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

SWEETSER1538122445ME View on Map

Total Paid

$80.6M

$80,582,128

Beneficiaries

213K

212,591

Avg $/Claim

$121

$379 per beneficiary

Spending Growth

-9.2%

$/Claim: +41.1%

Procedure Breakdown

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	H0004	$37.8M	$80vs $153 med	0.52x	473,764	142,277
2	H0018	$25.9M	$484vs $507 med	0.96x	53,485	6,248
3	H2011	$7.6M	$160vs $548 med	0.29x	47,313	19,558