SC#24 risk rank
Medicaid Fraud Risk Profile: South Carolina
Flagged Providers
15
13 statistical · 2 ML
Total Spending
$842.8M
Suspicious billing
Flags per 100K
0.28
Nat'l avg: 0.36
Spending per Capita
$157
Pop: 5.4M
Risk Assessment
South Carolina ranks #24 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 15 total flagged providers, 13 were identified through statistical analysis and 2 by machine learning models. Total suspicious spending amounts to $842.8M, translating to $157 per resident — within the national per-capita range.