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Annual Medicaid & CHIP Expenditures


VISIT THE PILLAR: National Context

The federal government and states jointly fund and administer Medicaid and the Children’s Health Insurance Program (CHIP). The following data present a snapshot of recent annual expenditure statistics, such as expenditures by service category and state. Data are the most recent available, but reporting periods differ by source.

Total state expenditures vary based on the populations they serve and the benefits they provide. For information about state spending per Medicaid enrollee see: Medicaid Per Capita Expenditures.

Annual Expenditures (Billions of $) by Payer

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Detailed description of visualization provided below.
Payer Value
Medicaid 597
CHIP 19
Medicare 750
Private Health Insurance 1243

Source: National Health Expenditures Account Data, Calendar Year 2018

Annual Medicaid & CHIP Expenditures (Billions of $) by Service Category

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Bar graph showing Annual Medicaid & CHIP Expenditures (Billions of $) by Service Category. Full text version of the map is below.
Service Category Billions of $
Managed Care 296
Long-term care 125
Physician, laboratory, and other services 99
Inpatient services 62
Prescription drugs 11
Administrative 29

Source: Analysis of CMS-64 expenditure reports for Federal Fiscal Year 2018 from the Medicaid Budget and Expenditure System/State Children's Health Insurance Program Budget and Expenditure System (MBES/CBES)

Note: Expenditures by service category do not sum to the total expenditures. Total expenditures also include Medicare payments for some beneficiaries and adjustments to prior year payments. Managed care expenditures cover the same services that are delivered via fee-for-service. Data do not permit allocation of managed care expenditures to the different service categories.

Total Annual Medicaid & CHIP Expenditures by State or Territory

State Medicaid Services CHIP Administration Total
Alabama $5,546,416,592 $376,326,662 $221,608,914 $6,144,352,168
Alaska $2,033,389,399 $32,088,144 $162,610,954 $2,228,088,497
American Samoa $33,648,007 $4,796,225 $1,791,298 $40,235,530
Arizona $12,132,120,126 $238,648,416 $274,500,702 $12,645,269,244
Arkansas $6,308,079,740 $159,310,660 $400,964,282 $6,868,354,682
California $82,452,158,773 $3,263,299,513 $5,737,881,817 $91,453,340,103
Colorado $8,925,796,867 $322,922,789 $410,461,209 $9,659,180,865
Connecticut $8,175,809,143 $49,261,344 $395,032,364 $8,620,102,851
Delaware $2,237,920,184 $38,660,424 $89,126,787 $2,365,707,395
District of Columbia $2,804,976,949 $45,608,035 $171,581,492 $3,022,166,476
Florida $22,893,250,365 $776,459,967 $853,911,870 $24,523,622,202
Georgia $10,839,404,783 $421,867,658 $559,100,093 $11,820,372,534
Guam $82,077,146 $33,227,712 $3,725,307 $119,030,165
Hawaii $2,213,115,909 $65,856,844 $98,035,352 $2,377,008,105
Idaho $1,901,290,685 $73,587,506 $123,148,787 $2,098,026,978
Illinois $22,194,828,973 $423,400,284 $915,770,865 $23,534,000,122
Indiana $11,241,808,216 $251,071,608 $554,569,995 $12,047,449,819
Iowa $4,828,425,247 $131,334,292 $164,063,158 $5,123,822,697
Kansas $3,437,703,549 $124,407,891 $164,788,703 $3,726,900,143
Kentucky $9,801,380,491 $207,048,442 $312,677,925 $10,321,106,858
Louisiana $10,835,742,015 $363,238,234 $386,967,396 $11,585,947,645
Maine $2,686,772,711 $35,920,277 $154,235,161 $2,876,928,149
Maryland $11,417,338,026 $341,692,005 $450,182,782 $12,209,212,813
Massachusetts $17,655,414,020 $782,436,056 $1,044,441,404 $19,482,291,480
Michigan $16,286,594,101 $264,312,837 $799,044,195 $17,349,951,133
Minnesota $12,324,543,789 $18,973,407 $805,829,231 $13,149,346,427
Mississippi $5,278,728,403 $244,247,022 $164,883,830 $5,687,859,255
Missouri $10,296,294,908 $269,893,300 $412,905,692 $10,979,093,900
Montana $1,830,172,657 $87,575,407 $90,505,754 $2,008,253,818
North Mariana Islands $44,292,384 $11,401,221 $723,315 $56,416,920
Nebraska $2,126,639,801 $91,863,961 $107,462,109 $2,325,965,871
Nevada $3,922,474,284 $74,271,314 $204,841,297 $4,201,586,895
New Hampshire $2,150,375,296 $33,069,233 $122,962,190 $2,306,406,719
New Jersey $14,843,185,053 $560,897,257 $863,380,214 $16,267,462,524
New Mexico $5,112,309,656 $96,365,490 $220,654,828 $5,429,329,974
New York $73,030,082,745 $1,589,682,590 $2,232,574,437 $76,852,339,772
North Carolina $13,339,097,405 $474,784,472 $721,578,370 $14,535,460,247
North Dakota $1,222,239,306 $28,506,040 $119,848,717 $1,370,594,063
Ohio $21,743,887,373 $512,734,561 $951,071,064 $23,207,692,998
Oklahoma $4,433,479,661 $236,009,728 $225,850,275 $4,895,339,664
Oregon $8,877,365,993 $360,635,724 $503,828,983 $9,741,830,700
Pennsylvania $29,863,557,849 $710,801,488 $894,756,438 $31,469,115,775
Puerto Rico $2,393,147,149 $189,484,863 $100,386,738 $2,683,018,750
Rhode Island $2,620,033,271 $99,228,429 $163,509,707 $2,882,771,407
South Carolina $6,006,492,924 $174,706,158 $350,529,972 $6,531,729,054
South Dakota $865,504,172 $32,139,648 $48,486,557 $946,130,377
Tennessee $9,680,798,504 $224,779,714 $620,365,922 $10,525,944,140
Texas $37,585,413,327 $1,535,920,525 $1,377,351,413 $40,498,685,265
Utah $2,421,929,601 $131,269,086 $153,503,444 $2,706,702,131
Vermont $1,595,969,592 $12,671,008 $173,834,852 $1,782,475,452
Virgin Islands $59,437,714 $11,361,879 $17,538,238 $88,337,831
Virginia $9,562,002,903 $408,308,187 $377,534,960 $10,347,846,050
Washington $12,093,602,904 $174,468,926 $733,728,481 $13,001,800,311
West Virginia $3,854,175,868 $73,493,163 $142,747,290 $4,070,416,321
Wisconsin $8,768,743,868 $245,924,657 $411,511,259 $9,426,179,784
Wyoming $595,439,375 $14,442,804 $73,742,453 $683,624,632
United States $587,506,879,752 $17,556,695,087 $27,838,650,842 $632,902,225,681

These data present recent annual expenditure statistics, such as expenditures by service category and state.