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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Total Paid

$195.0M

$195,022,004

Beneficiaries

1.0M

1,019,129

Avg $/Claim

$88

$191 per beneficiary

Spending Growth

+0.9%

$/Claim: -3.2%

Monthly Spending

Total payments per month (nominal $)

Cost per Claim Over Time

How billing rate has changed (nominal $)

Claims Volume

Number of claims filed per month

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
1H2019$103.6M$92vs $158 med0.58x1,131,437426,065
290837$37.5M$93vs $152 med0.61x403,081175,523
3H2020$6.2M$149vs $183 med0.82x41,4199,154