MFCU STATISTICAL DATA FOR FISCAL YEAR 2013

 

State

Investigations¹

Indicted/Charged

Convictions

Civil Settlements and Judgments

Recoveries²

Expenditures

Staff on Board

Total

Fraud

Abuse/ Neglect

Total

Fraud

Abuse/ Neglect

Total

Fraud

Abuse/ Neglect

Total

Criminal

Civil

MFCU Grant

Total Medicaid

Alabama 27 10 17 4 2 2 0 0 0 8 $16,206,581.97 $0.00 $16,206,581.97 $1,110,348.56 $5,216,155,508.00 8
Alaska 219 202 17 58 57 1 19 17 2 10 $1,093,135.83 $53,058.17 $1,040,077.66 $1,156,792.21 $1,446,189,444.00 8
Arizona 320 237 83 72 50 22 37 29 8 0 $622,973.75 $589,703.85 $33,269.90 $2,408,103.01 $8,669,976,278.00 21
Arkansas 90 52 38 20 6 14 10 3 7 16 $14,622,465.48 $32,643.40 $14,589,822.08 $2,211,756.15 $4,428,390,909.00 21
California 1,157 718 439 129 69 60 68 41 27 19 $57,748,650.12 $19,975,037.87 $37,773,612.25 $30,260,728.38 $66,056,757,855.00 172
Colorado 249 241 8 18 18 0 13 13 0 36 $8,131,661.57 $226,252.30 $7,905,409.27 $2,046,626.88 $5,314,867,064.00 16
Connecticut 64 53 11 16 15 1 7 6 1 11 $28,228,260.78 $140,246.47 $28,088,014.31 $1,629,583.09 $6,723,113,621.00 11
Delaware 559 478 81 5 0 5 7 0 7 9 $398,817.22 $28,000.00 $370,817.22 $1,877,814.08 $1,655,387,071.00 17
D.C. 186 115 71 1 0 1 6 4 2 15 $7,805,483.56 $3,937,197.76 $3,868,285.80 $2,473,054.50 $2,397,083,097.00 21
Florida 658 596 62 67 39 28 67 48 19 28 $40,891,857.68 $9,048,764.72 $31,843,092.96 $14,179,445.78 $19,180,703,866.00 151
Georgia 340 336 4 13 13 0 11 10 1 15 $28,881,717.63 $1,793,138.01 $27,088,579.62 $4,029,111.00 $9,359,038,151.00 42
Hawaii 113 50 63 7 0 7 9 4 5 13 $4,537,669.87 $48,017.26 $4,489,652.61 $1,288,535.16 $1,696,678,001.00 13
Idaho 119 115 4 5 5 0 4 4 0 12 $6,553,492.91 $204,312.44 $6,349,180.47 $695,462.56 $1,761,758,211.00 7
Illinois 311 236 75 62 41 21 64 38 26 21 $60,041,822.01 $917,903.12 $59,123,918.89 $9,541,211.16 $16,536,234,179.00 58
Indiana 1,064 812 252 15 13 2 25 16 9 30 $28,246,063.87 $7,934,940.78 $20,311,123.09 $5,236,624.00 $8,367,085,690.00 58
Iowa 240 205 35 50 31 19 31 18 13 13 $10,717,543.20 $150,131.98 $10,567,411.22 $1,040,525.00 $3,805,810,851.00 9
Kansas 146 127 19 8 7 1 13 13 0 15 $23,438,027.48 $2,298,194.77 $21,139,832.71 $1,514,339.11 $2,720,787,284.00 15
Kentucky 118 104 14 10 8 2 8 8 0 17 $39,547,875.72 $289,576.17 $39,258,299.55 $2,608,933.89 $5,931,446,503.00 28
Louisiana 396 317 79 93 76 17 62 47 15 39 $187,601,191.00 $63,873,287.00 $123,727,904.00 $4,863,800.27 $7,181,407,383.00 52
Maine 38 31 7 9 7 2 10 6 4 6 $7,403,483.41 $110,123.75 $7,293,359.66 $700,450.77 $2,959,349,126.00 6.5
Maryland 320 284 36 13 7 6 17 12 5 29 $22,331,246.36 $198,146.71 $22,133,099.65 $2,839,745.76 $8,052,966,208.00 28
Massachusetts 683 497 186 22 20 2 17 17 0 32 $29,607,993.29 $884,124.29 $28,723,869.00 $5,271,067.00 $13,687,392,762.00 43
Michigan 485 436 49 19 11 8 28 11 17 16 $24,541,893.16 $353,924.33 $24,187,968.83 $4,882,449.49 $12,970,899,451.00 33
Minnesota 89 86 3 24 24 0 23 20 3 21 $14,988,004.04 $1,922,672.83 $13,065,331.21 $1,464,767.33 $9,343,811,915.00 14
Mississippi 689 78 611 36 3 33 54 0 54 14 $27,795,528.12 $8,771,739.01 $19,023,789.11 $3,087,424.00 $4,879,175,168.00 35
Missouri 301 280 21 8 7 1 14 13 1 31 $47,764,282.06 $2,693,334.92 $45,070,947.14 $1,984,422.71 $9,209,870,025.00 20
Montana 27 26 1 4 4 0 6 6 0 9 $985,871.37 $34,845.22 $951,026.15 $654,446.82 $1,076,709,165.00 8
Nebraska 97 75 22 4 4 0 14 9 5 19 $8,593,146.34 $175,562.08 $8,417,584.26 $770,565.87 $1,906,330,745.00 8
Nevada 22 19 3 14 12 2 16 13 3 15 $6,261,358.48 $2,648,815.56 $3,612,542.92 $1,904,688.64 $1,918,533,349.00 16
New Hampshire 38 31 7 2 0 2 4 1 3 15 $3,663,350.94 $152,162.00 $3,511,188.94 $523,159.65 $1,292,037,438.00 6
New Jersey 364 352 12 22 19 3 14 11 3 14 $33,887,934.39 $1,174,165.64 $32,713,768.75 $4,579,682.87 $11,143,784,058.00 35
New Mexico 112 107 5 8 8 0 10 9 1 30 $2,017,386.44 $31,424.16 $1,985,962.28 $1,827,905.08 $3,471,930,215.00 17
New York 801 677 124 175 131 44 138 110 28 69 $134,493,521.82 $19,177,053.00 $115,316,468.82 $45,054,451.00 $54,192,911,238.00 300
North Carolina 418 402 16 20 20 0 30 28 2 18 $47,052,648.87 $14,294,434.84 $32,758,214.03 $5,357,886.03 $12,463,184,143.00 48
Ohio 1,049 701 348 153 138 15 148 133 15 21 $41,072,513.56 $5,942,718.56 $35,129,795.00 $7,344,992.26 $17,237,076,852.00 77
Oklahoma 213 135 78 23 12 11 21 15 6 20 $28,399,516.73 $1,360,282.35 $27,039,234.38 $1,986,667.00 $4,752,126,532.00 22
Oregon 50 46 4 27 23 4 29 27 2 13 $15,151,849.81 $895,243.81 $14,256,606.00 $1,806,514.69 $5,600,397,595.00 14.5
Pennsylvania 352 337 15 76 76 0 54 51 3 13 $30,729,119.67 $2,666,615.80 $28,062,503.87 $4,730,372.33 $21,698,977,826.00 33
Rhode Island 71 48 23 17 9 8 9 9 0 4 $4,381,891.74 $62,301.43 $4,319,590.31 $1,184,944.38 $2,018,428,048.00 11
South Carolina 177 151 26 45 32 13 34 21 13 18 $19,983,522.26 $1,609,886.72 $18,373,635.54 $1,451,005.76 $4,921,639,527.00 15
South Dakota 49 42 7 2 1 1 2 1 1 0 $3,053,873.46 $365,164.76 $2,688,708.70 $384,175.57 $820,357,642.00 5
Tennessee 213 187 26 22 14 8 24 10 14 17 $78,870,738.99 $1,167,951.58 $77,702,787.41 $3,990,162.19 $9,022,143,146.00 32
Texas 1,279 1,165 114 112 104 8 97 82 15 18 $196,718,960.26 $81,995,796.84 $114,723,163.42 $15,582,973.37 $29,086,162,849.00 181
Utah 106 93 13 2 2 0 4 3 1 15 $7,989,088.00 $49,173.00 $7,939,915.00 $1,817,277.48 $2,229,362,038.00 13
Vermont 134 116 18 9 7 2 9 9 0 12 $5,507,996.31 $58,599.50 $5,449,396.81 $987,268.31 $1,499,744,254.00 7
Virginia 373 363 10 28 24 4 21 18 3 11 $1,008,988,074.68 $704,439,186.12 $304,548,888.56 $11,249,106.19 $7,604,993,529.00 96
Washington 164 152 12 10 10 0 11 9 2 16 $16,562,703.65 $192,715.39 $16,369,988.26 $3,596,829.00 $8,407,111,070.00 30.5
West Virginia 91 49 42 12 4 8 10 7 3 17 $16,148,738.40 $3,779,139.90 $12,369,598.50 $1,112,517.86 $3,181,083,472.00 14
Wisconsin 350 339 11 13 10 3 9 8 1 2 $54,757,244.00 $54,750.00 $54,702,494.00 $1,274,531.12 $7,390,660,088.00 11
Wyoming 59 57 2 4 4 0 3 3 0 17 $1,623,271.63 $76,387.73 $1,546,883.90 $489,024.26 $594,690,624.00 4

Grand Total

15,590

12,366

3,224

1,588

1,197

391

1,341

991

350

879

$2,506,642,043.89

$968,878,847.90

$1,537,763,195.99

$230,064,269.58

$453,082,711,064.00

1911.5

 

¹Investigations are defined as the total number of open investigations at the end of the fiscal year.

 

²Recoveries are defined as the amount of money that defendants are required to pay as a result of a settlement, judgment, or prefiling settlement in criminal and civil cases and may not reflect actual collections. Recoveries may involve cases that include participation by other Federal and State agencies.

 

Information in this chart was reported to OIG by the 50 State MFCUs, except MFCU Grant Expenditures and Total Medicaid Expenditures. MFCU Grant Expenditures and Total Medicaid Expenditures include both Federal and State shares. Abuse/Neglect cases are defined to include "patient funds" cases.

All information is current as of January 31, 2014, except MFCU Grant Expenditures, which is current as of February 11, 2014.