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

NY#11 risk rank

Medicaid Fraud Risk Profile: New York

Flagged Providers
114
106 statistical · 8 ML
Total Spending
$35.70B
Suspicious billing
Flags per 100K
0.58
Nat'l avg: 0.36
Spending per Capita
$1,824
Pop: 19.6M

Risk Assessment

New York ranks #11 out of 51 states by flags per capita, with 0.58 flagged providers per 100,000 residents — above the national average of 0.36. Of 114 total flagged providers, 106 were identified through statistical analysis and 8 by machine learning models. Total suspicious spending amounts to $35.70B, translating to $1,824 per resident — higher than the national per-capita average.