Medicaid Provider Spending

Interesting places to explore in the data:

Deep dives into the data:

Brooklyn's $31.8 Billion Personal Care Industry — 318 providers in one borough bill almost exclusively one code — more than the entire Medicaid spending of most states.

The Fastest-Growing Medicaid Providers in America — Which providers saw the biggest spending increases from 2023 to 2024 — and what they're billing for.

The 25 Most Expensive Medicaid Billing Codes — From personal care to ambulance rides, here's where $1.09 trillion in Medicaid spending actually goes.

The $33.9 Billion Medicaid Transportation Machine — From ambulances to taxi companies, medical transportation is one of the largest and most fraud-prone categories in Medicaid.

Which States Spend the Most Per Medicaid Beneficiary? — Alaska spends $277 per beneficiary while Illinois spends $59 — a 4.7x gap that reflects very different Medicaid programs.

Every Medicaid Provider That Has Billed Over $1 Billion — 40 providers have each billed more than $1 billion in Medicaid payments between 2018 and 2024. Here's the full list.

The Company That Billed $910 Million Delivering Meals — PurFoods LLC in Ankeny, Iowa is the largest single Medicaid meal delivery provider in the country.

Excluded Providers: $350 Million in Medicaid Payments to Banned Entities — Arizona and Ohio lead the nation in Medicaid spending on OIG-excluded providers — entities banned from federal healthcare programs.

Michigan's H2015 Anomaly: 235 Claims Per Beneficiary — A cluster of Michigan providers shows extreme claims-per-beneficiary ratios on community support billing code H2015.

Who Controls 2,000 Medicaid Providers? Entity Proliferation in the NPI Registry — A handful of authorized officials control thousands of Medicaid billing entities, representing billions in spending. Some are legitimate healthcare conglomerates. The pattern itself is worth understanding.

How One Program Drives Half of New York's Medicaid Spending — $74.6 billion in personal care billing — one code, one state, one program.

T1019: The $122 Billion Billing Code — Personal care services is the single largest Medicaid billing code — and the populations it serves are among the most vulnerable.

Rural Medicaid Spending: $138.8 Billion Across 102,819 Providers — County-level analysis of Medicaid spending in rural America using USDA RUCA codes — where the money goes, what it pays for, and how rural spending differs from urban.

Rural Substance Abuse Spending Tripled in Six Years — Medicaid spending on substance abuse treatment in rural America grew from $329 million in 2018 to over $1 billion in 2023 — a 208% increase across 1,566 providers in 41 states.

The Cost of Flying Rural Medicaid Patients: $1.8 Billion in Air Transport — Air ambulance billing codes are the most disproportionately rural category in all of Medicaid — with non-emergency air transport split nearly 50/50 between rural and urban despite rural areas accounting for just 12.8% of total spending.