By Dutch Rojas – Visit my website
Sturgis, Michigan has 10,000 residents. One company based there billed $826 million in Medicaid personal care services between 2018 and 2024.
For context: to bill $826 million in 15-minute increments at Medicaid rates, you would need to document and submit claims for a number of service hours that, divided by the local population, implies every man, woman, and child in Sturgis received personal care assistance for roughly 2.3 hours per day, every day, for six years.
Now. There are several possible explanations.
Perhaps Sturgis has a uniquely concentrated elderly and disabled population that travels from surrounding counties for services.
Perhaps the company bills on behalf of aides working across a broad regional area.
Perhaps the claims are entirely legitimate and the math is simply coincidence.
Or perhaps the postpayment review system that would distinguish between these explanations was never built.
The HHS Medicaid Provider Spending dataset, released publicly for the first time in early 2026, makes this data visible.
That is new.
The billing pattern is not.
The money left the system years ago.
The dataset arrived after.
