T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$330.8M
$330,793,080
Beneficiaries
4.3M
4,250,778
Avg $/Claim
$70
$78 per beneficiary
Spending Growth
+31.4%
$/Claim: +4.5%
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 | 41899 | $7.2M | $1,799vs $1,476 med | 1.22x | 4,012 | 3,807 |
| 2 | 43239 | $5.3M | $966vs $607 med | 1.59x | 5,455 | 5,314 |
| 3 | 93306 | $3.8M | $289vs $332 med | 0.87x | 13,274 | 12,465 |
| 4 | 96365 | $3.7M | $246vs $138 med | 1.79x | 14,927 | 9,793 |
| 5 | 99391 | $3.6M | $120vs $102 med | 1.18x | 30,078 | 28,257 |
| 6 | 87635 | $3.3M | $52vs $47 med | 1.09x | 63,187 | 59,391 |
| 7 | 99393 | $2.7M | $97vs $101 med | 0.95x | 27,851 | 27,817 |
| 8 | 99394 | $2.0M | $101vs $108 med | 0.93x | 19,849 | 19,810 |