Against 6 peers — similar data coverage. Comparing to a named peer set rather than a 51-state average.
Spending per member/month
$965
−12.9% vs peer median
5th highest of 7 similar states
CMS-64 total ÷ CMS enrollment
Total Medicaid spending
$2,715,115,339
45th highest of 51 states
CMS-64 Total Net, FY2024
Medicaid enrollment
195,934
45th highest of 51 states
Most recent CMS monthly report
Visible in claims
37.3%
−4.5% vs peer median
5th highest of 7 similar states
Share of program these claims see
Published figures are FY2024 CMS-64 and CMS enrollment. Claims figures cover 2018–2024.
Source data does not include HCBS residential providers billed under state atypical IDs. Assisted-living, personal-care, and waiver residential spend is not represented for Alaska. Methodology
CMS T-MSIS data, 2018-2024
Concourse Sentinel connects to large-scale healthcare billing datasets — including CMS T-MSIS claims, provider enrollment (PECOS), and federal exclusion lists — and runs millions of automated statistical analyses to surface billing anomalies and areas warranting further review.
$6.2B
Cumulative, Jan 2018 – Oct 2024 (6.8 years)
≈ $904.2M / year
43.9M
Cumulative, Jan 2018 – Oct 2024 (6.8 years)
≈ 6.4M / year
1.9K
Distinct billing NPIs, Jan 2018 – Oct 2024
497
4 highest/critical risk
Current (as of latest ETL)
| Code | Description | Total Paid | Claims |
|---|---|---|---|
| 99213 | Office o/p est low 20 min | $507.0M | 1.9M |
| T2016 | Habil res waiver per diem | $402.9M | 1.1M |
| T2017 | Habil res waiver 15 min | $221.8M | 887.8K |
| T2021 | Day habil waiver per 15 min | $210.8M | 1.4M |
| 99214 | Office o/p est mod 30 min | $203.1M | 1.2M |
| T1019 | Personal care ser per 15 min | $180.5M | 2.4M |
| A0140 | Nonemergency transport air | $178.3M | 365.7K |
| T2031 | Assist living waiver/diem | $146.1M | 926.6K |
| 99284 | Emergency dept visit mod mdm | $145.8M | 609.9K |
| H0047 | Alcohol/drug abuse svc nos | $132.1M | 285.6K |