T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$255.7M
$255,698,082
Beneficiaries
584K
584,045
Avg $/Claim
$273
$438 per beneficiary
Spending Growth
+44.4%
$/Claim: +51.7%
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 | T1017 | $51.7M | $255vs $225 med | 1.13x | 202,919 | 148,583 |
| 2 | H0036 | $19.7M | $371vs $160 med | 2.32x | 53,069 | 15,147 |
| 3 | H0039 | $18.4M | $256vs $183 med | 1.40x | 71,668 | 10,827 |
| 4 | 90847 | $9.6M | $197vs $139 med | 1.41x | 48,820 | 28,950 |
| 5 | 90791 | $8.5M | $632vs $212 med | 2.99x | 13,404 | 13,180 |
| 6 | H0031 | $4.9M | $305vs $168 med | 1.81x | 16,172 | 16,039 |
| 7 | 90792 | $4.4M | $1,032vs $289 med | 3.57x | 4,309 | 4,281 |