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

PA#22 risk rank

Medicaid Fraud Risk Profile: Pennsylvania

Flagged Providers
36
36 statistical · 0 ML
Total Spending
$3.66B
Suspicious billing
Flags per 100K
0.28
Nat'l avg: 0.36
Spending per Capita
$282
Pop: 13.0M

Risk Assessment

Pennsylvania ranks #22 out of 51 states by flags per capita, with 0.28 flagged providers per 100,000 residentsbelow the national average of 0.36. Of 36 total flagged providers, 36 were identified through statistical analysis. Total suspicious spending amounts to $3.66B, translating to $282 per resident — within the national per-capita range.