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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POSITIVE BEHAVIOR SUPPORTS1700024296FLView on Map

Total Paid

$131.5M

$131,511,539

Beneficiaries

129K

128,815

Avg $/Claim

$163

$1,021 per beneficiary

Spending Growth

-22.1%

$/Claim: +12.9%

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
1H2014$61.6M$165vs $163 med1.01x373,08635,496
297153$26.2M$189vs $263 med0.72x138,57113,072
3H2019$24.3M$138vs $158 med0.88x176,01040,319
497155$7.8M$194vs $191 med1.02x40,22712,083