The Department of Government Efficiency (DOGE) open-sourced on Friday what it describes as the largest Medicaid dataset in the department’s history, containing aggregated provider-level claims data from January 2018 through December 2024.
Dataset Enables Fraud Detection Analysis
The dataset compiles individual claims by provider, procedure, and month, showing the number of beneficiaries served, claims submitted, and total amounts paid by Medicaid.
The data covers outpatient and professional claims with valid HCPCS codes across all states and territories.
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The DOGE HHS stated on X that the dataset could enable the detection of fraud patterns, citing the large-scale autism diagnosis fraud seen in Minnesota as an example.
“Using this dataset, it would have been possible to easily…
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Source www.yahoo.com
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