Medicare
#1 SpendExtra payments for health conditions without supporting medical records
FY2025 gross outlays
Sponsored by Carl Boyanton
Stop fraud. Follow the money. Carl is calling for stronger federal oversight, accountable spending, and a fraud-free future for Mississippi.
Independent candidate for the U.S. House, Mississippi’s 4th Congressional District.
Campaign sponsorship. Federal figures below come from the cited public records; a spending total alone does not establish fraud.

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Gross Outlays / Actual Spending: Payments made by the federal government during the fiscal year, before subtracting offsetting receipts. The amounts are grouped by budget function. Each function has its own spending critique. Status reflects the specific linked finding; a program-level issue does not mean the entire function is lost or ineffective.
Extra payments for health conditions without supporting medical records
Review question: Are payment mistakes and slow claims being confused with the cost of benefits people are entitled to receive?
Past borrowing reduces future budget flexibility
Contract bonuses did not deliver equipment ready for use
Missing paperwork makes payment checks unreliable
Refundable-credit payment errors divert support
Review question: Are duplicate offices, empty buildings or expensive purchasing taking money away from public services?
Referral handoffs delay access to purchased care
Loan-servicer accuracy checks were stopped
Review question: Are road projects getting more expensive because of delays, extra charges or repairs that fail?
Review question: Are conservation projects lasting, or does the government keep paying to repeat failed work?
Review question: Are court delays making people wait while paperwork and legal costs keep growing?
Review question: For homelessness services, are contracts paying for repeated shelter stays and referrals rather than lasting housing?
Review question: Is overseas aid reaching people, or being consumed by layers of contractors and unfinished projects?
Review question: Is farm support reaching the risks it is meant to cover, at a cost the public can see?
Review question: Do government loans and guarantees hide losses or support costs behind repayments?
Review question: Do research and space projects keep receiving money when repeated delays no longer justify the next stage?
Review question: Are energy and cleanup projects producing working results, or staying stalled while costs rise?
| Budget Function | Gross Outlays | Status | Action |
|---|---|---|---|
Medicare #1 SpendHealth | $1.8T | Leak Extra payments for health conditions without supporting medical records | |
Social Security Entitlements | $1.7T | Outcome unverified Review question: Are payment mistakes and slow claims being confused with the cost of benefits people are entitled to receive? | |
Net Interest Debt | $1.3T | Warning Past borrowing reduces future budget flexibility | |
National Defense Top RiskDefense | $1.3T | Critical Contract bonuses did not deliver equipment ready for use | |
Health (Medicaid & Other) Health | $1.1T | Warning Missing paperwork makes payment checks unreliable | |
Income Security Entitlements | $752.6B | Leak Refundable-credit payment errors divert support | |
General Government Admin | $511.6B | Outcome unverified Review question: Are duplicate offices, empty buildings or expensive purchasing taking money away from public services? | |
Veterans Benefits and Services Veterans | $405.8B | Warning Referral handoffs delay access to purchased care | |
Education, Training, Employment & Social Services Education | $230.0B | Warning Loan-servicer accuracy checks were stopped | |
Transportation Infrastructure | $170.5B | Outcome unverified Review question: Are road projects getting more expensive because of delays, extra charges or repairs that fail? | |
Natural Resources and Environment Environment | $130.5B | Outcome unverified Review question: Are conservation projects lasting, or does the government keep paying to repeat failed work? | |
Administration of Justice Justice | $108.2B | Outcome unverified Review question: Are court delays making people wait while paperwork and legal costs keep growing? | |
Community and Regional Development Housing | $100.8B | Outcome unverified Review question: For homelessness services, are contracts paying for repeated shelter stays and referrals rather than lasting housing? | |
International Affairs Foreign Policy | $72.9B | Outcome unverified Review question: Is overseas aid reaching people, or being consumed by layers of contractors and unfinished projects? | |
Agriculture Agriculture | $71.7B | Outcome unverified Review question: Is farm support reaching the risks it is meant to cover, at a cost the public can see? | |
Commerce and Housing Credit Commerce | $65.5B | Outcome unverified Review question: Do government loans and guarantees hide losses or support costs behind repayments? | |
General Science, Space, and Technology Science | $45.3B | Outcome unverified Review question: Do research and space projects keep receiving money when repeated delays no longer justify the next stage? | |
Energy Energy | $28.9B | Outcome unverified Review question: Are energy and cleanup projects producing working results, or staying stalled while costs rise? |
Budgetary Resources / Funds Available: The total resources federal agencies had available during the fiscal year, including new spending authority, eligible balances carried over from earlier years, and other resources. This is not the amount left to spend: some resources may already be committed or paid out.
Review question: Are payment mistakes and slow applications keeping help from people who qualify?
Review question: Are repeated forms, manual checks and unresolved payment errors making routine government work expensive?
Review question: Are defense contracts buying equipment that works, or paying repeatedly for unfinished designs and repairs?
Review question: Are duplicate offices, empty buildings or expensive purchasing taking money away from public services?
Review question: Is farm support reaching the risks it is meant to cover, at a cost the public can see?
Review question: Are veterans waiting for care or benefits because referrals and claims keep changing hands?
Review question: Are duplicate offices, empty buildings or expensive purchasing taking money away from public services?
Review question: Are duplicate offices, empty buildings or expensive purchasing taking money away from public services?
Review question: Are duplicate offices, empty buildings or expensive purchasing taking money away from public services?
Review question: Are road projects getting more expensive because of delays, extra charges or repairs that fail?
Review question: For homelessness services, are contracts paying for repeated shelter stays and referrals rather than lasting housing?
Review question: Is school funding reaching students, or being absorbed by repeated office work and unused space?
Review question: Are energy and cleanup projects producing working results, or staying stalled while costs rise?
Review question: Are duplicate offices, empty buildings or expensive purchasing taking money away from public services?
Review question: Are duplicate offices, empty buildings or expensive purchasing taking money away from public services?
Review question: Are duplicate offices, empty buildings or expensive purchasing taking money away from public services?
Review question: Are duplicate offices, empty buildings or expensive purchasing taking money away from public services?
Review question: Are duplicate offices, empty buildings or expensive purchasing taking money away from public services?
Review question: Are court delays making people wait while paperwork and legal costs keep growing?
Review question: Are duplicate offices, empty buildings or expensive purchasing taking money away from public services?
Review question: Are duplicate offices, empty buildings or expensive purchasing taking money away from public services?
| Agency | Budgetary Resources | Status | Action |
|---|---|---|---|
Department of Health and Human Services #1 SpendAgency Budgetary Resources | $3.1T | Outcome unverified Review question: Are payment mistakes and slow applications keeping help from people who qualify? | |
Department of the Treasury Agency Budgetary Resources | $2.4T | Outcome unverified Review question: Are repeated forms, manual checks and unresolved payment errors making routine government work expensive? | |
Department of Defense Agency Budgetary Resources | $2.2T | Outcome unverified Review question: Are defense contracts buying equipment that works, or paying repeatedly for unfinished designs and repairs? | |
Social Security Administration Agency Budgetary Resources | $1.7T | Outcome unverified Review question: Are duplicate offices, empty buildings or expensive purchasing taking money away from public services? | |
Department of Agriculture Agency Budgetary Resources | $463.6B | Outcome unverified Review question: Is farm support reaching the risks it is meant to cover, at a cost the public can see? | |
Department of Veterans Affairs Agency Budgetary Resources | $458.8B | Outcome unverified Review question: Are veterans waiting for care or benefits because referrals and claims keep changing hands? | |
Resources outside listed agencies Agency Budgetary Resources | $441.2B | Outcome unverified Review question: Are duplicate offices, empty buildings or expensive purchasing taking money away from public services? | |
Department of Homeland Security Agency Budgetary Resources | $396.8B | Outcome unverified Review question: Are duplicate offices, empty buildings or expensive purchasing taking money away from public services? | |
Office of Personnel Management Agency Budgetary Resources | $338.6B | Outcome unverified Review question: Are duplicate offices, empty buildings or expensive purchasing taking money away from public services? | |
Department of Transportation Agency Budgetary Resources | $323.4B | Outcome unverified Review question: Are road projects getting more expensive because of delays, extra charges or repairs that fail? | |
Department of Housing and Urban Development Agency Budgetary Resources | $322.6B | Outcome unverified Review question: For homelessness services, are contracts paying for repeated shelter stays and referrals rather than lasting housing? | |
Department of Education Agency Budgetary Resources | $190.6B | Outcome unverified Review question: Is school funding reaching students, or being absorbed by repeated office work and unused space? | |
Department of Energy Agency Budgetary Resources | $143.4B | Outcome unverified Review question: Are energy and cleanup projects producing working results, or staying stalled while costs rise? | |
Federal Deposit Insurance Corporation Agency Budgetary Resources | $133.8B | Outcome unverified Review question: Are duplicate offices, empty buildings or expensive purchasing taking money away from public services? | |
Department of the Interior Agency Budgetary Resources | $94.3B | Outcome unverified Review question: Are duplicate offices, empty buildings or expensive purchasing taking money away from public services? | |
Department of Commerce Agency Budgetary Resources | $91.4B | Outcome unverified Review question: Are duplicate offices, empty buildings or expensive purchasing taking money away from public services? | |
Pension Benefit Guaranty Corporation Agency Budgetary Resources | $85.5B | Outcome unverified Review question: Are duplicate offices, empty buildings or expensive purchasing taking money away from public services? | |
Corps of Engineers - Civil Works Agency Budgetary Resources | $82.2B | Outcome unverified Review question: Are duplicate offices, empty buildings or expensive purchasing taking money away from public services? | |
Department of Justice Agency Budgetary Resources | $79.5B | Outcome unverified Review question: Are court delays making people wait while paperwork and legal costs keep growing? | |
Department of State Agency Budgetary Resources | $79.0B | Outcome unverified Review question: Are duplicate offices, empty buildings or expensive purchasing taking money away from public services? | |
Department of Labor Agency Budgetary Resources | $76.0B | Outcome unverified Review question: Are duplicate offices, empty buildings or expensive purchasing taking money away from public services? |
Check the numbers
Every federal figure on this page comes from these records. Open the original source to check a number.
Planned spending. A separate source from the actual spending above.
Use only enacted or approved documents. Check each document's status and fiscal period before you compare it with actual spending.
The records behind every figure on this page.
FY2025 reported gross outlays: $9.8T from USAspending File B. Budgetary resources and Treasury receipts are separate series. Gross outlays are before offsets and are not Treasury net cash outlays. The listed functions are not a verified reconciliation to the headline total.
Amounts are supplied by public-data APIs. Impact scores, status ratings and AI commentary are analytical content, not official audit findings. The API does not establish a link from each funding source to each function or recipient. See the methodology and sources.
FY2025 reported gross outlays: $9.8T from USAspending File B. Budgetary resources and Treasury receipts are separate series.
Budgetary resources include new budget authority, balances carried forward and other resources. Obligations are commitments; outlays generally record payments. These series do not measure newly enacted appropriations or reconcile directly to one another.
FY2025, USAspending File B; amounts are rounded as published by the API.
Treasury receipts and the budget deficit use net outlays as their denominator. These selected funding lines are not a reconciliation to File B gross outlays.
From tracking spending to demanding receipts
Today’s reporting can show spending without a complete trail to the final recipient or proof of delivery. Help close those gaps, strengthen checks before payment, and reduce opportunities for fraud and abuse.
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