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

PRISMA HEALTH-UPSTATE1649726738SC View on Map

Total Paid

$86.9M

$86,906,306

Beneficiaries

2.4M

2,353,572

Avg $/Claim

$31

$37 per beneficiary

Spending Growth

+7.2%

$/Claim: +7.8%

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	80053	$7.3M	$69vs $27 med	2.57x	105,844	91,373
2	36415	$6.5M	$91vs $82 med	1.10x	71,607	52,144