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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PRISMA HEALTH-UPSTATE1407301211SCView on Map

Total Paid

$22.0M

$21,976,615

Beneficiaries

488K

487,966

Avg $/Claim

$39

$45 per beneficiary

Spending Growth

-23.6%

$/Claim: +0.2%

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
136415$8.2M$188vs $82 med2.29x43,80936,776