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

IL#45 risk rank

Medicaid Fraud Risk Profile: Illinois

Flagged Providers
12
6 statistical · 6 ML
Total Spending
$2.39B
Suspicious billing
Flags per 100K
0.10
Nat'l avg: 0.36
Spending per Capita
$190
Pop: 12.5M

Risk Assessment

Illinois ranks #45 out of 51 states by flags per capita, with 0.10 flagged providers per 100,000 residentsbelow the national average of 0.36. Of 12 total flagged providers, 6 were identified through statistical analysis and 6 by machine learning models. Total suspicious spending amounts to $2.39B, translating to $190 per resident — within the national per-capita range.