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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CARINGHOUSE PROJECTS1265802847NJView on Map

Total Paid

$280.8M

$280,807,224

Beneficiaries

24K

23,931

Avg $/Claim

$431

$11,734 per beneficiary

Spending Growth

+59.2%

$/Claim: +16.4%

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
1H2016$265.8M$458vs $445 med1.03x580,36219,845