Against 23 peers — similar data coverage. Comparing to a named peer set rather than a 51-state average.
Spending per member/month
$1,028
+3.5% vs peer median
11th highest of 24 similar states
CMS-64 total ÷ CMS enrollment
Total Medicaid spending
$17,750,977,838
18th highest of 51 states
CMS-64 Total Net, FY2024
Medicaid enrollment
1,187,556
18th highest of 51 states
Most recent CMS monthly report
Visible in claims
21.3%
+7.1% vs peer median
10th 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 35 flagged Maryland providers, including 5 seeded from the state's enforcement record. Four referrals rest on Maryland Attorney General convictions for psychiatric rehabilitation and speech-therapy ghost billing; the January 1, 2023 adult dental expansion explains eleven dental practices' growth. 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.
$18.9B
Cumulative, Jan 2018 – Oct 2024 (6.8 years)
≈ $2.8B / year
251.4M
Cumulative, Jan 2018 – Oct 2024 (6.8 years)
≈ 36.8M / year
13.1K
Distinct billing NPIs, Jan 2018 – Oct 2024
1.7K
306 highest/critical risk
Current (as of latest ETL)
| Code | Description | Total Paid | Claims |
|---|---|---|---|
| H0044 | Supported housing, per month | $1.7B | 2.2M |
| 90834 | Psytx w pt 45 minutes | $1.3B | 11.9M |
| 99214 | Office o/p est mod 30 min | $1.1B | 12.4M |
| 99213 | Office o/p est low 20 min | $968.6M | 12.5M |
| S5102 | Adult day care per diem | $753.1M | 8.8M |
| T1003 | Lpn/lvn services up to 15min | $692.8M | 1.4M |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that | $584.4M | 3.6M |
| H2016 | Comp comm supp svc, per diem | $579.7M | 185.9K |
| H0020 | Alcohol and/or drug services; methadone administration and/or service | $518.7M | 6.9M |
| T2022 | Case management, per month | $367.7M | 2.7M |