CA#25 risk rank
Medicaid Fraud Risk Profile: California
Flagged Providers
104
99 statistical · 5 ML
Total Spending
$30.89B
Suspicious billing
Flags per 100K
0.27
Nat'l avg: 0.36
Spending per Capita
$793
Pop: 39.0M
Risk Assessment
California ranks #25 out of 51 states by flags per capita, with 0.27 flagged providers per 100,000 residents — below the national average of 0.36. Of 104 total flagged providers, 99 were identified through statistical analysis and 5 by machine learning models. Total suspicious spending amounts to $30.89B, translating to $793 per resident — higher than the national per-capita average.