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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DEPARTMENT OF DEVELOPMENTAL SERVICES1508089699MAView on Map

Total Paid

$275.0M

$275,000,143

Beneficiaries

96K

96,172

Avg $/Claim

$806

$2,859 per beneficiary

Spending Growth

-31.1%

$/Claim: +10.2%

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
1T2016$213.0M$8,580vs $651 med13.18x24,82621,365
2S5100$19.0M$324vs $88 med3.67x58,60010,322