Recorded Medicare doubled from $578 billion in FY2014 to $1,164 billion in FY2025, and its largest line moved from Pennsylvania to Minnesota

Source. USAspending.gov spending by geography (scope recipient location, geo layer state), Medicare listings 93.773, 93.774, 93.770, award types 06 and 10. Fiscal years 2014–2025.

Method and data

Method. Medicare as recorded by USAspending, FY2014–FY2025, by recipient state, in billions of dollars: the six largest FY2025 lines and all other areas (the other 44 states, DC and Puerto Rico). The spending-by-geography endpoint, scope recipient location, geo layer state, filtered to assistance listings 93.773, 93.774 and 93.770 and to award types 06 and 10 (direct payments). Every area’s series is in the CSV.

Fiscal year	Minnesota	Indiana	Pennsylvania	Kentucky	North Dakota	Connecticut	All other areas	All 52 areas
2014	25.0	68.1	91.9	36.6	52.2	31.0	273.2	578.0
2015	31.1	82.4	96.2	42.7	54.9	32.5	277.0	616.7
2016	43.1	85.0	99.2	52.0	56.6	37.9	299.9	673.7
2017	54.5	86.5	99.9	52.5	59.9	32.5	301.3	687.0
2018	62.4	90.3	101.8	48.9	62.7	29.1	295.1	690.3
2019	78.2	97.3	105.7	58.6	66.0	38.3	316.9	760.9
2020	91.8	119.1	124.5	68.7	80.1	43.9	366.6	894.6
2021	106.0	100.5	95.7	77.1	63.4	48.6	328.8	820.2
2022	137.4	100.0	90.2	94.8	61.0	58.6	352.3	894.2
2023	153.6	119.2	105.6	99.7	73.6	61.2	380.4	993.2
2024	156.7	124.9	110.9	100.6	81.5	66.8	388.0	1,029.4
2025	181.9	134.5	119.4	109.8	87.9	80.5	449.6	1,163.6

Download fb5-18d-medicare-as-recorded-by-recipient-state-fy2014-fy2025.csv

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Higgins Strategy. “Recorded Medicare doubled from $578 billion in FY2014 to $1,164 billion in FY2025, and its largest line moved from Pennsylvania to Minnesota” Exhibit 3, Federal Dollars by State, Over Time (Study V · Part Three). October 12, 2026. https://higginsstrategy.com/charts/fb5-18d-medicare-as-recorded-by-recipient-state-fy2014-fy2025/