T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$198.2M
$198,238,416
Beneficiaries
10.1M
10,094,053
Avg $/Claim
$19
$20 per beneficiary
Spending Growth
+62.1%
$/Claim: -8.0%
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 | 80053 | $5.7M | $9vs $27 med | 0.32x | 659,155 | 617,345 |
| 2 | 87491 | $5.1M | $28vs $27 med | 1.05x | 182,182 | 179,354 |
| 3 | 87591 | $5.1M | $28vs $26 med | 1.09x | 181,990 | 179,231 |
| 4 | 88305 | $3.9M | $80vs $81 med | 0.99x | 48,615 | 47,390 |
| 5 | 87635 | $3.6M | $44vs $47 med | 0.94x | 81,904 | 70,788 |
| 6 | 85025 | $2.8M | $5vs $8 med | 0.64x | 543,682 | 508,839 |
| 7 | 81420 | $1.3M | $465vs $311 med | 1.50x | 2,715 | 2,674 |