Against 23 peers — similar data coverage. Comparing to a named peer set rather than a 51-state average.
Spending per member/month
$965
−6.0% vs peer median
14th highest of 24 similar states
CMS-64 total ÷ CMS enrollment
Total Medicaid spending
$758,941,018
51st highest of 51 states
CMS-64 Total Net, FY2024
Medicaid enrollment
54,202
51st highest of 51 states
Most recent CMS monthly report
Visible in claims
19.5%
−7.2% vs peer median
15th 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 5 flagged Wyoming providers plus 2 controls, the smallest roster in the program. One excluded practitioner; no referrals, settlements, or enforcement matches. 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.
$902.4M
Cumulative, Jan 2018 – Oct 2024 (6.8 years)
≈ $132.1M / year
8.9M
Cumulative, Jan 2018 – Oct 2024 (6.8 years)
≈ 1.3M / year
1.3K
Distinct billing NPIs, Jan 2018 – Oct 2024
55
4 highest/critical risk
Current (as of latest ETL)
| Code | Description | Total Paid | Claims |
|---|---|---|---|
| T2016 | Habil res waiver per diem | $291.0M | 786.1K |
| T1015 | Clinic service | $184.7M | 1.2M |
| T2022 | Case management, per month | $58.5M | 222.3K |
| H2019 | Ther behav svc, per 15 min | $48.7M | 666.4K |
| T1004 | Nsg aide service up to 15min | $32.5M | 421.0K |
| 99213 | Office o/p est low 20 min | $26.3M | 874.9K |
| T2024 | Serv asmnt/care plan waiver | $26.0M | 525.6K |
| T2031 | Assist living waiver/diem | $23.3M | 13.1K |
| 99214 | Office o/p est mod 30 min | $21.0M | 555.4K |
| D1206 | Topical fluoride varnish | $19.6M | 561.1K |