESOURCES INC.

MD$34.8M$64vs $160 med0.40x541,63043,314
17
1376526616

EASTERSEALS MORC HEALTH CARE, INC.

MI$34.7M$223vs $160 med1.39x155,61138,149
18
1356795975

ALLIED BEHAVIORAL HEALTHCARE SERVICES

NJ$34.0M$212vs $160 med1.32x160,82248,930
19
1447716733

NYA HEALTH SERVICES INC

DC$33.5M$91vs $160 med0.57x369,90947,674
20
1083146013

PHOENIX GROUP HOME LLC

OH$31.5M$99vs $160 med0.62x317,01586,666
21
1750682357

LIFE ENHANCEMENT SERVICES OF DC, LLC

DC$30.8M$93vs $160 med0.58x330,20945,963
22
1669531810

MAHAJAN THERAPEUTICS, LLC

OH$30.7M$75vs $160 med0.47x407,446154,192
23
1649277559

NORTHWOOD HEALTH SYSTEMS INC

WV$30.0M$609vs $160 med3.80x49,3018,006
24
1649769662

ONE CARE DC INC

DC$28.8M$84vs $160 med0.53x341,38839,128
25
1326173477

CARING COUNSELORS, INC.

NJ$24.8M$222vs $160 med1.38x111,79634,808

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
1DC$796.1M$889,083,3181,238,12257
2NJ$615.2M$2052,997,693902,455390
3OH$492.1M$558,885,1283,205,812735
4LA$483.0M$766,315,5551,533,771461
5MI$435.0M$2981,462,312396,03193
6AL$338.8M$704,823,022244,44312
7KS$258.6M$1002,574,457915,14963
8MO$248.7M$2410,564,0172,850,40123
9MT$147.1M$841,747,310158,70790
10PA$143.9M$1141,264,179215,01196
11NY$126.4M$1091,160,465235,00896
12TN$99.5M$434229,13365,84612
13NC$81.4M$93872,258239,747170
14WV$69.6M$465149,82127,16124
15MS$63.6M$601,065,564404,26828
16DE$42.2M$162261,09644,01821
17MD$36.3M$65561,88445,5974
18VA$19.7M$177111,13069,62554
19RI$16.7M$131,296,085364,92389
20WA$8.0M$14565,073307,03330
21CO$3.0M$26113,99952,78432
22TX$2.1M$10021,4485,0256
23OK$1.9M$4048,69523,3086
24GA$1.9M$9819,2234,4779
25OR$1.0M$2737,7258,60217

37 rows · Page 1 of 2