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

WI#38 risk rank

Medicaid Fraud Risk Profile: Wisconsin

Flagged Providers
9
5 statistical · 4 ML
Total Spending
$686.4M
Suspicious billing
Flags per 100K
0.15
Nat'l avg: 0.36
Spending per Capita
$116
Pop: 5.9M

Risk Assessment

Wisconsin ranks #38 out of 51 states by flags per capita, with 0.15 flagged providers per 100,000 residentsbelow the national average of 0.36. Of 9 total flagged providers, 5 were identified through statistical analysis and 4 by machine learning models. Total suspicious spending amounts to $686.4M, translating to $116 per resident — within the national per-capita range.