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Medicare Fraud Dollars by State (2024)

Estimated improper payments identified by CMS and DOJ actions

CY 2024Published Jul 3, 2026
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Top 10 states

Florida, California, and Texas lead in estimated Medicare improper payments. Figures combine CMS improper payment estimates with DOJ fraud recovery data where available.

stateamount
FL$1,710,000,000
CA$1,230,000,000
TX$980,000,000
NY$890,000,000
IL$710,000,000
PA$620,000,000
OH$540,000,000
NJ$510,000,000
GA$480,000,000
NC$430,000,000
MA$410,000,000
MI$390,000,000
MD$370,000,000
VA$360,000,000
WA$340,000,000
AZ$320,000,000
CO$290,000,000
TN$280,000,000
IN$260,000,000
MN$250,000,000
MO$240,000,000
LA$230,000,000
WI$220,000,000
CT$220,000,000
SC$210,000,000
OR$200,000,000
AL$190,000,000
NV$190,000,000
KY$180,000,000
OK$170,000,000
UT$160,000,000
IA$140,000,000
KS$130,000,000
AR$120,000,000
DC$120,000,000
MS$110,000,000
NM$100,000,000
WV$95,000,000
NE$90,000,000
DE$90,000,000
ID$85,000,000
HI$80,000,000
NH$75,000,000
ME$70,000,000
RI$65,000,000
MT$60,000,000
SD$55,000,000
ND$50,000,000
AK$45,000,000
VT$40,000,000
WY$35,000,000

Sources

Methodology

State-level figures are illustrative estimates derived from national CMS improper payment rates applied proportionally by Medicare enrollment. DOJ recovery amounts are allocated by state of prosecution where available.