T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$1.06B
$1,061,171,577
Beneficiaries
655K
655,257
Avg $/Claim
$101
$1,619 per beneficiary
Spending Growth
+147.1%
$/Claim: +13.3%
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 | S5125 | $676.0M | $99vs $64 med | 1.55x | 6,851,514 | 282,879 |
| 2 | T2025 | $63.0M | $199vs $213 med | 0.93x | 317,109 | 51,336 |
| 3 | T2013 | $47.6M | $166vs $161 med | 1.03x | 286,459 | 9,352 |
| 4 | S5150 | $23.6M | $96vs $91 med | 1.05x | 246,622 | 20,589 |
| 5 | T2012 | $23.1M | $187vs $180 med | 1.04x | 123,511 | 4,402 |
| 6 | H2021 | $18.8M | $101vs $266 med | 0.38x | 186,632 | 13,352 |
| 7 | T1005 | $12.3M | $73vs $84 med | 0.87x | 167,449 | 14,611 |