Minnesota Medicaid: Top 1% Providers Get 38% of Pay

Name: Minnesota Medicaid: Top 1% Providers Get 38% of Pay
Creator: Minnesota Medicaid Transparency Project
Published: 2026-03-14
License: https://creativecommons.org/licenses/by/4.0/

Author: Minnesota Medicaid Transparency Project | Last updated: March 10, 2026

Top 1% of Minnesota Medicaid providers receive 38% of all payments. Distribution by provider type, billing concentration, and fraud risk.

Payment Concentration Summary

The top 1% of Minnesota Medicaid providers receive 38% of all payments. The top 10% receive 75% of total payments. This concentration creates both efficiency and fraud risk — high-volume providers may be delivering essential services efficiently, or may be billing at volumes that warrant scrutiny.

Part of the Minnesota Medicaid Transparency Project — an independent, data-driven investigation of $23 billion in annual Medicaid spending across 87 counties.

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Key Topics

Minnesota Medicaid Fraud — Medicaid fraud in Minnesota — $400M+ prosecuted since 2005, 14 high-risk programs, 87 county oversight gaps, and zero centralized fraud dete...
Medicaid Spending Minnesota — How Minnesota spends $23B on Medicaid — per-enrollee costs, disability spending (#1 nationally), program growth, and managed care payments.
Medicaid Oversight Minnesota — How Minnesota oversees $23B in Medicaid — DHS oversight structure, audit failures, workforce gaps, and the 37:1 expansion-to-oversight ratio...
Medicaid Fraud Cases Minnesota — Prosecuted Medicaid fraud cases in Minnesota — Feeding Our Future, PCA fraud, EIDBI billing schemes, 245D provider abuse, and settlement out...
Which States Have Most Medicaid Fraud — How Minnesota compares on Medicaid fraud risk — per-enrollee spending rankings, oversight gaps, and systemic vulnerability factors by state.