Against 23 peers — similar data coverage. Comparing to a named peer set rather than a 51-state average.
Spending per member/month
$1,232
+24.1% vs peer median
2nd highest of 24 similar states
CMS-64 total ÷ CMS enrollment
Total Medicaid spending
$18,407,749,783
16th highest of 51 states
CMS-64 Total Net, FY2024
Medicaid enrollment
1,130,415
21st highest of 51 states
Most recent CMS monthly report
Visible in claims
23.7%
+18.9% vs peer median
4th 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 Minnesota providers. No referrals; Minnesota's 2022 dental rate rebasing and 2024 adult dental restoration explain most dental growth flags. 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.
$25.3B
Cumulative, Jan 2018 – Oct 2024 (6.8 years)
≈ $3.7B / year
324.1M
Cumulative, Jan 2018 – Oct 2024 (6.8 years)
≈ 47.4M / year
8.8K
Distinct billing NPIs, Jan 2018 – Oct 2024
948
173 highest/critical risk
Current (as of latest ETL)
| Code | Description | Total Paid | Claims |
|---|---|---|---|
| S5140 | Adult foster care per diem | $2.2B | 7.4M |
| T1019 | Personal care ser per 15 min | $1.9B | 27.0M |
| T2031 | Assist living waiver/diem | $1.3B | 7.6M |
| H0044 | Supported housing, per month | $996.7M | 304.7K |
| H2035 | A/d tx program, per hour | $820.6M | 6.7M |
| T2023 | Targeted case mgmt per month | $814.7M | 1.7M |
| T2016 | Habil res waiver per diem | $814.3M | 3.4M |
| 99214 | Office o/p est mod 30 min | $713.0M | 9.3M |
| H2036 | A/d tx program, per diem | $695.9M | 574.6K |
| 99213 | Office o/p est low 20 min | $660.9M | 9.7M |