T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$243.1M
$243,114,592
Beneficiaries
1.4M
1,350,887
Avg $/Claim
$93
$180 per beneficiary
Spending Growth
+34.2%
$/Claim: +1.4%
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 | 90837 | $45.3M | $74vs $152 med | 0.49x | 608,385 | 325,540 |
| 2 | H2019 | $43.1M | $193vs $158 med | 1.22x | 223,172 | 29,277 |
| 3 | T2023 | $33.8M | $315vs $584 med | 0.54x | 107,306 | 101,529 |
| 4 | H0011 | $16.4M | $243vs $348 med | 0.70x | 67,734 | 4,847 |
| 5 | H0038 | $11.2M | $50vs $162 med | 0.31x | 225,707 | 53,061 |
| 6 | 90832 | $10.9M | $38vs $111 med | 0.35x | 285,635 | 184,332 |