T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$8.56B
$8,555,605,611
Beneficiaries
84.0M
84,045,318
$/Beneficiary
$102
$70 per claim
Providers
3,746
0 procedures
West Virginia — total payments per month (nominal $)
West Virginia — 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 | S5125 | $1.31B | $745 | 1,760,824 | 203,573 | 43 |
| 2 | T1015 | $859.6M | $133 | 6,482,486 | 4,806,624 | 385 |
| 3 | S5130 | $475.7M | $333 | 1,426,975 | 275,807 | 72 |
| 4 | T1019 | $364.6M | $270 | 1,352,801 | 291,039 | 78 |
| 5 | 99213 | $313.5M | $34 | 9,144,786 | 6,944,698 | 1,273 |
| 6 | H2036 | $273.3M | $209 | 1,306,032 | 84,688 | 35 |
| 7 | H0004 | $246.6M | $76 | 3,234,094 | 868,503 | 166 |
| 8 | 99214 | $229.3M | $50 | 4,588,483 | 3,847,672 | 1,033 |
| 9 | 99285 | $192.4M | $214 | 898,987 | 784,677 | 133 |
| 10 | 99284 | $186.3M | $124 | 1,507,230 | 1,325,986 | 169 |
| 11 | H0019 | $143.7M | $153 | 940,050 | 45,108 | 36 |
| 12 | A0425 | $131.0M | $99 | 1,327,544 | 730,443 | 137 |
| 13 | T2021 | $125.2M | $123 | 1,014,772 | 223,662 | 57 |
| 14 | 99283 | $116.5M | $83 | 1,406,952 | 1,261,456 | 163 |
| 15 | G9002 | $110.9M | $147 | 753,481 | 733,080 | 123 |
| 16 | H0020 | $93.5M | $100 | 936,934 | 221,365 | 17 |
| 17 | H0038 | $89.6M | $114 | 785,175 | 126,433 | 57 |
| 18 | H0040 | $82.0M | $84 | 972,188 | 34,981 | 12 |
| 19 | A0429 | $79.5M | $217 | 366,858 | 279,726 | 113 |
| 20 | A0427 | $70.1M | $259 | 270,646 | 217,740 | 96 |
| 21 | H0036 | $69.6M | $465 | 149,821 | 27,161 | 24 |
| 22 | 97530 | $65.8M | $94 | 698,760 | 219,158 | 141 |
| 23 | A0428 | $61.4M | $109 | 565,804 | 230,072 | 74 |
| 24 | 80307 | $56.9M | $49 | 1,163,564 | 631,444 | 106 |
| 25 | 90837 | $55.9M | $79 | 705,792 | 379,229 | 314 |
354 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 | 1699896316 REM COMMUNITY OPTIONS, INC. | $224.9M | $1,054 | $1,384 | -5.7% | 13 |
| 2 | 1891770806 LABORATORY CORPORATION OF AMERICA HOLDINGS | $220.0M | $25 | $29 | +108.3% | 203 |
| 3 | 1952390239 CHARLESTON AREA MEDICAL CENTER INC | $199.8M | $50 | $60 | -69.7% | 736 |
| 4 | 1184780629 VOCA CORPORATION OF WEST VIRGINIA, INC. | $178.3M | $1,255 | $1,804 | -20.3% | 13 |
| 5 | 1255523494 MULBERRY STREET MANAGEMENT SERVICES, INC. | $175.6M | $222 | $545 | -52.0% | 3 |
| 6 | 1275504508 WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION | $162.0M | $50 | $64 | +167.1% | 666 |
| 7 | 1255496220 RSCR WEST VIRGINIA, INC. | $153.6M | $1,342 | $2,082 | -12.8% | 12 |
| 8 | 1841271459 WEST VIRGINIA UNIVERSITY HOSPITALS, INC | $124.1M | $43 | $54 | -76.6% | 830 |
| 9 | 1265782395 DIVERSIFIED ASSESSMENT & THERAPY SERVICES | $122.7M | $611 | $1,734 | +94.7% | 13 |
| 10 | 1073518007 CABELL HUNTINGTON HOSPITAL INC | $94.2M | $42 | $55 | -56.3% | 614 |
| 11 | 1356336903 PRESTERA CENTER FOR MENTAL HEALTH SERVICES INC | $75.4M | $86 | $211 | +13.2% | 35 |
| 12 | 1821206228 WEST VIRGINIA'S CHOICE | $72.8M | $239 | $538 | -30.9% | 6 |
| 13 | 1417173444 NORTHWOOD HEALTH SYSTEMS INC | $67.6M | $116 | $1,258 | +26.5% | 11 |
| 14 | 1912133315 URGENT CARE, INC.- WEST VIRGINIA | $67.0M | $52 | $59 | +63.6% | 85 |
| 15 | 1891293056 LINX COMMUNITY SERVICE, LLC | $64.5M | $843 | $2,496 | +235.6% | 8 |
| 16 | 1184606600 UNITED HOSPITAL CENTER, INC | $63.3M | $40 | $49 | -75.1% | 519 |
| 17 | 1881782019 CENTRAL WEST VIRGINIA AGING SERVICES INC (HMKR) | $61.8M | $215 | $446 | -46.9% | 5 |
| 18 | 1083617823 SHENANDOAH VALLEY MEDICAL SYSTEM, INC. | $61.2M | $64 | $103 | +115.9% | 120 |
| 19 | 1871358663 WV BIRTH TO THREE | $60.0M | $124 | $326 | +823347.4% | 4 |
| 20 | 1780711291 AUTISM SERVICE CENTER | $59.0M | $851 | $1,104 | -6.3% | 14 |
| 21 | 1730183286 UNIVERSITY PHYSICIANS & SURGEONS, INC | $58.4M | $44 | $55 | +80.9% | 412 |
| 22 | 1699704254 CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION | $56.3M | $41 | $51 | -69.5% | 481 |
| 23 | 1649277559 NORTHWOOD HEALTH SYSTEMS INC | $52.5M | $170 | $606 | +64.8% | 19 |
| 24 | 1124248752 CHARLESTON AREA MEDICAL CENTER, INC. | $51.1M | $44 | $56 | +86.0% | 290 |
| 25 | 1174021406 ST. JOSEPH RECOVERY CENTER, LLC | $49.6M | $139 | $643 | +290.3% | 19 |
96 rows · Page 1 of 4