T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$3.55B
$3,551,779,808
Beneficiaries
34.0M
33,995,531
$/Beneficiary
$104
$56 per claim
Providers
3,321
0 procedures
Idaho — total payments per month (nominal $)
Idaho — average spending per beneficiary per month
Each dot is a procedure. X = avg cost per claim. Y = total claims.
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| # | HCPCS | Total Paid▼ | $/Claim | Claims | Beneficiaries | Providers |
|---|---|---|---|---|---|---|
| 1 | T1015 | $380.4M | $178 | 2,139,841 | 1,793,656 | 147 |
| 2 | H0004 | $255.5M | $142 | 1,803,405 | 194,939 | 158 |
| 3 | T1019 | $202.7M | $76 | 2,681,420 | 220,188 | 101 |
| 4 | 99213 | $129.5M | $41 | 3,158,477 | 2,930,584 | 669 |
| 5 | H2022 | $124.7M | $825 | 151,204 | 13,360 | 14 |
| 6 | 99214 | $118.6M | $58 | 2,055,252 | 1,885,214 | 617 |
| 7 | 97530 | $109.8M | $68 | 1,625,609 | 540,510 | 282 |
| 8 | H2016 | $107.4M | $1,723 | 62,370 | 6,296 | 6 |
| 9 | T2016 | $105.5M | $384 | 274,505 | 9,393 | 1 |
| 10 | S5125 | $102.1M | $109 | 933,889 | 67,083 | 44 |
| 11 | H2017 | $85.5M | $113 | 758,907 | 138,610 | 136 |
| 12 | 92507 | $81.7M | $49 | 1,671,279 | 540,286 | 210 |
| 13 | 90834 | $72.0M | $57 | 1,255,933 | 521,903 | 415 |
| 14 | H2032 | $65.5M | $51 | 1,285,314 | 129,390 | 41 |
| 15 | S5170 | $64.5M | $26 | 2,494,286 | 317,822 | 2 |
| 16 | H0038 | $49.8M | $93 | 533,162 | 138,324 | 115 |
| 17 | D0999 | $48.4M | $249 | 194,722 | 162,137 | 32 |
| 18 | S5130 | $41.4M | $23 | 1,781,774 | 155,300 | 77 |
| 19 | T1017 | $41.3M | $62 | 670,419 | 216,806 | 187 |
| 20 | S5140 | $40.3M | $952 | 42,345 | 28,389 | 47 |
| 21 | G9002 | $38.4M | $38 | 1,004,746 | 302,049 | 42 |
| 22 | 99284 | $37.7M | $92 | 408,659 | 382,377 | 74 |
| 23 | H2019 | $36.6M | $123 | 298,330 | 45,845 | 60 |
| 24 | D1120 | $35.4M | $64 | 551,518 | 550,288 | 248 |
| 25 | H2014 | $34.3M | $63 | 544,591 | 43,766 | 56 |
368 rows · Page 1 of 15
Each dot is a provider. Color = spending trend direction.
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| # | Provider | Total Paid▼ | $/Claim | $/Beneficiary | Growth | Procedures |
|---|---|---|---|---|---|---|
| 1 | 1720049190 RISE, INC | $263.8M | $126 | $1,806 | +74.5% | 31 |
| 2 | 1104956390 PROGRESSIVE BEHAVIOR SYSTEMS, PA | $85.8M | $487 | $5,100 | +92.5% | 14 |
| 3 | 1235407420 HOMESTYLE DIRECT LLC. | $65.0M | $26 | $203 | +84.2% | 3 |
| 4 | 1326336058 ST LUKES CLINIC-TREASURE VALLEY LLC | $59.3M | $54 | $57 | +27.7% | 218 |
| 5 | 1841490075 FULL CIRCLE HEALTH, INC. | $53.3M | $104 | $114 | +11.2% | 84 |
| 6 | 1669462362 MOUNTAIN VIEW HOSPITAL LLC | $45.7M | $62 | $95 | -61.1% | 289 |
| 7 | 1821158692 NORCO, INC. | $41.0M | $52 | $55 | -55.5% | 194 |
| 8 | 1790718229 ST LUKE'S CLINIC LLC | $39.5M | $51 | $55 | +18.7% | 211 |
| 9 | 1265556435 ROYAL JOURNEYS LLC | $38.4M | $42 | $467 | +30.7% | 16 |
| 10 | 1710183058 COMMUNITY HEALTH CLINICS, INC. | $37.7M | $67 | $78 | +83.0% | 135 |
| 11 | 1508984006 JOINT SCHOOL DISTRICT NO. 2 | $34.2M | $54 | $323 | -5.2% | 28 |
| 12 | 1861676298 SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC | $32.6M | $46 | $49 | +19.6% | 177 |
| 13 | 1528508066 HOME REACH | $31.9M | $2,098 | $10,734 | +265.2% | 3 |
| 14 | 1053558643 RES-CARE WASHINGTON, INC | $31.6M | $41 | $729 | -9.3% | 6 |
| 15 | 1245440692 COMMUNITY CONNECTIONS, INC | $30.0M | $131 | $2,309 | +88.8% | 6 |
| 16 | 1649281577 CHILDREN'S THERAPY PLACE, INC. | $30.0M | $98 | $341 | +18.8% | 31 |
| 17 | 1114063344 A NEW LEAF, INC. | $29.5M | $388 | $4,220 | +5.6% | 10 |
| 18 | 1366563397 ALTERNATIVE NURSING SERVICES, INC. | $29.2M | $131 | $1,815 | -91.1% | 4 |
| 19 | 1538150081 BONNEVILLE SCHOOL DIST #93 | $27.5M | $97 | $424 | +6.1% | 20 |
| 20 | 1366637068 BENEWAH MEDICAL CENTER | $25.5M | $185 | $220 | +100.9% | 80 |
| 21 | 1770586794 ST LUKES REGIONAL MEDICAL CENTER | $25.0M | $21 | $26 | -95.3% | 512 |
| 22 | 1568413920 ALLIANCE MEDICAL GROUP, LLC | $21.7M | $55 | $57 | +69.8% | 93 |
| 23 | 1346791944 RENEWED HORIZONS, LLC | $19.9M | $1,778 | $9,450 | +214.1% | 1 |