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

TN#20 risk rank

Medicaid Fraud Risk Profile: Tennessee

Flagged Providers
23
18 statistical · 5 ML
Total Spending
$7.34B
Suspicious billing
Flags per 100K
0.32
Nat'l avg: 0.36
Spending per Capita
$1,030
Pop: 7.1M

Risk Assessment

Tennessee ranks #20 out of 51 states by flags per capita, with 0.32 flagged providers per 100,000 residentsbelow the national average of 0.36. Of 23 total flagged providers, 18 were identified through statistical analysis and 5 by machine learning models. Total suspicious spending amounts to $7.34B, translating to $1,030 per resident — higher than the national per-capita average.