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

NM#14 risk rank

Medicaid Fraud Risk Profile: New Mexico

Flagged Providers
11
10 statistical · 1 ML
Total Spending
$2.06B
Suspicious billing
Flags per 100K
0.52
Nat'l avg: 0.36
Spending per Capita
$973
Pop: 2.1M

Risk Assessment

New Mexico ranks #14 out of 51 states by flags per capita, with 0.52 flagged providers per 100,000 residents — above the national average of 0.36. Of 11 total flagged providers, 10 were identified through statistical analysis and 1 by machine learning models. Total suspicious spending amounts to $2.06B, translating to $973 per resident — higher than the national per-capita average.