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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UPMC PRESBYTERIAN SHADYSIDE1821007881PAView on Map

Total Paid

$125.5M

$125,540,871

Beneficiaries

1.1M

1,095,909

Avg $/Claim

$74

$115 per beneficiary

Spending Growth

+214.2%

$/Claim: +46.7%

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
1H2011$14.4M$280vs $548 med0.51x51,35630,846
2H0039$10.6M$135vs $183 med0.74x77,9318,297
3S9485$7.5M$586vs $603 med0.97x12,8042,400
490792$6.6M$387vs $289 med1.34x17,17915,387
5H0037$5.7M$315vs $194 med1.63x18,073634
690853$3.7M$71vs $73 med0.97x52,31110,349