T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$598.2M
$598,198,692
Beneficiaries
1.1M
1,088,047
Avg $/Claim
$192
$550 per beneficiary
Spending Growth
+17.1%
$/Claim: +9.0%
Total payments per month (nominal $)
How billing rate has changed (nominal $)
Number of claims filed per month
Each dot is a procedure. X = cost index (vs procedure median). Y = total spending.
Drag to zoom into a region
| # | HCPCS | Total Paid▼ | $/Claim | Cost Index | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| 1 | H2015 | $154.7M | $265vs $225 med | 1.17x | 584,717 | 197,435 |
| 2 | T1017 | $72.3M | $153vs $225 med | 0.68x | 473,114 | 206,264 |
| 3 | H2010 | $53.8M | $281vs $325 med | 0.87x | 191,599 | 132,980 |
| 4 | H0019 | $51.7M | $273vs $360 med | 0.76x | 189,597 | 8,227 |
| 5 | H0034 | $44.8M | $185vs $212 med | 0.87x | 242,713 | 147,178 |
| 6 | H2017 | $37.8M | $130vs $143 med | 0.91x | 290,438 | 41,801 |
| 7 | H0020 | $31.9M | $69vs $24 med | 2.81x | 466,363 | 84,080 |
| 8 | H0004 | $24.6M | $99vs $153 med | 0.64x | 248,975 | 81,330 |
| 9 | H0032 | $21.2M | $256vs $171 med | 1.49x | 82,863 | 61,243 |
| 10 | S9484 | $15.7M | $2,754vs $726 med | 3.79x | 5,687 | 5,246 |
| 11 | H2011 | $9.4M | $610vs $548 med | 1.11x | 15,441 | 8,199 |