KY#16 risk rank
Medicaid Fraud Risk Profile: Kentucky
Flagged Providers
22
18 statistical · 4 ML
Total Spending
$3.54B
Suspicious billing
Flags per 100K
0.49
Nat'l avg: 0.36
Spending per Capita
$783
Pop: 4.5M
Risk Assessment
Kentucky ranks #16 out of 51 states by flags per capita, with 0.49 flagged providers per 100,000 residents — above the national average of 0.36. Of 22 total flagged providers, 18 were identified through statistical analysis and 4 by machine learning models. Total suspicious spending amounts to $3.54B, translating to $783 per resident — higher than the national per-capita average.