T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$271.6M
$271,594,336
Beneficiaries
1.0M
1,036,164
Avg $/Claim
$77
$262 per beneficiary
Spending Growth
+98.2%
$/Claim: +58.2%
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 | H2036 | $59.9M | $345vs $302 med | 1.14x | 173,797 | 13,837 |
| 2 | H2015 | $45.0M | $95vs $225 med | 0.42x | 474,707 | 177,597 |
| 3 | H0004 | $30.8M | $69vs $153 med | 0.45x | 446,401 | 198,449 |
| 4 | H0020 | $24.3M | $39vs $24 med | 1.61x | 615,697 | 96,261 |
| 5 | H0005 | $18.8M | $37vs $67 med | 0.55x | 513,526 | 102,551 |
| 6 | H0015 | $18.1M | $200vs $166 med | 1.21x | 90,079 | 16,557 |
| 7 | H2012 | $14.2M | $47vs $188 med | 0.25x | 299,171 | 26,579 |
| 8 | H0011 | $11.2M | $460vs $348 med | 1.32x | 24,317 | 6,473 |
| 9 | T1002 | $7.6M | $45vs $280 med | 0.16x | 167,643 | 82,926 |
| 10 | T2048 | $5.3M | $71vs $1,676 med | 0.04x | 75,331 | 4,387 |