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

PR#50 risk rank

Medicaid Fraud Risk Profile: Puerto Rico

Flagged Providers
1
1 statistical · 0 ML
Total Spending
$189.0M
Suspicious billing
Flags per 100K
0.03
Nat'l avg: 0.36
Spending per Capita
$59
Pop: 3.2M

Risk Assessment

Puerto Rico ranks #50 out of 51 states by flags per capita, with 0.03 flagged providers per 100,000 residentsbelow the national average of 0.36. Of 1 total flagged providers, 1 were identified through statistical analysis. Total suspicious spending amounts to $189.0M, translating to $59 per resident — within the national per-capita range.