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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VITAL SMILES ALABAMA II PC1013474535CAView on Map

Total Paid

$29.1M

$29,071,408

Beneficiaries

1.0M

1,039,449

Avg $/Claim

$24

$28 per beneficiary

Spending Growth

+52.8%

$/Claim: -4.7%

Procedure Breakdown

Each dot is a procedure. X = cost index (vs procedure median). Y = total spending.

Drag to zoom into a region

Procedure Rankings

#HCPCSTotal Paid$/ClaimCost IndexClaimsBeneficiaries
1D1120$3.5M$25vs $50 med0.50x139,856129,406
2D1208$2.8M$13vs $20 med0.65x220,372203,627
3D1110$2.2M$32vs $63 med0.51x70,02464,427
4D0330$2.0M$41vs $63 med0.65x48,93545,187
5D0272$1.3M$15vs $22 med0.67x84,65578,354
6D0274$873K$20vs $33 med0.59x44,56840,951