T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$9.49B
$9,486,646,852
Beneficiaries
55.5M
55,478,249
$/Beneficiary
$171
$103 per claim
Providers
2,552
0 procedures
Maine — total payments per month (nominal $)
Maine — 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 | T2016 | $2.31B | $1,671 | 1,382,496 | 143,457 | 75 |
| 2 | H0019 | $670.3M | $565 | 1,187,097 | 76,202 | 28 |
| 3 | T1015 | $544.7M | $181 | 3,017,183 | 2,104,422 | 180 |
| 4 | H2021 | $534.4M | $294 | 1,814,721 | 183,940 | 104 |
| 5 | T1019 | $512.5M | $223 | 2,298,189 | 228,007 | 110 |
| 6 | S5140 | $421.3M | $527 | 799,278 | 85,994 | 31 |
| 7 | T2021 | $370.1M | $198 | 1,869,251 | 250,500 | 72 |
| 8 | G0463 | $251.5M | $62 | 4,081,215 | 3,178,657 | 56 |
| 9 | H0004 | $233.4M | $80 | 2,903,167 | 999,005 | 289 |
| 10 | H2012 | $212.2M | $232 | 914,376 | 64,465 | 42 |
| 11 | T1020 | $193.7M | $341 | 568,575 | 38,536 | 21 |
| 12 | S5125 | $149.4M | $161 | 929,490 | 46,871 | 2 |
| 13 | G9012 | $147.6M | $77 | 1,907,810 | 463,097 | 50 |
| 14 | G0299 | $143.2M | $152 | 942,697 | 205,349 | 50 |
| 15 | H0020 | $129.4M | $107 | 1,211,923 | 269,498 | 14 |
| 16 | H2015 | $121.4M | $97 | 1,250,401 | 284,933 | 71 |
| 17 | T1017 | $106.7M | $85 | 1,254,314 | 298,549 | 104 |
| 18 | T2017 | $100.3M | $264 | 380,409 | 42,766 | 34 |
| 19 | 99284 | $92.2M | $96 | 964,048 | 815,752 | 61 |
| 20 | 99214 | $87.9M | $31 | 2,875,640 | 2,532,765 | 463 |
| 21 | 99285 | $82.2M | $180 | 455,878 | 384,883 | 56 |
| 22 | H2010 | $77.6M | $129 | 602,868 | 484,573 | 49 |
| 23 | H0018 | $63.3M | $593 | 106,757 | 16,750 | 10 |
| 24 | 99213 | $62.3M | $20 | 3,121,578 | 2,642,474 | 486 |
| 25 | H2011 | $61.1M | $312 | 195,960 | 84,312 | 13 |
383 rows · Page 1 of 16
Each dot is a provider. Color = spending trend direction.
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| # | Provider | Total Paid▼ | $/Claim | $/Beneficiary | Growth | Procedures |
|---|---|---|---|---|---|---|
| 1 | 1518022763 GRANITE BAY CARE, INC | $281.7M | $1,246 | $17,702 | +45.3% | 4 |
| 2 | 1063431070 JOHN F MURPHY HOMES, INC. | $260.0M | $412 | $3,710 | +30.9% | 19 |
| 3 | 1669423380 MAINEGENERAL MEDICAL CENTER | $167.8M | $35 | $43 | +36.2% | 812 |
| 4 | 1790789147 EASTERN MAINE MEDICAL CENTER | $159.2M | $48 | $58 | +18.3% | 888 |
| 5 | 1205962883 CREATIVE WORKS | $144.1M | $1,370 | $3,223 | +22.7% | 8 |
| 6 | 1679504864 KENNEBEC VALLEY MENTAL HEALTH CENTER | $143.0M | $161 | $373 | +8.6% | 29 |
| 7 | 1760436216 MAINEHEALTH | $142.7M | $47 | $57 | +106.4% | 887 |
| 8 | 1821232802 ALPHA ONE | $121.6M | $113 | $722 | +76.8% | 7 |
| 9 | 1265912067 MAINEHEALTH | $115.1M | $147 | $558 | +62.0% | 35 |
| 10 | 1295994804 SPURWINK SERVICES | $112.8M | $368 | $11,044 | -21.1% | 4 |
| 11 | 1649495110 WAYPOINT MAINE, INC. | $110.5M | $574 | $2,612 | -9.1% | 12 |
| 12 | 1588785463 GOODWILL INDUSTRIES OF NORTHERN NEW ENGLAND | $106.0M | $339 | $2,083 | -2.4% | 22 |
| 13 | 1346483435 WOODFORDS FAMILY SERVICES | $101.6M | $265 | $5,659 | +61.1% | 4 |
| 14 | 1487885976 SWEETSER | $98.1M | $693 | $12,436 | -47.7% | 5 |
| 15 | 1124595764 SAFE RESIDENTIAL CARE, LLC | $94.6M | $11,602 | $29,246 | +306.0% | 1 |
| 16 | 1609983907 MOTIVATIONAL SERVICES INC | $92.1M | $259 | $7,575 | +46.7% | 2 |
| 17 | 1356583876 EMPLOYMENT SPECIALISTS OF MAINE, INC. | $84.2M | $1,736 | $8,859 | +21.1% | 2 |
| 18 | 1053467779 PORT RESOURCES | $83.0M | $661 | $5,624 | +13.6% | 11 |
| 19 | 1992702955 SHALOM HOUSE, INC. | $81.9M | $526 | $5,623 | +48.7% | 3 |
| 20 | 1538122445 SWEETSER | $80.6M | $121 | $379 | -9.2% | 17 |
| 21 | 1457415184 COMMUNITY HEALTH AND COUNSELING SERVICES | $79.6M | $312 | $1,604 | -2.2% | 13 |
| 22 | 1245699461 CREATIVE OPTIONS, LLC | $78.7M | $913 | $4,532 | +55.0% | 4 |
| 23 | 1174769822 3RIVERS, INC. | $78.6M | $1,453 | $3,991 | +12.4% | 4 |
| 24 | 1689653487 CENTRAL MAINE MEDICAL CENTER | $76.1M | $31 | $36 | +19.9% | 692 |
| 25 | 1871729616 SENIORSPLUS | $74.7M | $118 | $206 | +35.5% | 13 |
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