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 SERVICES1528281532MAView on Map

Total Paid

$465.4M

$465,361,804

Beneficiaries

158K

157,791

Avg $/Claim

$620

$2,949 per beneficiary

Spending Growth

-31.5%

$/Claim: +7.5%

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$356.3M$9,386vs $651 med14.42x37,95531,654
2S5100$31.2M$277vs $88 med3.14x112,59421,793
3T2003$9.5M$26vs $36 med0.73x361,76213,518