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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U0003Other Level II

Cov-19 amp prb hgh thruput

Total Paid

$4.13B

$4,128,082,572

Beneficiaries

49.3M

49,314,205

Avg $/Claim

$60

Median: $67

Utilization

1.4 claims/bene

5,599 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
1538144910

LABORATORY CORPORATION OF AMERICA HOLDINGS

NC$155.6M$78vs $67 med1.17x1,983,5251,689,870
2
1063497451

LABORATORY CORPORATION OF AMERICA HOLDINGS

NJ$99.3M$70vs $67 med1.05x1,409,0661,160,096
3
1275665457

NEW YORK NETWORK IPA INC

NY$99.1M$70vs $67 med1.05x1,406,305412,026
4
1851726731

INFINITY DIAGNOSTICS LABORATORY, INC

NJ$97.3M$43vs $67 med0.63x2,288,473579,127
5
1932145778

QUEST DIAGNOSTICS INCORPORATED

NJ$95.0M$75vs $67 med1.12x1,267,3411,143,759
6
1538105366

SONORA QUEST LABORATORIES LLC

AZ$80.1M$91vs $67 med1.35x882,128767,488
7
1740262880

LABORATORY CORPORATION OF AMERICA

AZ$79.9M$70vs $67 med1.05x1,134,6401,000,025
8
1144731605

CURATIVE LABS INC.

CA$79.5M$56vs $67 med0.83x1,419,985973,865
9$67.8M$58vs $67 med0.86x1,178,774898,159
10
1750368700

LABORATORY CORPORATION OF AMERICA HOLDINGS

NC$67.4M$69vs $67 med1.03x972,526864,469
11
1174964738

FULGENT THERAPEUTICS, LLC.

CA$66.1M$53vs $67 med0.80x1,237,212888,342
12
1932184322

LABORATORY CORPORATION OF AMERICA HOLDINGS

OH$62.8M$68vs $67 med1.01x921,196802,422
13
1902809940

LABORATORY CORPORATION OF AMERICA HOLDINGS

NC$58.8M$60vs $67 med0.90x978,195887,663
14
1366479099

UNILAB CORPORATION

CA$57.2M$56vs $67 med0.84x1,017,350936,414
15
1790721538

QUEST DIAGNOSTICS CLINICAL LABORATORIES INC

TX$48.6M$70vs $67 med1.05x691,967629,751
16
1134277494

BIOREFERENCE HEALTH, LLC

NJ$48.0M$71vs $67 med1.06x675,267589,139
17
1689639544

HEALTHTRACKRX INDIANA, INC

TX$40.6M$66vs $67 med0.98x619,296468,738
18
1134377781

EUROFINS DIATHERIX LABORATORIES LLC

AL$33.4M$56vs $67 med0.83x595,953486,819
19
1821210402

CROWN HEIGHTS MEDICAL, P.C.

NY$32.9M$65vs $67 med0.96x507,989143,419
20
1114431087

SIGNAL DIAGNOSTICS LLC

CA$30.7M$58vs $67 med0.86x532,319219,783
21
1265897078

AVELLINO LAB USA, INC.

CA$30.6M$62vs $67 med0.93x489,809221,658
22
1154976876

BN MEDICINE PC

NY$30.2M$74vs $67 med1.10x409,029154,872
23
1952347791

QUEST DIAGNOSTICS LLC

MA$30.1M$52vs $67 med0.78x577,385446,990
24
1225110497

ACCU REFERENCE MEDICAL LAB, LLC

NJ$29.6M$61vs $67 med0.91x484,790288,108
25
1245307818

QUEST DIAGNOSTICS INCORPORATED MD

MD$29.3M$78vs $67 med1.16x376,489296,101

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
1CA$668.5M$5212,789,0888,864,369752
2NJ$530.7M$598,958,4125,464,290126
3NY$474.1M$677,092,5674,630,414337
4NC$357.9M$695,150,3964,321,083159
5AZ$187.2M$732,548,2512,141,865108
6TX$186.9M$553,414,4692,471,628340
7IL$180.0M$672,671,1331,464,221350
8OH$151.7M$861,763,5971,475,009141
9MA$138.6M$592,346,0792,031,820137
10WA$103.1M$671,536,8591,281,057103
11PA$102.0M$731,389,7691,202,855198
12MI$85.8M$571,517,3961,360,175157
13FL$74.5M$401,863,1421,144,448321
14MN$69.8M$671,044,218782,119274
15KY$58.6M$481,219,354826,666106
16AL$58.1M$571,020,017837,54365
17MD$57.4M$70818,627568,64684
18LA$54.3M$371,451,839644,22597
19TN$49.8M$63785,661667,34394
20WI$46.9M$72648,003547,375171
21CT$46.7M$59789,711615,17046
22GA$38.3M$65587,553401,68239
23VA$35.8M$42846,177596,345110
24IN$25.8M$55466,930344,65589
25SC$24.0M$61393,739283,47887

53 rows · Page 1 of 3