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 residentsabove 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.