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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HELEN ROSS MCNABB CENTER1659330686TNView on Map

Total Paid

$198.8M

$198,849,836

Beneficiaries

1.6M

1,606,445

Avg $/Claim

$74

$124 per beneficiary

Spending Growth

+16.0%

$/Claim: +12.7%

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
1S0280$80.7M$154vs $127 med1.21x524,011456,456
290834$32.2M$65vs $118 med0.55x493,860190,768
3H0037$18.1M$88vs $194 med0.46x205,43730,443
4H0043$12.2M$92vs $193 med0.48x132,0224,023
590847$3.7M$65vs $139 med0.47x56,46231,131