Outliers & Oddities

Statistical anomalies hiding in 227 million Medicaid claims. Every number tells a story. Some of them are pretty weird.

These findings are statistical deviations, not accusations. Variation in billing patterns may reflect patient populations, practice settings, geography, or data artifacts. Each finding includes possible explanations and known limitations.

Analyzing spending patterns...

Data Disclaimer

This tool presents publicly available Medicaid provider utilization and payment data published by the Centers for Medicare & Medicaid Services (CMS). Data reflects fee-for-service claims only and does not include managed care, Medicare Advantage, or other payment arrangements.

Variation in billing patterns may reflect differences in patient populations, practice settings, geographic factors, coding practices, or specialty mix. Higher or lower spending relative to peers does not by itself indicate improper billing, fraud, waste, or abuse.

This tool is intended for research and informational purposes only. It should not be used as the sole basis for any clinical, legal, regulatory, or employment decision.