T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$208.4M
$208,392,820
Beneficiaries
1.2M
1,157,858
Avg $/Claim
$124
$180 per beneficiary
Spending Growth
+32.2%
$/Claim: +24.3%
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 | T1017 | $78.9M | $190vs $225 med | 0.84x | 415,487 | 326,176 |
| 2 | 90837 | $21.3M | $165vs $152 med | 1.08x | 129,340 | 92,305 |
| 3 | H0038 | $10.3M | $41vs $162 med | 0.25x | 252,516 | 80,637 |
| 4 | H0031 | $9.9M | $156vs $168 med | 0.93x | 63,232 | 55,560 |
| 5 | H0032 | $9.6M | $150vs $171 med | 0.88x | 63,524 | 55,513 |
| 6 | 90792 | $7.8M | $195vs $289 med | 0.68x | 40,170 | 39,875 |
| 7 | H2011 | $7.6M | $244vs $548 med | 0.45x | 31,322 | 7,043 |
| 8 | 90832 | $7.4M | $62vs $111 med | 0.56x | 120,122 | 93,343 |