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

T2025State Medicaid

Waiver service, nos

Total Paid

$3.63B

$3,628,332,155

Beneficiaries

2.9M

2,875,845

Avg $/Claim

$177

Median: $213

Utilization

7.1 claims/bene

690 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
1124304621

PUBLIC PARTNERSHIPS-COLORADO, INC.

MA$864.1M$161vs $213 med0.76x5,354,356236,970
2
1417262056

PUBLIC PARTNERSHIPS LLC

NY$178.7M$50vs $213 med0.23x3,599,375233,839
3
1356709976

DEPARTMENT OF INTELLECTUAL AND DEVELOPMENTAL DISABILITIES, STATE OF TN

TN$176.0M$597vs $213 med2.81x294,72110,158
4
1801276738

PALCO, INC.

AR$160.7M$152vs $213 med0.71x1,058,79441,169
5DE$113.9M$1,400vs $213 med6.58x81,3886,515
6
1104931625

CHIMES METRO, INC.

DE$113.1M$406vs $213 med1.91x278,4138,793
7
1568525640

KEYSTONE SERVICE SYSTEMS, INC.

DE$77.8M$611vs $213 med2.87x127,3784,197
8
1124231782

MOORE CENTER SERVICES, INC.

NH$67.9M$1,143vs $213 med5.38x59,42026,322
9
1700947298

GATEWAYS COMMUNITY SERVICES

NH$65.9M$1,240vs $213 med5.83x53,15525,906
10
1720145378

ACUMEN FISCAL AGENT LLC

AZ$63.0M$199vs $213 med0.93x317,10951,336
11
1588937486

NATIONAL MENTOR HEALTHCARE, LLC

DE$58.1M$524vs $213 med2.46x111,0483,940
12
1962564328

COMMUNITY BRIDGES

NH$54.1M$966vs $213 med4.54x56,01622,639
13
1992863583

COMMUNITY SYSTEMS, INC.

DE$50.9M$661vs $213 med3.11x77,0542,578
14
1285777490

COASTAL HOME CARE, LLC

GA$48.8M$94vs $213 med0.44x517,75023,781
15
1639176522

VISITING NURSE GROUP, INC

PA$34.1M$821vs $213 med3.86x41,6011,349
16
1083743678

RESOURCES FOR HUMAN DEVELOPMENT INC.

DE$33.9M$787vs $213 med3.70x43,0931,341
17
1568512770

REGION VIII, ONE SKY COMMUNITY SERVICES INC.

NH$33.7M$894vs $213 med4.20x37,69215,174
18
1922683473

KENCREST SERVICES

PA$33.5M$493vs $213 med2.32x68,0202,162
19
1972662328

COMMUNITY CROSSROADS, INC.

NH$33.3M$1,666vs $213 med7.84x19,98210,885
20
1396716858

HEALTH MANAGMENT OF KANSAS, INC.

KS$32.7M$91vs $213 med0.43x361,45415,210
21
1720121106

BANCROFT, A NEW JERSEY NONPROFIT CORPORATION

NJ$32.7M$509vs $213 med2.39x64,3004,344
22
1306878798

ACT HOME HEALTH SERVICES, INC

PA$31.5M$2,222vs $213 med10.45x14,1691,611
23
1386703304

BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES OF STRAFFORD COUNTY, INC

NH$29.2M$1,332vs $213 med6.26x21,94612,491
24
1184665168

BAYADA HOME HEALTH CARE, INC.

PA$27.9M$584vs $213 med2.75x47,7352,037
25
1629436241

DEPARTMENT OF INTELLECTUAL AND DEVELOPMENTAL DISABILITIES, STATE OF TN

TN$27.8M$433vs $213 med2.04x64,1366,135

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
1MA$864.7M$1615,358,505240,51710
2DE$508.0M$661768,77730,62911
3NH$373.9M$1,143327,256156,87514
4PA$257.9M$702367,33019,19223
5GA$224.6M$1301,734,107127,89630
6TN$212.7M$567375,32921,64316
7KS$201.2M$912,221,81394,06128
8NY$197.7M$533,710,451239,1795
9AR$161.5M$1521,062,13243,66113
10MI$76.9M$96803,340776,25234
11CA$71.3M$361197,678141,01334
12AZ$63.0M$199317,10951,3361
13WA$58.8M$154381,201100,60417
14NM$54.5M$356153,284144,92935
15NJ$53.2M$529100,7055,7292
16NC$47.1M$175268,711132,77382
17SD$35.3M$179197,624122,83519
18RI$32.9M$62532,81981,23026
19MO$15.9M$86184,8307,4823
20NV$15.0M$74202,63741,0526
21OH$14.1M$44317,76958,74450
22MD$12.5M$53123,6278041
23ND$12.4M$29941,58828,0239
24VT$10.3M$79512,98510,3436
25HI$8.7M$21640,00622,20515

40 rows · Page 1 of 2