MFCU Statistical Data for Fiscal Year 2015
State Investigations1 Indicted/Charged Convictions Civil Settlements and Judgements Recoveries2 Expenditures Staff on Board
Total Fraud Abuse/ Neglect Total Fraud Abuse/ Neglect Total Fraud Abuse/ Neglect Total Recoveries Total Criminal Recoveries
Civil Recoveries
Global3 Other
MFCU Grant Total Medicaid
Alabama 48 39 9 17 8 9 9 5 4 5 $5,072,878 $422,078 $4,650,800 $0 $1,357,240 $5,495,672,054 10
Alaska 130 129 1 32 32 0 15 15 0 8 $2,463,748 $2,403,648 $60,099 $0 $1,279,525 $1,223,950,911 10
Arizona 103 84 19 77 56 21 48 24 24 17 $2,358,072 $423,572 $1,934,500 $0 $2,811,988 $10,895,032,291 20
Arkansas 110 69 41 34 21 13 22 11 11 14 $2,237,105 $488,655 $1,584,347 $164,103 $2,460,200 $5,852,914,637 20
California 1,725 1,082 643 246 138 108 115 59 56 22 $57,902,899 $26,164,225 $29,732,837 $2,005,836 $32,138,721 $90,614,357,683 182
Colorado 271 271 0 8 8 0 9 9 0 44 $4,707,135 $660,651 $3,739,443 $307,040 $1,651,018 $7,687,605,872 16
Connecticut 82 78 4 8 8 0 7 6 1 12 $2,027,006 $48,721 $1,582,975 $395,309 $2,108,289 $7,597,012,987 12
Delaware 640 586 54 38 28 10 41 17 24 9 $1,093,390 $100,001 $993,390 $0 $1,893,364 $2,023,509,108 16
D.C. 153 147 6 11 11 0 30 29 1 10 $1,991,288 $284,396 $1,519,392 $187,500 $2,792,615 $2,520,735,076 21
Florida 568 531 37 99 75 24 77 54 23 26 $57,665,129 $26,004,717 $10,078,140 $21,582,272 $16,910,095 $21,909,678,011 160
Georgia 456 445 11 22 21 1 12 12 0 27 $16,316,308 $2,221,652 $8,104,274 $5,990,382 $4,804,982 $10,245,084,441 42
Hawaii 64 21 43 3 2 1 6 4 2 10 $2,385,140 $38,143 $2,291,997 $55,000 $1,317,827 $2,076,761,775 14
Idaho 108 98 10 4 4 0 4 3 1 11 $796,796 $118,214 $321,457 $357,125 $873,359 $1,819,959,694 9
Illinois 298 248 50 53 41 12 55 42 13 22 $16,902,136 $694,271 $6,584,321 $9,623,544 $7,622,227 $17,963,860,929 41
Indiana 1,606 1,216 390 48 47 1 44 38 6 22 $28,192,407 $2,825,349 $2,603,929 $22,763,128 $5,916,915 $9,721,569,345 60
Iowa 291 270 21 58 37 21 53 33 20 11 $10,799,278 $223,805 $650,788 $9,924,685 $1,074,819 $4,672,288,367 10
Kansas 112 104 8 6 6 0 17 15 2 10 $4,596,228 $783,891 $99,518 $3,712,819 $1,192,687 $3,193,745,137 13
Kentucky 117 72 45 22 9 13 13 3 10 14 $2,904,551 $274,862 $2,511,193 $118,497 $3,393,619 $9,666,336,070 29
Louisiana 426 356 70 91 84 7 73 66 7 25 $17,905,243 $5,072,526 $8,586,459 $4,246,258 $5,263,527 $8,152,272,103 50
Maine 61 50 11 4 0 4 8 4 4 7 $1,203,259 $425,841 $777,418 $0 $764,429 $2,620,426,632 7
Maryland 353 319 34 12 8 4 10 8 2 10 $4,463,044 $2,690,087 $526,035 $1,246,923 $3,697,014 $9,881,703,513 30
Massachusetts 502 444 58 4 3 1 10 9 1 21 $17,572,910 $9,540,716 $1,558,979 $6,473,215 $5,364,610 $16,164,091,522 45
Michigan 526 480 46 22 13 9 30 23 7 16 $6,345,523 $882,447 $4,987,244 $475,832 $5,630,862 $16,561,360,132 32
Minnesota 419 417 2 24 22 2 19 17 2 13 $1,985,577 $619,154 $1,268,023 $98,400 $1,765,979 $11,294,848,324 19
Mississippi 594 85 509 72 6 66 60 5 55 18 $14,838,348 $11,571,159 $2,393,747 $873,442 $3,473,671 $5,313,720,236 35
Missouri 177 162 15 11 7 4 15 13 2 29 $12,092,210 $726,644 $2,647,957 $8,717,608 $2,345,934 $9,868,941,095 23
Montana 31 24 7 6 5 1 7 5 2 6 $220,966 $151,974 $68,992 $0 $825,259 $1,208,709,907 7
Nebraska 125 97 28 10 8 2 12 6 6 7 $671,715 $124,231 $482,891 $64,593 $894,437 $1,973,545,225 9
Nevada 65 61 4 14 14 0 13 13 0 7 $5,344,240 $3,387,397 $256,843 $1,700,000 $1,932,571 $3,265,706,343 19
New Hampshire 37 26 11 4 0 4 0 0 0 13 $486,835 $5,610 $301,247 $179,977 $780,464 $1,840,725,765 8
New Jersey 422 397 25 27 24 3 18 12 6 14 $3,192,822 $711,783 $2,481,039 $0 $3,867,591 $14,829,609,984 28
New Mexico 203 199 4 12 12 0 7 7 0 12 $351,475 $57,242 $213,532 $80,701 $2,124,374 $5,083,042,074 19
New York 798 652 146 115 72 43 110 57 53 65 $63,347,458 $2,887,003 $8,027,331 $52,433,124 $47,301,283 $59,681,117,761 281
North Carolina 406 397 9 16 13 3 18 14 4 20 $23,127,933 $8,172,451 $1,536,510 $13,418,973 $5,350,038 $13,878,014,268 49
Ohio 1,418 986 432 175 139 36 160 133 27 17 $18,739,232 $12,562,704 $5,797,800 $378,728 $10,109,229 $22,283,505,297 94
Oklahoma 263 197 66 41 21 20 32 17 15 10 $7,051,062 $1,035,280 $815,782 $5,200,000 $2,481,047 $4,948,050,867 24
Oregon 64 58 6 39 30 9 39 30 9 8 $597,387 $188,867 $408,520 $0 $2,220,933 $8,568,555,342 15
Pennsylvania 474 446 28 118 114 4 95 93 2 8 $11,702,515 $7,579,540 $4,122,975 $0 $6,106,400 $24,099,877,747 46
Rhode Island 42 28 14 14 5 9 10 7 3 24 $535,729 $9,739 $101,554 $424,436 $1,204,592 $2,729,259,438 12
South Carolina 216 172 44 17 11 6 18 15 3 9 $2,691,883 $408,045 $2,278,899 $4,939 $1,659,501 $6,027,888,585 15
South Dakota 68 68 0 2 2 0 2 2 0 19 $189,827 $27,680 $75,100 $87,047 $423,692 $860,846,154 5
Tennessee 264 222 42 23 10 13 21 9 12 18 $39,972,848 $167,309 $4,048,551 $35,756,988 $4,478,992 $9,506,550,239 36
Texas 1,356 1,210 146 123 117 6 85 68 17 10 $210,086,663 $206,617,091 $3,437,584 $31,988 $17,634,003 $36,147,676,703 161
Utah 138 118 20 4 1 3 5 2 3 26 $6,229,191 $194,300 $409,891 $5,625,000 $1,873,604 $2,300,014,634 13
Vermont 81 70 11 9 9 0 8 7 1 4 $213,572 $69,453 $50,609 $93,510 $858,283 $1,666,066,978 7
Virginia 384 378 6 60 53 7 59 52 7 21 $11,377,868 $6,338,686 $4,703,483 $335,698 $11,091,982 $8,510,779,754 100
Washington 186 179 7 16 13 3 15 11 4 13 $5,979,073 $162,701 $2,151,942 $3,664,430 $4,159,243 $11,074,882,616 35
West Virginia 147 128 19 8 6 2 9 6 3 16 $2,357,065 $17,932 $614,307 $1,724,827 $1,417,821 $3,835,749,849 18
Wisconsin 477 468 9 11 11 0 5 5 0 12 $33,550,932 $1,547,374 $2,728,557 $29,275,001 $1,512,865 $8,212,122,596 13
Wyoming 60 57 3 2 2 0 3 2 1 8 $44,448 $21,013 $23,435 $0 $475,174 $621,092,843 4
Grand Total 17,665 14,441 3,224 1,892 1,387 505 1,553 1,097 456 795 $744,880,347 $348,154,830 $146,926,639 $249,798,878 $250,688,895 $548,190,828,914 1,944
�Investigations are defined as the total number of open investigations at the end of the fiscal year.
�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.
3 �Global� recoveries derive from civil settlements or judgments involving the U.S. Department of Justice and a group of State MFCUs and are facilitated by the National Association of Medicaid Fraud Control Units.
Information in this chart was reported to OIG by the 50 State MFCUs, except 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 February 16, 2016.