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

PYRAMID HEALTHCARE1811018898PA View on Map

Total Paid

$87.3M

$87,333,155

Beneficiaries

22K

22,151

Avg $/Claim

$271

$3,943 per beneficiary

Spending Growth

+172.1%

$/Claim: +12.2%

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	H0018	$44.5M	$260vs $507 med	0.51x	171,330	12,158
2	H2036	$29.7M	$299vs $302 med	0.99x	99,348	6,763
3	T2048	$13.1M	$257vs $1,676 med	0.15x	51,119	3,230