A decade of American healthcare spending, distilled into the numbers that matter most.
$854.8B
Total Medicare Payments Over 10 Years
From 2014 to 2023, Medicare paid out $854.8 billion to providers across America — nearly a trillion dollars flowing through a single program.
Explore this →1,721,798
Unique Providers
Nearly two million individual providers billed Medicare at least once. From solo family doctors to billion-dollar lab corporations.
Explore this →24.5B
Services Delivered
24.5 billion individual medical services — office visits, lab tests, surgeries, injections — every one logged and paid for.
Explore this →$94B
2023: The Highest Year Ever
Medicare spending hit a record $94 billion in 2023, continuing an upward trend that shows no signs of slowing.
Explore this →$81B
2020: The COVID Crash
The pandemic caused the only spending dip in the decade. Elective procedures vanished, and Medicare payments dropped to $81 billion.
Explore this →4,636
"Impossible" Providers
Providers who billed for more services per day than is physically possible. Some logged over 1,000 services in a single working day.
Explore this →500
AI-Flagged for Fraud
Our machine learning model identified 500 providers with billing patterns consistent with fraud — charging far above peers with suspicious volume.
Explore this →3.77x
Average Markup Ratio
Providers charge Medicare 3.77 times what they actually get paid. The gap between billed and paid is a $2 trillion write-off.
Explore this →$93.2B
Top State: California
California leads the nation in Medicare spending — more than any other state by a wide margin, driven by population and high-cost specialties.
Explore this →$44.4B
Top Procedure: 99213 (Office Visit)
The 15-minute office visit is the backbone of American medicine. Code 99213 generated $44.4B in Medicare payments over the decade.
Explore this →Want to dig into the data yourself?
Every number on this page comes from public CMS data. We analyzed 10 years of Medicare provider records.
Data source: CMS Medicare Provider Utilization and Payment Data, 2014–2023.