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 residents — below 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.