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 BEHAVIORAL HEALTH1629137575CAView on Map

Total Paid

$166.3M

$166,252,392

Beneficiaries

344K

344,120

Avg $/Claim

$42

$483 per beneficiary

Spending Growth

+46.2%

$/Claim: +89.5%

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
1H0004$53.0M$146vs $153 med0.95x362,463147,217
2H0020$45.6M$15vs $24 med0.63x2,963,374112,530
3H0019$42.7M$165vs $360 med0.46x258,44614,716
4H0005$12.9M$57vs $67 med0.85x224,23238,578