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

COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF EDUCATION1245430438PA View on Map

Total Paid

$326.0M

$326,016,792

Beneficiaries

3.8M

3,812,565

Avg $/Claim

$25

$86 per beneficiary

Spending Growth

+5.1%

$/Claim: +16.1%

Total payments per month (nominal $)

How billing rate has changed (nominal $)

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

#	HCPCS	Total Paid▼	$/Claim	Cost Index	Claims	Beneficiaries
1	97530	$58.5M	$23vs $88 med	0.27x	2,490,877	978,470
2	92507	$55.7M	$31vs $80 med	0.38x	1,820,171	600,401
3	92508	$37.3M	$10vs $16 med	0.62x	3,728,210	1,328,654
4	97110	$20.0M	$27vs $79 med	0.34x	732,532	286,188