Spending Analysis
High-level trends across $1.09 trillion in Medicaid provider payments, 2018–2024.
Spending by Year
Total Medicaid spending with year-over-year growth
Quarterly Trend
Total spending per quarter
Seasonal Patterns
Spending aggregated by month across all years
Monthly Spending Trend
84 months of Medicaid payments — note the drop in late 2024 as claims are still processing
Provider Concentration
Spending Inequality
Lorenz curve — the gap between the diagonal and the curve shows how concentrated spending is among a small number of providers
Provider Size Distribution
Total spending by provider size tier — count of providers shown on right
Provider Ecosystem
New providers entering Medicaid billing each year vs. returning providers
HCPCS Code Analysis
Spending by Category
Healthcare service categories by total Medicaid payments
Most Frequent Procedures
By claims volume
Most Patients Served
By unique beneficiaries
Fastest Growing Procedures
HCPCS codes with largest spending growth from 2019 to 2023 (minimum $100M in 2023)
Service Category Trends
Spending by Service Type
Personal care and behavioral health are the fastest-growing segments of Medicaid
Category Growth Rates
Year-over-year spending growth by service type, 2020–2023
Cost & Intensity Analysis
Most Expensive Per Claim
Average cost per procedure (codes with >1M claims)
Highest Claims Per Patient
Codes with highest claims-to-beneficiary ratio — potential ghost patient signal
Provider Analysis
Highest-Paid Billing Providers
Top 15 billing entities by total Medicaid payments, 2018–2024