Against 23 peers — similar data coverage. Comparing to a named peer set rather than a 51-state average.
Spending per member/month
$758
−26.1% vs peer median
22nd highest of 24 similar states
CMS-64 total ÷ CMS enrollment
Total Medicaid spending
$34,969,221,636
5th highest of 51 states
CMS-64 Total Net, FY2024
Medicaid enrollment
3,400,007
4th highest of 51 states
Most recent CMS monthly report
Visible in claims
16.5%
−21.2% vs peer median
20th highest of 24 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 Florida providers. One referral rests on a federal conviction already on the public record; most review items are per-claim prices above the published Florida fee schedule. 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.
$34.2B
Cumulative, Jan 2018 – Oct 2024 (6.8 years)
≈ $5.0B / year
944.8M
Cumulative, Jan 2018 – Oct 2024 (6.8 years)
≈ 138.3M / year
30.4K
Distinct billing NPIs, Jan 2018 – Oct 2024
2.1K
280 highest/critical risk
Current (as of latest ETL)
| Code | Description | Total Paid | Claims |
|---|---|---|---|
| T1019 | Personal care ser per 15 min | $1.9B | 36.7M |
| S9124 | Nursing care, in the home; b | $1.5B | 2.9M |
| S5130 | Homaker service nos per 15m | $1.4B | 39.3M |
| H2017 | Psysoc rehab svc, per 15 min | $1.3B | 12.5M |
| H2019 | Ther behav svc, per 15 min | $1.0B | 15.9M |
| 99213 | Office o/p est low 20 min | $1.0B | 24.3M |
| 90999 | Unlisted dialysis procedure | $939.6M | 6.9M |
| 99214 | Office o/p est mod 30 min | $899.2M | 17.2M |
| T2030 | Assist living waiver/month | $889.5M | 796.5K |
| T1017 | Targeted case management | $851.1M | 16.0M |