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

S0280Private Payer

Medical home, initial plan

Total Paid

$925.8M

$925,803,458

Beneficiaries

5.1M

5,083,508

Avg $/Claim

$141

Median: $127

Utilization

1.3 claims/bene

414 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
1083632897

MENTAL HEALTH COOPERATIVE, INC

TN$243.9M$176vs $127 med1.39x1,382,8251,146,451
2
1043267107

VOLUNTEER BEHAVIORAL HEALTH CARE SYSTEM

TN$118.1M$94vs $127 med0.74x1,253,637683,606
3
1730366824

HEALTH CONNECT AMERICA, INC

TN$83.2M$153vs $127 med1.20x543,347485,155
4
1659330686

HELEN ROSS MCNABB CENTER

TN$80.7M$154vs $127 med1.21x524,011456,456
5
1396767430

CENTERSTONE OF TENNESSEE, INC.

TN$67.9M$147vs $127 med1.15x462,490378,367
6
1881024172

OMNI COMMUNITY HEALTH, INC.

TN$49.4M$156vs $127 med1.23x316,587279,045
7
1720147408

FRONTIER HEALTH

TN$41.8M$153vs $127 med1.20x272,986220,349
8
1295898393

ALLIANCE HEALTHCARE SERVICES

TN$23.7M$155vs $127 med1.22x152,803140,635
9
1831397645

CAMELOT CARE CENTERS, LLC

TN$21.5M$167vs $127 med1.31x128,319110,540
10
1326116476

CASE MANAGEMENT INC

TN$16.6M$160vs $127 med1.26x104,05090,774
11
1457351215

PROFESSIONAL CARE SERVICES OF WEST TN, INC.

TN$16.6M$163vs $127 med1.28x101,41991,887
12
1497721609

PATHWAYS OF TENNESSEE, INC.

TN$16.6M$122vs $127 med0.95x136,26089,532
13
1255442794

MENTAL HEALTH CENTERS & CLINICS OF TENNESSEE

TN$12.8M$155vs $127 med1.21x83,09669,957
14
1134128820

CHEROKEE HEALTH SYSTEMS

TN$10.3M$147vs $127 med1.16x69,84861,479
15
1437125416

OMNI COMMUNITY HEALTH

TN$9.0M$146vs $127 med1.14x61,65747,843
16
1396739165

PARKWEST MEDICAL CENTER

TN$8.8M$153vs $127 med1.20x57,76247,408
17
1184659229

RIDGEVIEW PSYCHIATRIC HOSPITAL AND CENTER, INC.

TN$8.1M$155vs $127 med1.22x52,20145,791
18
1245212380

GENERATIONS HEALTH ASSOCIATION, INC.

TN$7.7M$88vs $127 med0.69x87,70343,323
19
1760568877

CAREY COUNSELING CENTER, INC.

TN$6.9M$88vs $127 med0.69x78,01738,797
20
1770538068

CNS HEALTHCARE

MI$4.2M$318vs $127 med2.50x13,27510,372
21
1174760920

CHEROKEE HEALTH SYSTEMS

TN$4.1M$148vs $127 med1.16x28,05723,978
22
1376526616

EASTERSEALS MORC HEALTH CARE, INC.

MI$4.1M$327vs $127 med2.57x12,4419,514
23
1396750188

NYSTROM & ASSOCIATES, LTD

MN$2.9M$297vs $127 med2.33x9,6738,873
24
1558761981

NATALIS OUTCOMES, LLC

MN$2.5M$268vs $127 med2.10x9,3038,457
25
1164641676

NORTHERN MICHIGAN SUBSTANCE ABUSE SERVICES, INC.

MI$2.5M$127vs $127 med0.99x19,5637,557

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
1TN$853.2M$1445,942,2564,585,24640
2MI$47.7M$188254,078152,73888
3MN$10.4M$23943,47538,68841
4NC$5.4M$41131,257109,796161
5IA$2.5M$3668,59865,20418
6MA$2.3M$12218,65618,38017
7WI$1.0M$2823,6953,3892
8WY$331K$657,92457,4863
9CA$248K$514,8643,75311
10KS$90K$1048657007
11SC$8K$54147981
12FL$8K$11171651
13SD$2K$9020181
14ND$1K$2266663
15NM$650$041,48236,79811
16GA$0$031131
17LA$0$012121
18OH$0$01211191