T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$298.9M
$298,943,538
Beneficiaries
2.5M
2,519,208
Avg $/Claim
$34
$119 per beneficiary
Spending Growth
+155.1%
$/Claim: +2.6%
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 | 92508 | $89.6M | $25vs $16 med | 1.52x | 3,655,903 | 990,671 |
| 2 | 97530 | $80.9M | $47vs $88 med | 0.53x | 1,715,904 | 419,397 |
| 3 | 92507 | $43.8M | $84vs $80 med | 1.05x | 521,711 | 131,106 |
| 4 | 97110 | $15.2M | $37vs $79 med | 0.46x | 413,321 | 131,256 |
| 5 | 97112 | $13.6M | $39vs $47 med | 0.82x | 351,232 | 101,443 |
| 6 | 97535 | $4.4M | $42vs $109 med | 0.38x | 104,838 | 52,430 |