Medicaid
Provider spending, utilization patterns, and anomaly detection for North Carolina.
SNAP / HR1 Compliance
Updated Feb 22, 20268.66%
Payment Error Rate
7.7%
Overpayment
0.96%
Underpayment
1.4M
Participants
State vs National PER
State
8.66%
National
10.93%
Projected Annual State Cost Share (effective FY2028)
$270.0M
10% of SNAP benefits
PER 8%–9.99% — 10% state cost share
Based on FY2024 SNAP Payment Error Rates. Cost sharing enacted under the One Big Beautiful Bill Act (P.L. 119-94, signed July 4, 2025), effective October 2027.
Public Lands
6.1K
Parcels
1.1M
Acres
--
Est. Value
20
Agencies
Parcel Size Distribution (acres)
Top Agencies by Acreage
WILDLIFE RESOURCES COMMISSION
571,185
NATURAL AND CULTURAL RESOURCES
267,703
AGRICULTURE
96,122
Housing Affordability
Updated Mar 30, 2026$1,245
Median Gross Rent
29.5%
Rent Burden
66.3%
Homeownership(-1.5% vs nat'l)
$309K
Median Home Value
Contract rent: $1,062
Housing units: 4,979,177
Broadband Access
Updated Mar 30, 202691.5%
Broadband Adoption
-0.5% vs national
5.7%
No Internet
96%
Computer Ownership
Subscription Types
Cable/Fiber/DSL 77.1%Cellular 6.2%Satellite 0.9%Other 2.6%
Drinking Water Quality
Updated Mar 30, 20261,965
Community Systems
5,140
Total Systems
N/A
Violating Systems
N/A
Violation Rate
Violation Rate vs National Avg (3.6%)
0% Natl avg9%
$53.4B
Total Funding
$5,201
Per Capita
97,029
Awards
Quarterly Grant Spending (FY2021-FY2025)
Top Agencies
Department of Health and Human Services$29.9B
Department of Transportation$2.7B
Department of Agriculture$2.1B
Department of Housing and Urban Development$2.0B
Environmental Protection Agency$1.7B
Department of Commerce$1.6B
Top Programs (CFDA)
Grants to States for Medicaid
25,173,854,177
Highway Planning and Construction
1,879,142,926
Community Development Block Grants/State's program and Non-Entitlement Grants in Hawaii
1,701,625,270
Broadband Equity, Access, and Deployment Program
1,527,999,481
National School Lunch Program
939,353,573
Children's Health Insurance Program
923,315,767
Budget & Fiscal Health
FY2022Updated Mar 30, 2026$130.0B
Revenue
$124.0B
Expenditure
$33.3B
Debt
$3,069
Debt/Capita
Credit Ratings (GO Bonds)
S&P
AAAMoody's
AaaFitch
AAARevenue/capita: $11,993
Tax burden/capita: $2,187
Workforce & Employment
Updated Mar 30, 20264%
Unemployment
vs 4.4% national
5.4M
Employed
5.6M
Labor Force
%
LFPR
vs 62.4% national
Fastest Growing Sectors
+8.3%Mining & Extraction
+5.0%Arts & Entertainment
+4.6%Construction
Shrinking Sectors
-3.3%Management
-1.1%Manufacturing
-0.9%Transportation & Warehousing
Employment data from Census ACS 1-year estimates (BLS LAUS unavailable). Trend data not available.
Public Health Outcomes
Updated Mar 30, 2026Life Expectancy
75.9 yrs#37 of 51
Overdose Death Rate
35.9/100k#33 of 51
Uninsured Rate
11.2%#42 of 51
Obesity Rate
34.2%#27 of 51
Mental Distress Days
4.9/mo#19 of 51
Infant Mortality
6.9/1k#42 of 51
Premature Death Rate
9,440.6/100k#36 of 51
Better than national avgWorse than national avg
Education
Updated Mar 30, 2026NAEP Scores (2024 Nation's Report Card)
238.9
4th Math
vs 237.3 nat'l
275.8
8th Math
vs 272.2 nat'l
213.4
4th Reading
vs 214.3 nat'l
254.9
8th Reading
vs 256.7 nat'l
Infrastructure
Grade: AUpdated Mar 30, 2026Bridges (FHWA NBI 2025)
19,343
Total Bridges
45.5%
Good
47.4%
Fair
7.1%
Poor
Campaign Finance
$2.6B
Contributions
$714.1M
Expenditures
300
Committees
2000-2020
Coverage
Contributions by Party
Other: $2.6B
Top Recipients
ROY COOPER$3,056,331.73
BUCK NEWTON$2,600,000
PAUL NEWBY$1,390,649
DAN FOREST$1,383,068.8
PAT MCCRORY$961,530.88
Regulatory Reform Ideas
100 candidates14 admin-only9 bipartisan70 moderate4 contested3 heavy-lift
Top Easy Wins
- 1.Unified Occupational Licensing Board Portal(50+ Boards / DIT)
- 2.Statewide Electronic Building Plan Review(Local Building Depts / Legislature / DIT)
- 3.Coal Ash Regulatory Streamlining (Maintain Protection, Reduce Duplication)(NCDEQ / EPA / Duke Energy / Legislature)
- 4.Broadband Deployment Streamlining (Pole Attachment, Dig-Once)(NCUC / NCDOT / Legislature)
- 5.NCDOT Encroachment Permit Streamlining (Electronic, 30-Day Deadline)(NCDOT)
IT Status Report & Strategic Plan
Comprehensive IT capability assessment with 100-day and 200-day strategic initiatives.
FEMA Disasters
21 Active29
Declarations (10yr)
21
Active
$4.9B
PA Funding
242,521
IA Approved
Declarations by Year
Incident Types
Hurricane 11Fire 7Tropical Storm 4Severe Storm 3Biological 2Winter Storm 1
Recent Declarations
2026-01-24SEVERE WINTER STORMEM
2025-09-11TROPICAL DEPRESSION CHANTALDR$4.5M
2025-05-03SUNSET DRIVE FIRE FM
2025-04-20SAM DAVIS ROAD FIREFM
2025-03-27TABLE ROCK FIREFM