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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DHHS, PHS, NAIHS, SHIPROCK HOSPITAL1780639971NMView on Map

Total Paid

$190.6M

$190,581,941

Beneficiaries

329K

329,086

Avg $/Claim

$442

$579 per beneficiary

Spending Growth

+42.8%

$/Claim: +45.0%

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
199211$71.2M$491vs $102 med4.82x144,914105,858
299212$49.7M$409vs $178 med2.30x121,34886,175
399213$39.2M$528vs $120 med4.42x74,36057,201
487635$3.6M$515vs $47 med10.88x6,9396,345