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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Total Paid

$172.1M

$172,062,055

Beneficiaries

2.2M

2,210,987

Avg $/Claim

$60

$78 per beneficiary

Spending Growth

+100.1%

$/Claim: +102.1%

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
199233$6.4M$152vs $71 med2.15x42,0278,599
299392$6.1M$80vs $105 med0.77x76,33364,590
399393$4.8M$85vs $101 med0.84x57,26151,228
499391$4.7M$64vs $102 med0.63x72,87155,868
599394$3.5M$95vs $108 med0.88x37,27133,519