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 SERVICES1790908002MAView on Map

Total Paid

$249.6M

$249,649,772

Beneficiaries

97K

96,501

Avg $/Claim

$612

$2,587 per beneficiary

Spending Growth

-26.6%

$/Claim: +13.3%

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$185.7M$8,104vs $651 med12.45x22,91318,510
2S5100$18.1M$284vs $88 med3.23x63,57112,365