T-MSIS provider-level spending data, Jan 2018 – Dec 2024
A/d tx program, per diem
Total Paid
$4.70B
$4,700,742,263
Beneficiaries
1.5M
1,519,281
Avg $/Claim
$258
Median: $302
Utilization
12.0 claims/bene
976 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.
Drag to zoom into a region
| # | Provider | State | Total Paid▼ | $/Claim | Cost Index | Claims | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 1 | 1477674828 PYRAMID HEALTH CARE INC. | PA | $101.6M | $296vs $302 med | 0.98x | 343,324 | 22,523 |
| 2 | 1326031022 WHITE DEER RUN, LLC | PA | $87.1M | $309vs $302 med | 1.02x | 282,028 | 21,012 |
| 3 | 1053648774 WOODLAKE MANAGEMENT, LLC | LA | $76.8M | $117vs $302 med | 0.39x | 659,322 | 26,876 |
| 4 | 1184259913 STATE OF MISSOURI | MO | $59.9M | $345vs $302 med | 1.14x | 173,797 | 13,837 |
| 5 | 1558520841 CORECARE BEHAVIORAL HEALTH MANAGEMENT, INC. | PA | $57.4M | $382vs $302 med | 1.26x | 150,427 | 10,456 |
| 6 | 1396822839 SAMARITAN DAYTOP VILLAGE, INC. | NY | $56.6M | $155vs $302 med | 0.51x | 365,616 | 16,959 |
| 7 | 1477615656 EAGLEVILLE HOSPITAL | PA | $55.2M | $424vs $302 med | 1.40x | 130,386 | 9,650 |
| 8 | 1922141167 MALVERN INSTITUTE FOR PSYCHIATRIC AND ALCOHOLIC STUDIES, INC. | PA | $55.1M | $3,466vs $302 med | 11.48x | 15,888 | 12,136 |
| 9 | 1043560808 NEW DAY RECOVERY, LLC | LA | $53.1M | $191vs $302 med | 0.63x | 278,373 | 14,881 |
| 10 | 1174691281 PHOENIX HOUSES OF LONG ISLAND, INC. | NY | $50.4M | $217vs $302 med | 0.72x | 232,604 | 12,350 |
| 11 | 1093970881 B & B OF MARION DBA RAYVILLE RECOVERY | LA | $42.6M | $396vs $302 med | 1.31x | 107,631 | 9,292 |
| 12 | 1124485149 GATEWAY REHABILITATION CENTER | PA | $38.5M | $342vs $302 med | 1.13x | 112,459 | 8,909 |
| 13 | 1134788797 ODYSSEY HOUSE LOUISIANA, INC | LA | $38.5M | $101vs $302 med | 0.33x | 381,027 | 14,818 |
| 14 | 1366820706 PECAN HAVEN ADDICTION RECOVERY CENTER, LLC | LA | $38.2M | $404vs $302 med | 1.34x | 94,402 | 10,824 |
| 15 | 1487192712 UNION PARISH SERVICES | LA | $34.7M | $288vs $302 med | 0.95x | 120,594 | 8,227 |
| 16 | 1174021406 ST. JOSEPH RECOVERY CENTER, LLC | WV | $33.8M | $217vs $302 med | 0.72x | 155,483 | 10,147 |
| 17 | 1922368166 MARYHAVEN INC. | OH | $32.9M | $192vs $302 med | 0.64x | 171,100 | 14,159 |
| 18 | 1700290301 HAVENS OF OHIO LLC | OH | $32.7M | $212vs $302 med | 0.70x | 153,970 | 12,650 |
| 19 | 1043780851 LINCOLN NOVA VITAL RECOVERY CENTER,LLC | LA | $31.3M | $305vs $302 med | 1.01x | 102,587 | 9,511 |
| 20 | 1922180652 GAUDENZIA INC | PA | $31.0M | $449vs $302 med | 1.49x | 69,055 | 6,181 |
| 21 | 1811018898 PYRAMID HEALTHCARE | PA | $29.7M | $299vs $302 med | 0.99x | 99,348 | 6,763 |
| 22 | 1043718588 BEACON POINT RECOVERY CENTER, LLC. | PA | $29.0M | $1,350vs $302 med | 4.47x | 21,514 | 6,063 |
| 23 | 1841263407 UHS RECOVERY FOUNDATION INC | PA | $29.0M | $391vs $302 med | 1.30x | 74,201 | 6,230 |
| 24 | 1609892280 HELIO HEALTH, INC. | NY | $28.6M | $1,734vs $302 med | 5.74x | 16,483 | 7,832 |
| 25 | 1659764587 NORTHSTAR REGIONAL | MN | $28.0M | $479vs $302 med | 1.59x | 58,475 | 8,878 |
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 | PA | $1.02B | $417 | 2,452,876 | 218,685 | 117 |
| 2 | MN | $695.9M | $1,211 | 574,641 | 229,274 | 123 |
| 3 | OH | $681.7M | $215 | 3,163,443 | 240,595 | 131 |
| 4 | LA | $643.6M | $146 | 4,420,452 | 200,395 | 57 |
| 5 | NY | $478.9M | $197 | 2,432,616 | 160,362 | 98 |
| 6 | WV | $273.3M | $209 | 1,306,032 | 84,688 | 35 |
| 7 | MD | $268.8M | $271 | 991,952 | 78,747 | 115 |
| 8 | CT | $138.9M | $304 | 456,935 | 29,929 | 20 |
| 9 | MO | $66.9M | $201 | 333,115 | 24,042 | 9 |
| 10 | CO | $63.0M | $300 | 209,824 | 13,825 | 38 |
| 11 | NH | $61.9M | $227 | 272,861 | 20,812 | 17 |
| 12 | VA | $34.2M | $659 | 51,989 | 14,187 | 13 |
| 13 | ME | $32.8M | $736 | 44,574 | 9,124 | 9 |
| 14 | MA | $31.4M | $1,121 | 28,026 | 2,848 | 4 |
| 15 | UT | $28.6M | $328 | 87,211 | 7,467 | 14 |
| 16 | DE | $25.3M | $246 | 103,039 | 6,978 | 9 |
| 17 | ND | $23.7M | $475 | 49,866 | 4,927 | 11 |
| 18 | WA | $23.4M | $24 | 973,207 | 123,807 | 68 |
| 19 | AK | $21.3M | $409 | 52,132 | 2,633 | 9 |
| 20 | WI | $14.0M | $1,678 | 8,315 | 6,516 | 2 |
| 21 | KY | $13.0M | $418 | 31,136 | 5,592 | 13 |
| 22 | OR | $12.3M | $464 | 26,491 | 14,624 | 8 |
| 23 | TN | $4.6M | $223 | 20,760 | 2,367 | 3 |
| 24 | MI | $3.3M | $91 | 36,788 | 4,350 | 8 |
| 25 | IL | $1.8M | $134 | 13,685 | 783 | 1 |
33 rows · Page 1 of 2