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

VA#28 risk rank

Medicaid Fraud Risk Profile: Virginia

Flagged Providers
20
19 statistical · 1 ML
Total Spending
$3.71B
Suspicious billing
Flags per 100K
0.23
Nat'l avg: 0.36
Spending per Capita
$428
Pop: 8.7M

Risk Assessment

Virginia ranks #28 out of 51 states by flags per capita, with 0.23 flagged providers per 100,000 residentsbelow the national average of 0.36. Of 20 total flagged providers, 19 were identified through statistical analysis and 1 by machine learning models. Total suspicious spending amounts to $3.71B, translating to $428 per resident — within the national per-capita range.