T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$186.7M
$186,689,145
Beneficiaries
16.0M
16,048,154
Avg $/Claim
$11
$12 per beneficiary
Spending Growth
+15.3%
$/Claim: -3.5%
Total payments per month (nominal $)
How billing rate has changed (nominal $)
Number of claims filed per month
Each dot is a procedure. X = cost index (vs procedure median). Y = total spending.
Drag to zoom into a region
| # | HCPCS | Total Paid▼ | $/Claim | Cost Index | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| 1 | 87491 | $9.4M | $27vs $27 med | 0.99x | 353,274 | 330,059 |
| 2 | 87591 | $9.3M | $26vs $26 med | 1.01x | 352,996 | 329,885 |
| 3 | 80053 | $6.8M | $7vs $27 med | 0.26x | 996,117 | 934,391 |
| 4 | 81420 | $6.7M | $373vs $311 med | 1.20x | 18,024 | 17,807 |
| 5 | 85025 | $4.5M | $5vs $8 med | 0.65x | 864,527 | 799,109 |
| 6 | 36415 | $3.4M | $2vs $82 med | 0.03x | 1,581,701 | 1,426,759 |