Deep dives into $1.09 trillion of Medicaid claims data, 2018–2024.
318 providers in one borough bill almost exclusively one code — more than the entire Medicaid spending of most states.
Which providers saw the biggest spending increases from 2023 to 2024 — and what they're billing for.
From personal care to ambulance rides, here's where $1.09 trillion in Medicaid spending actually goes.
From ambulances to taxi companies, medical transportation is one of the largest and most fraud-prone categories in Medicaid.
Alaska spends $277 per beneficiary while Illinois spends $59 — a 4.7x gap that reflects very different Medicaid programs.
40 providers have each billed more than $1 billion in Medicaid payments between 2018 and 2024. Here's the full list.
PurFoods LLC in Ankeny, Iowa is the largest single Medicaid meal delivery provider in the country.
Arizona and Ohio lead the nation in Medicaid spending on OIG-excluded providers — entities banned from federal healthcare programs.
A cluster of Michigan providers shows extreme claims-per-beneficiary ratios on community support billing code H2015.
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.
$74.6 billion in personal care billing — one code, one state, one program.
Personal care services is the single largest Medicaid billing code — and the populations it serves are among the most vulnerable.
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.
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.
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.