MFCU STATISTICAL DATA FOR FISCAL YEAR 2012

 

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 23 11 12 3 3 0 6 1 5 25 $22,357,590.28 $116,350.00 $22,241,240.28 $1,011,460.13 $5,202,250,299.00 9
Alaska 90 78 12 3 3 0 4 4 0 3 $93,155.93 $11,438.42 $81,717.51 $859,134.76 $1,440,666,465.00 8
Arizona 241 190 51 79 59 20 55 40 15 0 $2,022,855.12 $761,520.71 $1,261,334.41 $2,179,056.97 $8,166,873,215.00 19
Arkansas 115 68 47 5 2 3 11 5 6 1 $19,343,069.49 $197,144.34 $19,145,925.15 $2,250,081.65 $4,361,914,879.00 22
California 1,233 772 461 135 74 61 103 59 44 28 $373,232,753.67 $682,098.21 $372,550,655.46 $27,199,055.67 $53,270,170,958.00 184
Colorado 236 233 3 9 8 1 20 19 1 68 $28,160,136.79 $736,351.72 $27,423,785.07 $1,956,442.83 $4,899,709,037.00 16
Connecticut 57 44 13 3 3 0 6 6 0 0 $20,638,722.13 $174,495.51 $20,464,226.62 $1,150,457.21 $6,696,144,656.00 10
Delaware 496 416 80 2 0 2 5 0 5 17 $2,029,015.31 $106,509.29 $1,922,506.02 $1,809,257.36 $1,572,781,439.00 14
D.C. 151 96 55 8 3 5 4 2 2 5 $3,799,266.16 $150.00 $3,799,116.16 $2,706,413.48 $2,224,371,999.00 22
Florida 739 687 52 60 38 22 70 44 26 24 $260,659,773.11 $4,634,902.05 $256,024,871.06 $13,474,704.16 $18,768,442,553.00 145
Georgia 477 469 8 11 11 0 14 14 0 20 $98,945,461.99 $5,146,717.47 $93,798,744.52 $3,811,166.61 $8,795,483,692.00 36
Hawaii 112 55 57 13 2 11 16 2 14 7 $5,121,095.08 $228,951.59 $4,892,143.49 $1,266,733.34 $1,512,331,565.00 13
Idaho 108 102 6 8 7 1 6 6 0 4 $8,898,275.10 $29,998.33 $8,868,276.77 $740,705.33 $1,515,873,324.00 7
Illinois 373 232 141 58 35 23 68 43 25 18 $96,231,130.50 $1,177,339.89 $95,053,790.61 $10,422,689.00 $13,997,999,869.00 65
Indiana 929 678 251 5 2 3 35 23 12 43 $46,926,725.90 $5,594,582.56 $41,332,143.34 $4,497,702.77 $7,891,386,990.00 53
Iowa 166 146 20 18 11 7 18 9 9 12 $16,462,061.85 $239,398.67 $16,222,663.18 $1,114,195.68 $3,573,679,180.00 11
Kansas 163 145 18 30 30 0 18 16 2 24 $32,582,745.30 $281,225.03 $32,301,520.27 $1,371,420.81 $2,834,781,435.00 15
Kentucky 154 114 40 12 7 5 9 4 5 23 $50,596,608.84 $28,312.35 $50,568,296.49 $2,773,675.49 $5,759,007,406.00 25
Louisiana 349 260 89 91 70 21 150 130 20 44 $124,095,613.00 $46,048,676.00 $78,046,937.00 $4,601,777.28 $7,353,759,981.00 52
Maine 44 36 8 4 1 3 2 1 1 10 $20,956,580.85 $14,857.00 $20,941,723.85 $674,774.93 $2,564,908,355.00 8.5
Maryland 262 257 5 22 18 4 14 9 5 12 $8,691,032.95 $117,375.34 $8,573,657.61 $2,839,965.56 $7,904,419,320.00 24
Massachusetts 702 455 247 19 13 6 9 6 3 19 $92,155,392.57 $226,943.68 $91,928,448.89 $5,456,458.00 $13,326,932,385.00 45
Michigan 494 422 72 19 9 10 21 11 10 16 $53,372,954.12 $3,264,816.83 $50,108,137.29 $4,571,019.57 $12,941,048,536.00 31
Minnesota 92 88 4 24 21 3 23 16 7 13 $21,319,533.87 $1,772,648.42 $19,546,885.45 $1,368,812.60 $9,004,135,946.00 13
Mississippi 987 69 918 46 1 45 69 7 62 10 $8,854,988.20 $7,241,533.92 $1,613,454.28 $2,802,537.00 $4,618,072,686.00 31
Missouri 267 256 11 7 7 0 17 15 2 25 $50,943,731.03 $642,474.89 $50,301,256.14 $1,833,544.95 $9,004,482,905.00 22
Montana 26 23 3 2 2 0 3 3 0 10 $5,021,220.60 $13,436.59 $5,007,784.01 $710,703.93 $1,031,706,383.00 8
Nebraska 118 88 30 13 8 5 9 7 2 16 $17,810,699.48 $1,830,459.79 $15,980,239.69 $728,939.01 $1,792,102,337.00 8
Nevada 32 27 5 16 14 2 12 11 1 15 $7,145,295.53 $903,183.57 $6,242,111.96 $1,809,523.69 $1,831,631,787.00 17
New Hampshire 28 26 2 6 4 2 4 3 1 9 $8,567,165.53 $898,564.00 $7,668,601.53 $597,450.36 $1,250,639,318.00 4
New Jersey 358 338 20 10 9 1 13 10 3 14 $83,864,646.31 $2,197,022.45 $81,667,623.86 $4,467,507.19 $10,970,904,669.00 35
New Mexico 89 81 8 10 10 0 8 8 0 15 $3,599,264.71 $230,487.59 $3,368,777.12 $1,617,019.65 $3,604,671,119.00 17
New York 734 651 83 102 70 32 68 52 16 74 $381,747,618.00 $5,503,846.00 $376,243,772.00 $42,671,519.58 $53,173,554,873.00 317
North Carolina 370 357 13 36 35 1 37 36 1 18 $94,686,288.44 $5,841,039.06 $88,845,249.38 $5,808,715.92 $12,875,872,703.00 53
Ohio 767 600 167 137 126 11 128 118 10 21 $89,774,504.52 $3,170,084.97 $86,604,419.55 $6,712,714.00 $16,826,446,515.00 63
Oklahoma 180 112 68 25 20 5 18 13 5 16 $19,101,550.84 $379,233.40 $18,722,317.44 $1,799,068.00 $4,644,003,069.00 22
Oregon 69 62 7 16 15 1 13 13 0 10 $9,375,299.00 $263,110.00 $9,112,189.00 $1,619,279.51 $4,922,006,051.00 13
Pennsylvania 321 307 14 76 73 3 30 28 2 12 $44,173,078.70 $1,462,832.32 $42,710,246.38 $4,468,756.61 $21,150,034,548.00 35
Rhode Island 76 52 24 13 4 9 3 2 1 3 $8,708,196.52 $1,203.50 $8,706,993.02 $1,172,960.85 $1,944,397,583.00 11
South Carolina 271 138 133 17 7 10 12 5 7 13 $21,950,052.54 $281,125.09 $21,668,927.45 $1,312,002.16 $4,815,159,169.00 14
South Dakota 23 22 1 5 3 2 7 3 4 1 $7,720,626.93 $197,213.45 $7,523,413.48 $375,073.33 $785,658,124.00 5
Tennessee 181 146 35 27 8 19 20 9 11 15 $63,154,970.66 $69,029.49 $63,085,941.17 $3,757,999.95 $9,250,214,571.00 35
Texas 1,216 1,120 96 107 96 11 129 120 9 19 $473,685,741.92 $199,406,571.76 $274,279,170.16 $15,979,684.06 $28,933,778,885.00 182
Utah 115 87 28 5 3 2 4 3 1 15 $17,383,560.00 $7,740.00 $17,375,820.00 $1,669,284.00 $2,003,210,278.00 13
Vermont 119 97 22 3 2 1 2 2 0 10 $9,101,749.39 $6,664.00 $9,095,085.39 $928,821.53 $1,362,246,455.00 9
Virginia 333 319 14 25 23 2 24 23 1 12 $28,662,568.16 $3,587,917.15 $25,074,651.01 $9,059,666.36 $7,089,248,466.00 82
Washington 609 244 365 11 9 2 9 8 1 10 $38,530,616.09 $1,605,038.10 $36,925,577.99 $2,550,935.00 $8,119,798,373.00 24.5
West Virginia 80 45 35 2 1 1 4 1 3 8 $11,275,650.42 $28,148.13 $11,247,502.29 $1,043,589.06 $2,930,833,693.00 16
Wisconsin 328 301 27 15 14 1 12 11 1 5 $25,762,908.00 $1,127,992.00 $24,634,916.00 $1,367,163.48 $7,464,081,821.00 13
Wyoming 42 41 1 0 0 0 2 2 0 12 $3,086,446.07 $46,669.17 $3,039,776.90 $414,589.35 $566,129,475.00 4

Grand Total

15,545 11,663 3,882 1,373 994 379 1,334 983 361 824 $2,942,379,987.50 $308,535,423.80 $2,633,844,563.70 $217,386,209.72 $428,539,959,340.00 1,901

 

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

 

² Recoveries 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.

Information for the following MFCUs was revised in February 2014 based on revisions reported to OIG:  Idaho, Michigan, Mississippi, New Hampshire, South Carolina, Utah, West Virginia, and Wyoming.