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

CITY OF PHILADELPHIA1255468435PA View on Map

Total Paid

$108.1M

$108,091,322

Beneficiaries

471K

471,163

Avg $/Claim

$195

$229 per beneficiary

Spending Growth

+708.2%

$/Claim: +114.2%

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	A0429	$75.9M	$270vs $249 med	1.08x	281,105	235,232
2	A0427	$30.2M	$303vs $248 med	1.22x	99,581	90,565