Massachusetts
#4 in Medicaid spending (5.12% of national total)
Total Spending
$56.03B
Total Claims
790.1M
Providers
19,346
Avg Cost/Claim
$71
Data Coverage Note: Massachusetts has 62% of Medicaid enrollees in managed care. This data covers only fee-for-service (FFS) claims (est. 38% of enrollees). Actual total Medicaid spending in Massachusetts is significantly higher than shown.
Enrollment (Latest)
2.0M
Managed Care
62%
ACA Expansion
Yes (2014)
FFS $/Enrollee
$4,100
Yearly Spending Trend
Year-over-Year Growth
Top Providers
| Provider | Total Paid▼ |
|---|---|
TEMPUS UNLIMITED, INC. Voluntary or Charitable | $5.57B |
DEPARTMENT OF DEVELOPMENTAL SERVICES Case Management | $1.35B |
COMMONWEALTH OF MASSACHUSETS Case Management | $1.14B |
COMMONWEALTH OF MASS-DDS Case Management | $1.10B |
STAVROS CENTER FOR INDEPENDENT LIVING, INC. Case Management | $1.04B |
PUBLIC PARTNERSHIPS-COLORADO, INC. Supports Brokerage | $887.5M |
COMMONWEALTH OF MASSACHUSETTS-DDS Case Management | $881.9M |
BOSTON MEDICAL CENTER CORPORATION General Acute Care Hospital | $768.5M |
NORTHEAST ARC, INC. Community/Behavioral Health | $733.1M |
CAREGIVER HOMES OF MASSACHUSETTS, INC Custodial Care Facility | $598.9M |
TEMPUS UNLIMITED, INC. Voluntary or Charitable | $554.9M |
UMASS MEMORIAL MEDICAL CENTER, INC. General Acute Care Hospital | $491.0M |
MA-DEPARTMENT OF SOCIAL SERVICES-REHAB Public Health or Welfare | $490.7M |
DEPARTMENT OF DEVELOPMENTAL SERVICES Case Management | $465.4M |
COMMONWEALTH OF MASSACHUSETTS-DDS Case Management | $447.5M |
COMMONWEALTH OF MASSACHUSETTS Case Management | $444.0M |
THE GENERAL HOSPITAL CORPORATION General Acute Care Hospital | $437.8M |
COMMONWEALTH OF MASS-DDS Case Management | $435.8M |
BAYSTATE MEDICAL CENTER INC Clinic/Center | $374.5M |
INNOVIVE HEALTH OF MASSACHUSETTS LLC Home Health | $363.5M |
20 rows
Top Procedures
| Code | Description | Total Paid▼ |
|---|---|---|
| T2016 | Habil res waiver per diem | $8.97B |
| T1019 | Personal care ser per 15 min | $8.43B |
| S5140 | Adult foster care per diem | $3.11B |
| S5102 | Adult day care per diem | $1.42B |
| 99214 | Office o/p est mod 30 min | $1.06B |
| 90834 | Psytx w pt 45 minutes | $969.9M |
| T1502 | Medication admin visit | $952.5M |
| 99213 | Office o/p est low 20 min | $873.2M |
| T2025 | Waiver service, nos | $864.7M |
| T1015 | Clinic service | $851.7M |
| H2018 | Psysoc rehab svc, per diem | $839.3M |
| H2019 | Ther behav svc, per 15 min | $820.0M |
| G0156 | Hhcp-svs of aide,ea 15 min | $709.1M |
| H2015 | Comp comm supp svc, 15 min | $699.5M |
| T2046 | Hospice long term care, r&b | $670.4M |
| H0019 | Alcohol and/or drug services | $628.0M |
| S5130 | Homaker service nos per 15m | $616.1M |
| T2023 | Targeted case mgmt per month | $600.3M |
| S5100 | Adult daycare services 15min | $591.0M |
| H0043 | Supported housing, per diem | $561.2M |
20 rows
Provider Classification Breakdown
| Classification | Total Paid▼ | Providers |
|---|---|---|
| Case Management | $14.59B | 139 |
| Voluntary or Charitable | $6.83B | 27 |
| Clinic/Center | $6.80B | 1,221 |
| General Acute Care Hospital | $5.18B | 77 |
| Community/Behavioral Health | $3.26B | 169 |
| Home Health | $3.18B | 299 |
| Dentist | $1.31B | 1,489 |
| Custodial Care Facility | $1.24B | 47 |
| Counselor | $1.02B | 861 |
| Day Training, Developmentally Disabled Services | $990.8M | 129 |
| Supports Brokerage | $893.6M | 2 |
| Hospice Care, Community Based | $688.1M | 71 |
| Internal Medicine | $672.4M | 2,079 |
| Clinical Medical Laboratory | $650.9M | 63 |
| Durable Medical Equipment & Medical Supplies | $649.6M | 325 |
| Public Health or Welfare | $616.6M | 64 |
| Ambulance | $588.1M | 258 |
| Emergency Medicine | $533.0M | 667 |
| Foster Care Agency | $478.4M | 35 |
| Pediatrics | $416.5M | 1,508 |