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

KOOL SMILES, PSC1205026788KY View on Map

Total Paid

$30.7M

$30,674,321

Beneficiaries

767K

767,197

Avg $/Claim

$34

$40 per beneficiary

Spending Growth

-12.3%

$/Claim: +36.1%

Procedure Breakdown

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	D1120	$4.6M	$48vs $50 med	0.96x	97,379	93,076
2	D1208	$1.5M	$15vs $20 med	0.74x	105,910	100,912
3	D0330	$1.4M	$39vs $63 med	0.63x	36,773	35,192
4	D0272	$1.2M	$16vs $22 med	0.71x	74,405	70,397