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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IDEAL OPTION, PLLC1457788275WAView on Map

Total Paid

$259.1M

$259,128,732

Beneficiaries

2.7M

2,651,757

Avg $/Claim

$67

$98 per beneficiary

Spending Growth

+8.0%

$/Claim: +18.2%

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
199214$66.4M$96vs $121 med0.79x693,731518,693
280307$49.2M$55vs $42 med1.34x887,120494,866
399215$12.6M$152vs $182 med0.83x83,25262,796
4G0480$11.1M$96vs $62 med1.55x115,72988,172
5G0483$5.0M$144vs $139 med1.03x34,46430,048