Against 6 peers — similar data coverage. Comparing to a named peer set rather than a 51-state average.
Spending per member/month
$1,222
+19.5% vs peer median
2nd highest of 7 similar states
CMS-64 total ÷ CMS enrollment
Total Medicaid spending
$2,454,248,383
46th highest of 51 states
CMS-64 Total Net, FY2024
Medicaid enrollment
152,000
47th highest of 51 states
Most recent CMS monthly report
Visible in claims
39.7%
+4.8% vs peer median
3rd 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.
Public-record research has been run on 25 flagged New Hampshire providers, including 1 seeded from the state's enforcement record. No referrals; one False Claims Act settlement for billing services by an excluded clinician. The July 1, 2023 developmental-services direct-bill cutover and the April 1, 2023 adult dental launch explain most 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.
$6.0B
Cumulative, Jan 2018 – Oct 2024 (6.8 years)
≈ $877.3M / year
60.5M
Cumulative, Jan 2018 – Oct 2024 (6.8 years)
≈ 8.9M / year
2.1K
Distinct billing NPIs, Jan 2018 – Oct 2024
116
11 highest/critical risk
Current (as of latest ETL)
| Code | Description | Total Paid | Claims |
|---|---|---|---|
| T1020 | Personal care ser per diem | $1.3B | 4.0M |
| T2021 | Day habil waiver per 15 min | $493.9M | 2.9M |
| T1016 | Case management | $413.2M | 2.5M |
| T2025 | Waiver service, nos | $373.9M | 327.3K |
| T1019 | Personal care ser per 15 min | $280.9M | 2.0M |
| H0019 | Behavioral health; long-term residential (non-medical, non-acute care in a | $229.8M | 164.5K |
| S5140 | Adult foster care per diem | $177.8M | 378.5K |
| T1015 | Clinic service | $159.4M | 936.0K |
| H2019 | Ther behav svc, per 15 min | $145.8M | 1.6M |
| E0766 | Electrical stimulation device used for cancer treatment, includes all | $112.8M | 14.7K |