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

NJ#15 risk rank

Medicaid Fraud Risk Profile: New Jersey

Flagged Providers
46
44 statistical · 2 ML
Total Spending
$9.84B
Suspicious billing
Flags per 100K
0.50
Nat'l avg: 0.36
Spending per Capita
$1,059
Pop: 9.3M

Risk Assessment

New Jersey ranks #15 out of 51 states by flags per capita, with 0.50 flagged providers per 100,000 residentsabove the national average of 0.36. Of 46 total flagged providers, 44 were identified through statistical analysis and 2 by machine learning models. Total suspicious spending amounts to $9.84B, translating to $1,059 per resident — higher than the national per-capita average.