US Government Program Data by State

Medicare Hospice · SNAP · Home Health · Childcare Assistance

Government Program Risk Dashboard

Top 15 states by key risk indicators · Click any chart to explore full data · Flagged states shown in red

Medicare Hospice Utilization by State

Source: CMS Medicare Hospice Utilization by State Reports · CY2022 data (most recent complete year) · Medicare beneficiaries 65+

Total Beneficiaries
1.72M
Total Payments
$23.7B
% of Medicare Decedents
49.1%
Avg Payment/Beneficiary
$13,780
Total Providers
5,765
51 states
# State Beneficiaries Per 100K Medicare % of Decedents Avg Days of Care Payments ($M) $/Beneficiary

Hospice Provider Count & Growth by State

Source: CMS Care Compare Hospice General Information · 2017–2023 · Providers = Medicare-certified hospice agencies

Total Providers 2023
6,280
Growth 2017–2023
+38%
For-Profit Share
~73%
States w/ Enhanced Oversight
4
51 states
# State Providers 2017 2019 2021 2023 Growth % Per 100K Medicare Oversight Flag

Hospice Payments & Billing Intensity by State

Source: CMS Medicare Hospice Utilization Reports · CY2019–2022 · Payment = total Medicare reimbursement

National Avg $/Bene
$13,780
Highest State
CA $18,240
Lowest State
ND $9,120
2019→2022 Growth
+12.4%
51 states
# State $/Bene 2022 2021 2019 3-Yr Change Total Payments ($M) Avg Days of Care vs National Avg

Hospice For-Profit Share & Quality by State

Source: CMS Care Compare · MedPAC · HHS OIG · 2022–2023 data

For-Profit Share (National)
73%
For-Profit Growth 2010–2022
+125%
Live Discharge Rate (concern threshold)
>20%
States Above Threshold
12
51 states
# State For-Profit % Live Discharge Rate Avg Star Rating % No Star Rating Flagged Providers Quality Flag

SNAP Participation by State

Source: USDA Food and Nutrition Service · FY2024 (Oct 2023–Sep 2024) · 2020 Census population estimates

Total Participants
42.6M
Monthly Benefits
$8.1B
Avg Benefit/Person
$191
States Rising ↑
21 / 51
51 states
# State Participants Per 1,000 Pop Monthly Benefits ($M) Avg $/Person vs FY2023

Medicare Home Health Agency Data by State

Source: CMS Home Health Agency (HHA) Utilization · CY2022 · Home health = skilled nursing/therapy services at home

Total Beneficiaries
6.6M
Total Payments
$16.9B
Total HHA Agencies
11,400
Avg Episodes/Bene
1.8
51 states
# State Beneficiaries Agencies Per 100K Medicare $/Beneficiary Total Payments ($M) Avg Episodes For-Profit %

Federal Childcare Assistance (CCDF/CCAP) by State

Source: HHS Administration for Children and Families · FY2022 · CCDF = Child Care and Development Fund

Total Federal CCDF Spending
$9.6B
Children Served (Monthly)
~1.4M
OIG Error Rate (MN)
11%
States w/ Frozen Funds (2026)
5
51 states
# State CCDF Spending ($M) Children Served $/Child/Month % Eligible Served Licensed Providers 2026 Fund Freeze Notes