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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KOOL SMILES SC-2, PC1992018899SCView on Map

Total Paid

$28.5M

$28,459,730

Beneficiaries

694K

694,239

Avg $/Claim

$37

$41 per beneficiary

Spending Growth

+54.8%

$/Claim: -3.2%

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
1D1110$2.2M$51vs $63 med0.81x43,39743,397
2D1206$1.7M$17vs $26 med0.63x105,226105,226
3D0150$1.7M$41vs $66 med0.63x40,75340,753
4D2391$1.5M$87vs $79 med1.10x17,13212,000
5D0274$1.2M$28vs $33 med0.84x41,51841,518
6D0272$1.0M$19vs $22 med0.86x52,82252,822
7D0330$1.0M$36vs $63 med0.58x27,47827,476
8D0220$853K$13vs $19 med0.69x65,98865,438