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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CONSUMER DIRECT CARE NETWORK VIRGINIA1538649983MTView on Map

Total Paid

$2.11B

$2,105,798,329

Beneficiaries

1.1M

1,069,174

Avg $/Claim

$95

$1,970 per beneficiary

Spending Growth

+195.5%

$/Claim: +33.6%

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
1S5126$1.77B$99vs $108 med0.92x17,914,315670,739
2S5150$230.5M$74vs $91 med0.81x3,096,639334,395
3S5136$93.9M$83vs $1,502 med0.06x1,136,41952,683