CMS spending by state in 2025
- Minnesota, Indiana, Pennsylvania and Kentucky include Medicare payments booked where Medicare's claims contractors are, for patients across the country, so their total runs high. Ask for Medicare by patients' home state to see where beneficiaries live.
Top 57 by obligations in FY2025. Leading: Minnesota ($195.05B); California ($157.69B); Indiana ($150.66B). 1 more nets to $0 in the period and isn't shown.
| State | Obligations |
|---|---|
| Minnesota | $195.05B |
| California | $157.69B |
| Indiana | $150.66B |
| Pennsylvania | $149.73B |
| Kentucky | $125.74B |
| Florida | $100.60B |
| New York | $94.09B |
| North Dakota | $89.28B |
| Connecticut | $87.76B |
| South Carolina | $81.90B |
| Wisconsin | $60.93B |
| Tennessee | $55.45B |
| Michigan | $36.55B |
| Texas | $35.49B |
| Ohio | $32.71B |
| Missouri | $31.91B |
| Illinois | $31.11B |
| Arizona | $30.53B |
| Virginia | $29.95B |
| North Carolina | $28.98B |
| Massachusetts | $26.94B |
| New Jersey | $23.08B |
| Oregon | $19.73B |
| Louisiana | $18.41B |
| Maryland | $16.16B |
First 25 of 57 rows.
Open the full answer with chart and filters →
How to read this
- Amounts are obligations (money committed), not outlays (money paid).
- Location is where the work is performed, not where the recipient is based.
- Medicare payments are published as aggregate records placed where Medicare's claims contractors are (mostly Minnesota, Indiana, Pennsylvania, Kentucky, North Dakota, Connecticut, Florida and South Carolina), not where patients live, so those states show far more HHS money than their population suggests (ask for Medicare payments by patients' home state for where beneficiaries live).
- '(outside the US)' is work performed abroad; '(not reported)' has no location in the source.