Medicaid Spending Explorer
2018-01 to 2024-12 · 618K providers · 11K procedure codes
Total Spending
$1.09T
Total Claims
18.8B
Peak Monthly Beneficiaries
181.5M
Avg Cost / Claim
$58.09
Monthly Spending Timeline
84 months (2018-2024)
Top 25 Providers
Sorted by spending
| # | NPI | Spending ↓ | Claims | Avg/Claim |
|---|---|---|---|---|
| 1 | 1417262056 | $7.2B | 89.8M | $79.95 |
| 2 | 1699703827 | $6.8B | 30.9M | $219.57 |
| 3 | 1376609297 | $5.6B | 63.5M | $87.71 |
| 4 | 1699725143 | $3.1B | 107.7M | $28.71 |
| 5 | 1922467554 | $3.0B | 22.0M | $137.68 |
| 6 | 1710176151 | $2.7B | 35.6M | $75.47 |
| 7 | 1629436241 | $2.6B | 16.3M | $158.79 |
| 8 | 1982757688 | $2.3B | 2.0M | $1156.32 |
| 9 | 1538649983 | $2.1B | 22.2M | $95.02 |
| 10 | 1528263910 | $1.7B | 4.7M | $371.23 |
| 11 | 1962650622 | $1.7B | 11.2M | $149.70 |
| 12 | 1720151046 | $1.5B | 7.9M | $186.22 |
| 13 | 1356709976 | $1.5B | 5.3M | $274.74 |
| 14 | 1396051694 | $1.4B | 9.4M | $153.66 |
| 15 | 1538144910 | $1.4B | 103.9M | $13.82 |
| 16 | 1447261540 | $1.4B | 8.7M | $160.53 |
| 17 | 1750504064 | $1.3B | 1.7M | $812.05 |
| 18 | 1417099789 | $1.3B | 6.2M | $217.34 |
| 19 | 1073055208 | $1.3B | 10.5M | $121.60 |
| 20 | 1376554592 | $1.2B | 1.6M | $768.70 |
| 21 | 1518096411 | $1.1B | 1.6M | $734.32 |
| 22 | 1700090834 | $1.1B | 15.0M | $75.06 |
| 23 | 1780816991 | $1.1B | 6.9M | $160.15 |
| 24 | 1275657553 | $1.1B | 7.6M | $144.54 |
| 25 | 1134250475 | $1.1B | 1.4M | $765.97 |
Top 20 Procedure Codes
HCPCS codes by total spending
T1019Personal Care Services$122.7B
T1015Clinic Visit/Encounter$49.2B
T2016Habilitation, Residential$34.9B
99213Office Visit, Est. Patient (Low)$33.0B
S5125Attendant Care Services$31.3B
99214Office Visit, Est. Patient (Mod)$29.9B
99284Emergency Dept Visit (Mod-High)$20.2B
H2016Comprehensive Community Support$19.7B
99283Emergency Dept Visit (Moderate)$16.9B
H2015Comprehensive Community Support Svcs$16.5B
99285Emergency Dept Visit (High)$15.1B
90837Psychotherapy, 60 min$12.1B
S5102S5102$9.3B
90834Psychotherapy, 45 min$8.8B
T2021T2021$8.7B
H2017H2017$8.5B
T1017Targeted Case Management$8.4B
T1020T1020$8.2B
9099990999$7.7B
A0427A0427$7.7B
Spending Concentration
How spending is distributed across providers
Top 1%
0.0%
of total spending
Top 5%
5.3%
of total spending
Top 10%
27.1%
of total spending
Top 25%
93.9%
of total spending
Top 50%
93.9%
of total spending
The top 1% of providers account for 0.0% of all spending.
The top 10% control 27.1% of spending.
Half of all spending flows through just the top 15% of providers.
The bottom 50% of providers share only 6.1% of total spending.
Year-over-Year Comparison
Annual spending, claims, and growth trends
| Year | Total Spending | Claims | Avg/Claim | YoY Growth | Spending Bar |
|---|---|---|---|---|---|
| 2018 | $108.7B | 2.1B | $50.91 | -- | |
| 2019 | $126.9B | 2.4B | $52.89 | +16.8% | |
| 2020 | $132.1B | 2.3B | $57.33 | +4.1% | |
| 2021 | $162.6B | 2.9B | $55.97 | +23.1% | |
| 2022 | $179.6B | 3.1B | $58.16 | +10.5% | |
| 2023 | $198.8B | 3.2B | $61.77 | +10.7% | |
| 2024 | $185.0B | 2.8B | $66.62 | -6.9% |