T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$368.3M
$368,317,926
Beneficiaries
3.9M
3,939,263
Avg $/Claim
$76
$94 per beneficiary
Spending Growth
+113.8%
$/Claim: +22.9%
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 | 90791 | $20.2M | $667vs $212 med | 3.15x | 30,256 | 23,617 |
| 2 | 90832 | $11.9M | $141vs $111 med | 1.27x | 84,712 | 53,713 |
| 3 | J9271 | $11.2M | $8,626vs $5,028 med | 1.72x | 1,294 | 1,012 |
| 4 | S9485 | $9.3M | $1,218vs $603 med | 2.02x | 7,605 | 6,943 |
| 5 | 97110 | $8.0M | $84vs $79 med | 1.05x | 95,523 | 47,540 |
| 6 | 96365 | $3.0M | $177vs $138 med | 1.29x | 17,134 | 11,303 |