An AI-powered investigation of the largest Medicaid dataset in HHS history, 2018–2024.
Total Medicaid spending analyzed — every dollar, every provider, every procedure code.
Billing providers examined across all 50 states and territories.
Anomalies detected by five independent analysis algorithms.
Every square represents roughly a billion dollars paid to healthcare providers through Medicaid between 2018 and 2024. It is the largest provider-level dataset HHS has ever released.
Ghost patients. Billing spikes. Code mills. Shell networks. Price anomalies. Each algorithm asks a different question about every provider's billing behavior. The red squares are where something looks wrong.
Starr's Watchful Eye, a 30-patient residential facility in Detroit, billed Medicaid at 79 times the national rate. That works out to 11 services per patient per day, every day, for four years.
In October 2020, the same facility switched billing codes. Claims jumped from 563 to 4,903 per month. Same patients. Same address. Just a different code on the paperwork. Then in October 2024, it shifted again.
Some billing entities route claims through hundreds or thousands of servicing providers. We mapped 7,357 networks. The largest connected a single billing entity to 5,715 providers.
We cross-referenced every provider against the OIG exclusion list — a federal registry of individuals and entities barred from billing Medicaid. 552 matches. $395.7 million in claims after exclusion.
AI-generated narratives from the data. We don't accuse — we ask questions.
In October 2020, something changed at Starr's Watchful Eye, a small residential treatment facility on East Outer Drive in Detroit. The facility, which had been billing Medicaid under code H0043 for supported living services at a rate of about 530 claims per month for roughly 20 p...
Continue reading →FreedomCare LLC, based in New Hyde Park, New York, has collected $3.03 billion from Medicaid since 2018. Of that, $3.004 billion — 99.3% — came from a single procedure code: T1019, personal care services. That makes FreedomCare one of the largest single-code billing entities in t...
Continue reading →Tempus Unlimited, Inc., headquartered in Stoughton, Massachusetts, has billed $5.57 billion to Medicaid since January 2018. That makes it the third-highest paid entity in the entire national Medicaid dataset — behind only state agencies and major managed care organizations. It's ...
Continue reading →Every number on this site can be checked against the original HHS dataset.