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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: Per Capita Medicaid Expenditures.

Annual Expenditures (Billions of $) by Payer

Annual Expenditures (Billions of $) by Payer Bar Graph with the categories and values. Described in table below.

Payer Value
Medicaid 582
CHIP 18
Medicare 706
Private Health Insurance 1184

Source: National Health Expenditures Account Data, Calendar Year 2017

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

Annual Medicaid & CHIP Expenditures (Billions of $) by Service Category Bar Graph with the categories and values. Described in table below.

Service Category Expenditures (Billions of $)
Managed Care 287
Long-term care 119
Physician, laboratory, and other services 98
Inpatient services 62
Prescription drugs 4
Administrative 28

Source: Analysis of CMS-64 expenditure reports for Federal Fiscal Year 2017 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 $5,562,217,922 $332,303,700 $237,612,538 $6,132,134,160
Alaska $1,961,572,200 $32,649,048 $122,093,581 $2,116,314,829
American Samoa $33,219,896 $3,681,451 $1,314,451 $38,215,798
Arizona $11,823,748,029 $214,989,532 $276,933,002 $12,315,670,563
Arkansas $6,363,923,522 $158,005,467 $418,288,113 $6,940,217,102
California $82,384,159,833 $3,890,422,105 $5,929,728,127 $92,204,310,065
Colorado $7,805,267,931 $265,197,227 $378,696,222 $8,449,161,380
Connecticut $7,401,263,576 $42,247,403 $419,582,862 $7,863,093,841
Delaware $2,133,796,292 $38,317,513 $127,125,071 $2,299,238,876
District Of Columbia $2,783,205,645 $36,461,462 $177,556,628 $2,997,223,735
Florida $23,169,178,008 $717,037,005 $751,775,004 $24,637,990,017
Georgia $10,105,996,059 $406,236,105 $545,086,419 $11,057,318,583
Guam $79,339,659 $32,754,057 $3,888,628 $115,982,344
Hawaii $2,338,436,723 $67,212,650 $109,466,207 $2,515,115,580
Idaho $1,822,302,321 $76,158,599 $106,923,113 $2,005,384,033
Illinois $15,054,073,075 $263,766,578 $1,008,960,151 $16,326,799,804
Indiana $11,106,189,855 $217,462,806 $534,046,100 $11,857,698,761
Iowa $4,065,931,964 $134,657,737 $175,415,406 $4,376,005,107
Kansas $3,214,420,673 $113,254,933 $212,203,262 $3,539,878,868
Kentucky $9,527,255,650 $214,111,602 $252,992,040 $9,994,359,292
Louisiana $10,913,541,197 $368,770,012 $340,586,524 $11,622,897,733
Maine $2,565,081,585 $34,854,913 $169,444,328 $2,769,380,826
Maryland $11,161,406,671 $316,672,602 $448,717,095 $11,926,796,368
Massachusetts $17,120,855,005 $768,736,404 $1,026,999,620 $18,916,591,029
Michigan $16,711,203,272 $255,866,691 $654,295,896 $17,621,365,859
Minnesota $11,351,993,115 $13,683,105 $729,785,341 $12,095,461,561
Mississippi $5,462,308,168 $262,148,657 $214,731,135 $5,939,187,960
Missouri $10,095,843,109 $225,218,645 $431,896,767 $10,752,958,521
Montana $1,772,437,233 $101,371,106 $93,857,851 $1,967,666,190
North Mariana Islands $29,887,537 $10,244,950 $568,828 $40,701,315
Nebraska $2,041,523,592 $83,051,968 $122,980,551 $2,247,556,111
Nevada $3,530,342,184 $69,164,866 $186,293,305 $3,785,800,355
New Hampshire $2,055,479,922 $34,516,412 $107,919,839 $2,197,916,173
New Jersey $14,743,851,829 $529,863,190 $821,885,807 $16,095,600,826
New Mexico $4,804,465,265 $107,190,573 $215,650,117 $5,127,305,955
New York $76,398,082,879 $1,445,737,072 $2,165,054,414 $80,008,874,365
North Carolina $13,336,810,348 $461,346,458 $674,789,829 $14,472,946,635
North Dakota $1,216,183,814 $27,242,242 $104,282,126 $1,347,708,182
Ohio $23,055,842,742 $570,104,071 $932,712,489 $24,558,659,302
Oklahoma $4,630,014,393 $236,351,194 $209,539,405 $5,075,904,992
Oregon $8,312,733,407 $296,100,311 $512,765,908 $9,121,599,626
Pennsylvania $28,081,163,760 $682,027,985 $1,002,547,859 $29,765,739,604
Puerto Rico $2,317,682,931 $184,327,741 $118,666,735 $2,620,677,407
Rhode Island $2,623,111,291 $36,011,070 $163,239,202 $2,822,361,563
South Carolina $5,963,952,005 $166,548,121 $304,469,246 $6,434,969,372
South Dakota $851,154,180 $31,703,720 $51,565,059 $934,422,959
Tennessee $9,088,319,089 $211,738,146 $573,159,583 $9,873,216,818
Texas $35,644,874,349 $1,811,978,097 $1,507,683,658 $38,964,536,104
Utah $2,451,642,619 $141,216,868 $135,150,750 $2,728,010,237
Vermont $1,600,236,799 $12,080,227 $142,439,802 $1,754,756,828
Virgin Islands $53,582,469 $9,044,820 $16,032,698 $78,659,987
Virginia $8,987,642,645 $333,622,184 $470,388,579 $9,791,653,408
Washington $11,892,840,575 $154,201,239 $714,063,352 $12,761,105,166
West Virginia $4,000,838,793 $64,783,852 $156,968,729 $4,222,591,374
Wisconsin $8,049,889,736 $207,743,370 $453,222,771 $8,710,855,877
Wyoming $591,622,270 $13,326,822 $57,076,829 $662,025,921
United States $572,243,939,611 $17,535,516,684 $27,821,118,952 $617,600,575,247

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