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

PROHEALTH PHYSICIANS PC1720194053CT View on Map

Total Paid

$80.5M

$80,486,205

Beneficiaries

1.6M

1,564,437

Avg $/Claim

$46

$51 per beneficiary

Spending Growth

+16.0%

$/Claim: -6.3%

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	99214	$34.1M	$74vs $121 med	0.61x	462,934	391,927
2	90460	$5.3M	$38vs $36 med	1.08x	137,931	128,084
3	99392	$4.3M	$114vs $105 med	1.09x	37,388	35,295
4	99393	$3.6M	$112vs $101 med	1.11x	31,999	30,143
5	99394	$1.8M	$120vs $108 med	1.11x	15,060	14,172