Mildly Concerning

Explore national Medicaid fee-for-service utilization and payment data. Search by provider NPI or procedure code to analyze spending patterns across 2018-2024.

Enter a 10-digit NPI number or 5-character HCPCS code

Total Payments

$142.5B

+4.2% from prior year

Total Claims

890.0M

+2.1% from prior year

Unique Providers

1.3M

Beneficiaries Served

78.0M

Spending Over Time

Top HCPCS Codes by Spending

Outliers & Oddities

Statistical anomalies hiding in 227 million claims. Every number tells a story.

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Data Disclaimer

This tool presents publicly available Medicaid provider utilization and payment data published by the Centers for Medicare & Medicaid Services (CMS). Data reflects fee-for-service claims only and does not include managed care, Medicare Advantage, or other payment arrangements.

Variation in billing patterns may reflect differences in patient populations, practice settings, geographic factors, coding practices, or specialty mix. Higher or lower spending relative to peers does not by itself indicate improper billing, fraud, waste, or abuse.

This tool is intended for research and informational purposes only. It should not be used as the sole basis for any clinical, legal, regulatory, or employment decision.