Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Medicaid Spending by State

Provider spending across 49 states, totaling $305.49B. Click any state for top providers, procedures, and yearly trends.

Flagged Providers by State

Flags per 100K residents. Adjusts for population to reveal disproportionate risk.

VT1.1DC1.0ME1.0AZ1.0AK0.9DE0.9NH0.9NV0.8MA0.7WV0.6NY0.6RI0.6KS0.5NM0.5NJ0.5KY0.5CT0.4MD0.4MO0.4TN0.3OH0.3PA0.3MN0.3SC0.3CA0.3CO0.3MI0.2VA0.2IN0.2HI0.2TX0.2AR0.2MT0.2MS0.2WY0.2IA0.2FL0.1WI0.1LA0.1UT0.1WA0.1NC0.1OK0.1SD0.1IL0.1AL0.1OR0.1ID0.1GA0.0PR0.0ND0.0
0 <0.3 0.3–0.6 0.6–0.8 >0.8per 100K residents

Risk Rankings

Top 10 states by flagged providers per 100K residents. Small states can rank high even with few total flags.

1
NY

New York

$81.15B

208 providers · 669.1M claims

2
CA

California

$36.76B

100 providers · 575.6M claims

3
MA

Massachusetts

$30.75B

78 providers · 354.5M claims

4
NJ

New Jersey

$16.15B

61 providers · 349.9M claims

5
MI

Michigan

$12.03B

45 providers · 165.1M claims

6
TX

Texas

$10.08B

40 providers · 169.1M claims

7
MO

Missouri

$9.25B

32 providers · 127.3M claims

8
TN

Tennessee

$8.63B

21 providers · 70.2M claims

9
OH

Ohio

$8.56B

32 providers · 203.4M claims

10
AZ

Arizona

$8.49B

34 providers · 164.4M claims

11
MN

Minnesota

$5.79B

25 providers · 46.1M claims

12
KY

Kentucky

$5.68B

24 providers · 77.5M claims

13
CT

Connecticut

$5.10B

19 providers · 114.7M claims

14
AL

Alabama

$4.74B

8 providers · 65.5M claims

15
VA

Virginia

$4.64B

20 providers · 42.2M claims

16
NC

North Carolina

$4.59B

16 providers · 159.0M claims

17
CO

Colorado

$4.42B

8 providers · 119.1M claims

18
IN

Indiana

$3.33B

16 providers · 36.2M claims

19
PA

Pennsylvania

$3.24B

16 providers · 37.2M claims

20
IL

Illinois

$3.21B

11 providers · 66.0M claims

21
MT

Montana

$2.64B

3 providers · 24.7M claims

22
FL

Florida

$2.54B

15 providers · 119.4M claims

23
NH

New Hampshire

$2.53B

13 providers · 10.3M claims

24
WA

Washington

$2.42B

13 providers · 54.3M claims

25
IA

Iowa

$2.28B

9 providers · 55.0M claims

26
GA

Georgia

$2.26B

9 providers · 40.0M claims

27
NM

New Mexico

$2.19B

8 providers · 26.3M claims

28
RI

Rhode Island

$1.88B

10 providers · 14.8M claims

29
WI

Wisconsin

$1.68B

9 providers · 32.4M claims

30
LA

Louisiana

$1.68B

8 providers · 33.7M claims

31
WV

West Virginia

$1.56B

9 providers · 20.4M claims

32
UT

Utah

$1.44B

7 providers · 26.0M claims

33
ME

Maine

$1.42B

8 providers · 14.1M claims

34
KS

Kansas

$1.28B

8 providers · 27.0M claims

35
DC

District of Columbia

$1.25B

6 providers · 11.2M claims

36
MS

Mississippi

$1.22B

5 providers · 13.1M claims

37
VT

Vermont

$1.20B

7 providers · 3.5M claims

38
AR

Arkansas

$1.16B

6 providers · 17.1M claims

39
NV

Nevada

$1.07B

4 providers · 3.1M claims

40
AK

Alaska

$1.06B

5 providers · 6.5M claims

41
MD

Maryland

$776.0M

4 providers · 19.9M claims

42
OK

Oklahoma

$731.6M

4 providers · 3.1M claims

43
DE

Delaware

$661.9M

3 providers · 4.8M claims

44
SC

South Carolina

$601.3M

3 providers · 12.7M claims

45
HI

Hawaii

$325.4M

2 providers · 3.3M claims

46
SD

South Dakota

$316.5M

2 providers · 861K claims

47
OR

Oregon

$278.3M

2 providers · 2.0M claims

48
ID

Idaho

$263.8M

1 providers · 2.1M claims

49
PR

Puerto Rico

$189.0M

1 providers · 105K claims