Distribution of Medicaid Spending by Service
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FY 2024
| Location | Fee-for-Service Acute Care | Fee-for-Service Long-Term Care | Managed Care and Health Plans | Payments to Medicare | DSH Payments | Total | Fee-for-Service Acute Care | Fee-for-Service Long-Term Care | Managed Care and Health Plans | Payments to Medicare | DSH Payments | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| United States | $203,514,293,871 | $185,119,074,791 | $486,829,984,357 | $27,767,734,571 | $15,456,207,628 | $918,687,295,218 | 0.220 | 0.200 | 0.530 | 0.030 | 0.020 | 1.000 |
| Alabama | $5,117,977,904 | $2,112,357,248 | $161,201,187 | $467,052,126 | $298,215,000 | $8,156,803,465 | 0.630 | 0.260 | 0.020 | 0.060 | 0.040 | 1.000 |
| Alaska | $2,014,216,406 | $650,133,105 | $735,665 | $46,722,900 | $17,601,494 | $2,729,409,570 | 0.740 | 0.240 | 0.000 | 0.020 | 0.010 | 1.000 |
| Arizona | $2,663,322,459 | $79,329,061 | $16,618,079,891 | $546,393,326 | $59,646,969 | $19,966,771,706 | 0.130 | 0.000 | 0.830 | 0.030 | 0.000 | 1.000 |
| Arkansas | $2,958,682,794 | $1,855,784,207 | $2,584,753,934 | $405,932,229 | $27,544,176 | $7,832,697,340 | 0.380 | 0.240 | 0.330 | 0.050 | 0.000 | 1.000 |
| California | $47,040,613,182 | $31,506,102,474 | $67,510,856,571 | $3,697,904,929 | $658,187,793 | $150,413,664,949 | 0.310 | 0.210 | 0.450 | 0.020 | 0.000 | 1.000 |
| Colorado | $7,442,364,276 | $4,326,708,011 | $1,664,224,797 | $228,341,709 | $257,231,667 | $13,918,870,460 | 0.530 | 0.310 | 0.120 | 0.020 | 0.020 | 1.000 |
| Connecticut | $6,083,473,845 | $3,896,162,811 | $36,395,323 | $697,995,818 | $253,084,019 | $10,967,111,816 | 0.550 | 0.360 | 0.000 | 0.060 | 0.020 | 1.000 |
| Delaware | $286,738,359 | $356,969,351 | $2,485,458,714 | $62,160,385 | $16,360,207 | $3,207,687,016 | 0.090 | 0.110 | 0.770 | 0.020 | 0.010 | 1.000 |
| District of Columbia | $1,084,524,486 | $1,128,217,162 | $1,796,688,584 | $85,747,740 | $52,419,288 | $4,147,597,260 | 0.260 | 0.270 | 0.430 | 0.020 | 0.010 | 1.000 |
| Florida | $6,797,505,365 | $2,861,729,956 | $22,966,306,997 | $2,537,080,776 | $376,232,286 | $35,538,855,380 | 0.190 | 0.080 | 0.650 | 0.070 | 0.010 | 1.000 |
| Georgia | $3,989,381,886 | $4,119,932,898 | $5,609,812,549 | $719,628,764 | $567,128,767 | $15,005,884,864 | 0.270 | 0.270 | 0.370 | 0.050 | 0.040 | 1.000 |
| Hawaii | $282,993,705 | $180,377,834 | $2,576,828,684 | $50,558,335 | $22,999,272 | $3,113,757,830 | 0.090 | 0.060 | 0.830 | 0.020 | 0.010 | 1.000 |
| Idaho | $2,075,042,436 | $972,583,233 | $786,033,787 | $101,826,982 | -$1,690,292 | $3,933,796,146 | 0.530 | 0.250 | 0.200 | 0.030 | 0.000 | 1.000 |
| Illinois | $4,721,781,390 | $3,988,805,440 | $22,406,402,076 | $817,311,448 | $611,901,771 | $32,546,202,125 | 0.150 | 0.120 | 0.690 | 0.030 | 0.020 | 1.000 |
| Indiana | $2,817,264,838 | $6,770,496,049 | $9,226,484,805 | $413,504,137 | $318,980,071 | $19,546,729,900 | 0.140 | 0.350 | 0.470 | 0.020 | 0.020 | 1.000 |
| Iowa | $366,477,502 | $102,460,905 | $8,153,963,663 | $193,612,907 | -$2,616,422 | $8,813,898,555 | 0.040 | 0.010 | 0.930 | 0.020 | 0.000 | 1.000 |
| Kansas | $178,078,210 | $83,031,438 | $4,694,154,283 | $147,149,215 | $90,259,723 | $5,192,672,869 | 0.030 | 0.020 | 0.900 | 0.030 | 0.020 | 1.000 |
| Kentucky | $1,570,269,401 | $3,443,828,341 | $12,573,359,447 | $340,964,420 | -$1,740,069 | $17,926,681,540 | 0.090 | 0.190 | 0.700 | 0.020 | 0.000 | 1.000 |
| Louisiana | $667,889,095 | $2,954,138,717 | $12,330,641,819 | $602,858,162 | $362,815,869 | $16,918,343,662 | 0.040 | 0.170 | 0.730 | 0.040 | 0.020 | 1.000 |
| Maine | $2,598,723,306 | $1,598,298,006 | $37,902,250 | $300,939,550 | $74,617,791 | $4,610,480,903 | 0.560 | 0.350 | 0.010 | 0.070 | 0.020 | 1.000 |
| Maryland | $5,264,781,017 | $5,224,574,699 | $6,698,957,283 | $477,936,911 | $181,845,203 | $17,848,095,113 | 0.290 | 0.290 | 0.380 | 0.030 | 0.010 | 1.000 |
| Massachusetts | $7,156,035,531 | $6,037,278,474 | $11,087,997,118 | $863,021,208 | -$109,200,000 | $25,035,132,331 | 0.290 | 0.240 | 0.440 | 0.030 | 0.000 | 1.000 |
| Michigan | $3,490,676,476 | $4,412,520,610 | $16,089,048,841 | $817,750,023 | $167,125,435 | $24,977,121,385 | 0.140 | 0.180 | 0.640 | 0.030 | 0.010 | 1.000 |
| Minnesota | $2,279,054,553 | $7,685,811,421 | $8,386,435,563 | $280,217,906 | $51,211,042 | $18,682,730,485 | 0.120 | 0.410 | 0.450 | 0.010 | 0.000 | 1.000 |
| Mississippi | $1,063,933,695 | $2,165,076,800 | $3,576,496,504 | $348,572,105 | $33,001,237 | $7,187,080,341 | 0.150 | 0.300 | 0.500 | 0.050 | 0.000 | 1.000 |
| Missouri | $5,038,128,306 | $5,013,788,624 | $4,665,503,185 | $483,041,607 | $829,582,808 | $16,030,044,530 | 0.310 | 0.310 | 0.290 | 0.030 | 0.050 | 1.000 |
| Montana | $1,738,769,351 | $558,777,018 | $33,588,097 | $58,995,486 | $0 | $2,390,129,952 | 0.730 | 0.230 | 0.010 | 0.020 | 0.000 | 1.000 |
| Nebraska | $90,718,912 | $1,431,798,518 | $2,022,592,994 | $85,987,190 | $37,183,079 | $3,668,280,693 | 0.020 | 0.390 | 0.550 | 0.020 | 0.010 | 1.000 |
| Nevada | $1,890,284,408 | $854,674,349 | $2,923,732,973 | $273,702,497 | $13,063,253 | $5,955,457,480 | 0.320 | 0.140 | 0.490 | 0.050 | 0.000 | 1.000 |
| New Hampshire | $235,535,380 | $996,000,660 | $880,475,825 | $41,824,194 | $311,112,079 | $2,464,948,138 | 0.100 | 0.400 | 0.360 | 0.020 | 0.130 | 1.000 |
| New Jersey | $3,237,590,513 | $3,805,052,588 | $14,801,298,523 | $592,555,353 | $989,579,832 | $23,426,076,809 | 0.140 | 0.160 | 0.630 | 0.030 | 0.040 | 1.000 |
| New Mexico | $719,083,454 | $886,340,443 | $6,074,522,205 | $222,377,241 | $39,835,830 | $7,942,159,173 | 0.090 | 0.110 | 0.760 | 0.030 | 0.010 | 1.000 |
| New York | $18,489,962,357 | $20,952,837,387 | $50,800,041,838 | $2,948,890,968 | $2,832,847,973 | $96,024,580,523 | 0.190 | 0.220 | 0.530 | 0.030 | 0.030 | 1.000 |
| North Carolina | $4,515,420,196 | $3,505,087,006 | $19,862,896,778 | $713,458,273 | $205,817,789 | $28,802,680,042 | 0.160 | 0.120 | 0.690 | 0.020 | 0.010 | 1.000 |
| North Dakota | $417,101,516 | $782,649,173 | $197,369,207 | $24,902,613 | -$176,905 | $1,421,845,604 | 0.290 | 0.550 | 0.140 | 0.020 | 0.000 | 1.000 |
| Ohio | $2,111,328,382 | $8,224,129,431 | $21,360,367,290 | $849,871,929 | $1,714,880,150 | $34,260,577,182 | 0.060 | 0.240 | 0.620 | 0.020 | 0.050 | 1.000 |
| Oklahoma | $5,918,404,926 | $1,791,215,609 | $1,878,917,041 | $242,597,180 | $43,785,710 | $9,874,920,466 | 0.600 | 0.180 | 0.190 | 0.020 | 0.000 | 1.000 |
| Oregon | $1,898,054,594 | $4,743,477,830 | $9,051,790,013 | $359,740,051 | $114,404,564 | $16,167,467,052 | 0.120 | 0.290 | 0.560 | 0.020 | 0.010 | 1.000 |
| Pennsylvania | $2,101,498,738 | $5,843,712,531 | $33,698,333,902 | $1,026,296,439 | $866,376,434 | $43,536,218,044 | 0.050 | 0.130 | 0.770 | 0.020 | 0.020 | 1.000 |
| Rhode Island | $498,484,402 | $943,772,560 | $1,964,761,277 | $104,993,520 | $14,580,446 | $3,526,592,205 | 0.140 | 0.270 | 0.560 | 0.030 | 0.000 | 1.000 |
| South Carolina | $1,616,256,013 | $2,211,787,291 | $5,704,751,888 | $361,372,518 | $191,330,230 | $10,085,497,940 | 0.160 | 0.220 | 0.570 | 0.040 | 0.020 | 1.000 |
| South Dakota | $887,345,970 | $576,480,745 | $2,974,010 | $47,777,171 | $1,345,258 | $1,515,923,154 | 0.590 | 0.380 | 0.000 | 0.030 | 0.000 | 1.000 |
| Tennessee | $2,685,983,437 | $1,046,748,175 | $8,962,768,452 | $537,454,877 | $81,424,489 | $13,314,379,430 | 0.200 | 0.080 | 0.670 | 0.040 | 0.010 | 1.000 |
| Texas | $10,720,856,514 | $4,935,367,996 | $31,519,769,874 | $1,683,488,376 | $2,115,024,612 | $50,974,507,372 | 0.210 | 0.100 | 0.620 | 0.030 | 0.040 | 1.000 |
| Utah | $1,284,312,887 | $1,232,273,229 | $2,318,024,841 | $83,964,389 | $24,888,820 | $4,943,464,166 | 0.260 | 0.250 | 0.470 | 0.020 | 0.010 | 1.000 |
| Vermont | $1,370,847,713 | $659,135,359 | $22,494,726 | $57,995,788 | $22,706,707 | $2,133,180,293 | 0.640 | 0.310 | 0.010 | 0.030 | 0.010 | 1.000 |
| Virginia | $5,768,903,464 | $4,122,641,461 | $11,968,446,773 | $435,389,317 | $17,876,431 | $22,313,257,446 | 0.260 | 0.180 | 0.540 | 0.020 | 0.000 | 1.000 |
| Washington | $5,838,229,740 | $6,603,616,742 | $8,096,231,070 | $611,734,990 | $350,669,518 | $21,500,482,060 | 0.270 | 0.310 | 0.380 | 0.030 | 0.020 | 1.000 |
| West Virginia | $581,371,499 | $1,936,578,034 | $2,144,627,075 | $207,748,673 | $71,882,899 | $4,942,208,180 | 0.120 | 0.390 | 0.430 | 0.040 | 0.010 | 1.000 |
| Wisconsin | $3,444,797,643 | $2,611,229,430 | $5,811,861,430 | $436,470,039 | $182,438,878 | $12,486,797,420 | 0.280 | 0.210 | 0.470 | 0.030 | 0.010 | 1.000 |
| Wyoming | $403,221,439 | $337,194,351 | $2,622,735 | $23,919,881 | $584,447 | $767,542,853 | 0.530 | 0.440 | 0.000 | 0.030 | 0.000 | 1.000 |