NC#42 risk rank
Medicaid Fraud Risk Profile: North Carolina
Flagged Providers
14
12 statistical · 2 ML
Total Spending
$2.96B
Suspicious billing
Flags per 100K
0.13
Nat'l avg: 0.36
Spending per Capita
$273
Pop: 10.8M
Risk Assessment
North Carolina ranks #42 out of 51 states by flags per capita, with 0.13 flagged providers per 100,000 residents — below the national average of 0.36. Of 14 total flagged providers, 12 were identified through statistical analysis and 2 by machine learning models. Total suspicious spending amounts to $2.96B, translating to $273 per resident — within the national per-capita range.