OpenMedicaid

Imagine having the power to uncover massive financial discrepancies within one of the nation's largest healthcare programs. That is precisely what OpenMedicaid delivers. We have undertaken an exhaustive analysis of nearly a trillion dollars—specifically $1.09 trillion—in Medicaid provider spending data spanning from 2018 through 2024, drawing from an incredible 227 million rows of raw information provided by the Department of Health and Human Services. This isn't just a simple data dump; it's a sophisticated investigation brought to life through advanced technology. By deploying two distinct machine learning fraud detection models, we have successfully flagged an astonishing $229.6 billion in spending that exhibits significant indicators of risk or potential fraud. This groundbreaking work transforms opaque government spending into actionable intelligence, providing journalists, policymakers, and concerned citizens with the tools to hold the system accountable and ensure taxpayer dollars are being used appropriately for genuine patient care.

This platform is designed for deep exploration, moving far beyond simple statistics. You gain access to a rich ecosystem of data, including detailed profiles for over 12,000 individual providers and comprehensive breakdowns across more than 10,000 specific medical procedures. Want to see how spending patterns differ across the country? We offer detailed state-by-state comparisons, allowing you to pinpoint regional anomalies immediately. Furthermore, our findings are contextualized through 31 in-depth investigation articles that guide you through the most significant revelations. To ensure the highest level of integrity, every flagged payment and provider has been rigorously cross-referenced against the official HHS Office of Inspector General exclusion list, adding a crucial layer of verification to our findings.

OpenMedicaid stands as a testament to independent, open data journalism. We believe that transparency in healthcare spending is not a luxury, but a necessity for a functioning society. By making this complex, massive dataset accessible and understandable, we empower you to conduct your own inquiries, support evidence-based policy debates, and understand the true scale of potential waste and fraud within the Medicaid system. This is your direct line to the financial reality of healthcare payments, offering clarity where there was once only complexity and providing the hard data needed to drive meaningful reform.