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 residentsabove 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.