Against 13 peers — similar data coverage. Comparing to a named peer set rather than a 51-state average.
Spending per member/month
$876
−17.3% vs peer median
12th highest of 14 similar states
CMS-64 total ÷ CMS enrollment
Total Medicaid spending
$19,966,362,750
14th highest of 51 states
CMS-64 Total Net, FY2024
Medicaid enrollment
1,524,695
12th highest of 51 states
Most recent CMS monthly report
Visible in claims
27.4%
−6.5% vs peer median
9th highest of 14 similar states
Share of program these claims see
Published figures are FY2024 CMS-64 and CMS enrollment. Claims figures cover 2018–2024.
Public-record research has been run on 30 flagged Arizona providers. Ten referrals: four federal exclusions and eleven AHCCCS credible-allegation-of-fraud payment suspensions, nearly all behavioral-health and outpatient treatment billers caught up in the 2023 sober-living enforcement sweep. 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.
$33.1B
Cumulative, Jan 2018 – Oct 2024 (6.8 years)
≈ $4.8B / year
577.8M
Cumulative, Jan 2018 – Oct 2024 (6.8 years)
≈ 84.6M / year
10.8K
Distinct billing NPIs, Jan 2018 – Oct 2024
1.0K
372 highest/critical risk
Current (as of latest ETL)
| Code | Description | Total Paid | Claims |
|---|---|---|---|
| S5125 | Attendant care service /15m | $3.5B | 28.1M |
| T1015 | Clinic service | $2.8B | 11.8M |
| T2016 | Habil res waiver per diem | $1.4B | 4.5M |
| T1016 | Case management | $1.4B | 40.1M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | $1.2B | 13.7M |
| 99214 | Office o/p est mod 30 min | $1.1B | 19.5M |
| 99285 | Emergency dept visit hi mdm | $904.2M | 3.8M |
| 99284 | Emergency dept visit mod mdm | $874.1M | 4.7M |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment | $817.6M | 2.5M |
| 99213 | Office o/p est low 20 min | $742.0M | 16.1M |