T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$5.37B
$5,366,391,845
Beneficiaries
33.6M
33,649,595
$/Beneficiary
$159
$72 per claim
Providers
3,426
0 procedures
Montana — total payments per month (nominal $)
Montana — 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 | S5126 | $1.78B | $98 | 18,148,520 | 723,829 | 16 |
| 2 | T1019 | $553.0M | $134 | 4,135,041 | 184,619 | 38 |
| 3 | T2017 | $276.9M | $4,970 | 55,721 | 42,837 | 21 |
| 4 | S5150 | $234.0M | $75 | 3,109,647 | 337,923 | 5 |
| 5 | 90837 | $172.4M | $79 | 2,189,656 | 861,541 | 1,207 |
| 6 | H0036 | $147.1M | $84 | 1,747,310 | 158,707 | 90 |
| 7 | 99214 | $119.6M | $72 | 1,660,271 | 1,432,815 | 534 |
| 8 | T2021 | $118.1M | $1,012 | 116,722 | 74,122 | 45 |
| 9 | 99213 | $102.8M | $44 | 2,311,780 | 1,996,980 | 524 |
| 10 | S5145 | $98.5M | $229 | 429,858 | 22,461 | 8 |
| 11 | S5136 | $93.9M | $83 | 1,136,419 | 52,683 | 1 |
| 12 | T2031 | $89.3M | $1,470 | 60,769 | 31,549 | 42 |
| 13 | T2013 | $87.6M | $2,018 | 43,429 | 13,346 | 17 |
| 14 | T1016 | $73.8M | $48 | 1,538,154 | 287,426 | 53 |
| 15 | H0018 | $61.7M | $455 | 135,587 | 16,104 | 6 |
| 16 | S5102 | $57.4M | $280 | 205,192 | 13,814 | 8 |
| 17 | H0040 | $55.0M | $325 | 169,184 | 41,066 | 5 |
| 18 | T2022 | $54.7M | $316 | 173,016 | 165,119 | 11 |
| 19 | 97530 | $40.6M | $56 | 728,755 | 246,117 | 196 |
| 20 | 99284 | $35.3M | $61 | 576,507 | 509,545 | 75 |
| 21 | 92507 | $33.0M | $43 | 774,413 | 256,093 | 147 |
| 22 | T2016 | $32.1M | $458 | 70,177 | 4,810 | 10 |
| 23 | H2012 | $30.2M | $57 | 528,675 | 43,363 | 15 |
| 24 | 99285 | $29.0M | $83 | 347,333 | 305,671 | 55 |
| 25 | H2019 | $27.4M | $45 | 602,889 | 85,345 | 36 |
388 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 | 1538649983 CONSUMER DIRECT CARE NETWORK VIRGINIA | $2.11B | $95 | $1,970 | +195.5% | 5 |
| 2 | 1619334323 CONSUMER DIRECT DISTRICT OF COLUMBIA | $392.7M | $205 | $5,557 | -21.1% | 8 |
| 3 | 1427003862 AWARE INC | $140.4M | $245 | $1,464 | +70.9% | 39 |
| 4 | 1912079328 WESTERN MONTANA MENTAL HEALTH CENTER | $87.9M | $179 | $457 | -12.1% | 52 |
| 5 | 1801918966 YOUTH DYNAMICS, INC. | $65.3M | $75 | $637 | -11.0% | 5 |
| 6 | 1144251885 CENTER FOR MENTAL HEALTH | $55.2M | $125 | $525 | +16.8% | 33 |
| 7 | 1376598714 BILLINGS CLINIC | $53.9M | $57 | $64 | +21.2% | 327 |
| 8 | 1154456366 CONSUMER DIRECT PERSONAL CARE, LLC | $49.0M | $68 | $818 | +18.1% | 6 |
| 9 | 1255406658 OPPORTUNITY RESOURCES INC | $48.6M | $1,065 | $1,262 | +26.3% | 23 |
| 10 | 1821126004 RIMROCK FOUNDATION | $44.9M | $152 | $544 | +17.4% | 38 |
| 11 | 1780737007 FLATHEAD INDUSTRIES | $40.7M | $1,696 | $2,478 | +107.0% | 9 |
| 12 | 1780968974 BENEFIS HOSPITALS INC | $38.2M | $64 | $74 | +25.0% | 231 |
| 13 | 1518085851 CAPITAL OPPORTUNTIES, INC. | $37.8M | $42 | $570 | +12.5% | 8 |
| 14 | 1043421902 WEST MONT | $34.7M | $1,647 | $1,888 | +116.8% | 7 |
| 15 | 1710015755 MISSOULA DEVELOPMENTAL SERVICE CORP | $33.6M | $2,341 | $2,733 | +133.4% | 8 |
| 16 | 1508289703 SCL HEALTH MEDICAL GROUP - BILLINGS LLC | $32.1M | $71 | $83 | +84.4% | 139 |
| 17 | 1215143227 RESIDENTIAL SUPPORT SERVICES | $30.6M | $2,329 | $2,623 | +81.1% | 7 |
| 18 | 1528088853 A PLUS HEALTH CARE INC | $28.2M | $57 | $772 | +94.5% | 16 |
| 19 | 1760525992 NEW DAY, INC. | $27.7M | $371 | $1,037 | -14.1% | 15 |
| 20 | 1437223518 QUALITY LIFE CONCEPTS INC. | $26.0M | $1,447 | $1,867 | +55.2% | 13 |
| 21 | 1902025067 YOUTH DYNAMICS, INC. | $24.5M | $73 | $301 | -36.3% | 19 |
| 22 | 1851906895 RECOVERY CENTERS OF MONTANA LLC | $21.7M | $250 | $2,026 | +1699.0% | 9 |
| 23 | 1528109766 RESOURCE, SUPPORT, & DEVELOPMENT, INC. | $21.3M | $993 | $1,225 | +54.2% | 9 |
| 24 | 1497871255 EXPRESS PERSONNEL SERVICES | $20.4M | $161 | $715 | +184.1% | 13 |
| 25 | 1205977980 BSW, INC. | $20.4M | $1,453 | $1,695 | +86.1% | 6 |
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