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

$723.9M

$723,937,837

Beneficiaries

3.4M

3,358,464

Avg $/Claim

$27

$216 per beneficiary

Spending Growth

+310.6%

$/Claim: +37.9%

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
1A0425$234.4M$20vs $74 med0.27x11,622,5051,242,124
2T2003$53.2M$16vs $36 med0.44x3,369,095263,886
3A0100$50.2M$8vs $40 med0.20x6,140,465840,680
4A0130$40.6M$25vs $47 med0.53x1,619,783145,009
5A0428$17.9M$198vs $128 med1.55x90,32557,694
6S0215$5.9M$140vs $66 med2.12x42,06918,626