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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DEPARTMENT OF DEVELOPMENTAL SERVICES1750504064MAView on Map

Total Paid

$1.35B

$1,349,935,088

Beneficiaries

224K

224,187

Avg $/Claim

$812

$6,021 per beneficiary

Spending Growth

-13.4%

$/Claim: +37.8%

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
1T2016$1.22B$15,363vs $651 med23.61x79,34867,282
2T2003$32.6M$26vs $36 med0.73x1,233,51341,038
3T2023$20.4M$339vs $584 med0.58x60,30160,300
4S5100$15.8M$234vs $88 med2.65x67,57312,422