T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$293.4M
$293,427,653
Beneficiaries
713K
713,246
Avg $/Claim
$109
$411 per beneficiary
Spending Growth
-49.5%
$/Claim: -16.8%
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 | 90837 | $36.9M | $170vs $152 med | 1.12x | 217,283 | 114,792 |
| 2 | H2017 | $25.5M | $93vs $143 med | 0.65x | 273,766 | 28,974 |
| 3 | T1017 | $24.6M | $72vs $225 med | 0.32x | 340,182 | 89,852 |
| 4 | H0018 | $23.1M | $137vs $507 med | 0.27x | 168,055 | 7,150 |
| 5 | H2019 | $20.9M | $143vs $158 med | 0.91x | 145,990 | 35,908 |
| 6 | H2013 | $12.9M | $427vs $835 med | 0.51x | 30,219 | 1,346 |
| 7 | 90791 | $12.3M | $335vs $212 med | 1.58x | 36,732 | 32,232 |
| 8 | H0038 | $9.4M | $115vs $162 med | 0.71x | 81,118 | 11,817 |
| 9 | 80307 | $7.8M | $46vs $42 med | 1.10x | 172,126 | 28,241 |
| 10 | 90853 | $7.7M | $55vs $73 med | 0.75x | 139,866 | 30,499 |