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

MA#9 risk rank

Medicaid Fraud Risk Profile: Massachusetts

Flagged Providers
47
43 statistical · 4 ML
Total Spending
$16.88B
Suspicious billing
Flags per 100K
0.67
Nat'l avg: 0.36
Spending per Capita
$2,411
Pop: 7.0M

Risk Assessment

Massachusetts ranks #9 out of 51 states by flags per capita, with 0.67 flagged providers per 100,000 residentsabove the national average of 0.36. Of 47 total flagged providers, 43 were identified through statistical analysis and 4 by machine learning models. Total suspicious spending amounts to $16.88B, translating to $2,411 per resident — higher than the national per-capita average.