Free Speech Data

How two podcast guys ended up with a trillion dollars of Medicaid data. The phone call. The dataset. The Starbucks. Before the investigation begins — this is how it started.

A trillion dollars. Growth that outpaces enrollment. A 76% spending cliff. Ghost providers billing billions from addresses that don't exist. And a pricing system that doesn't ask questions.

NPI 1417262056 billed $7.18 billion over seven years — 90 million claims, 35,000 per day. But its identity is redacted. Who is the invisible giant?

Personal care services code T1019 accounts for $122.7 billion — 11.2% of all Medicaid. It grew over 100% while the system grew 52%. One procedure code tells the whole story.

155 top providers. 2,740 connections. 9 communities. The Medicaid system is not random chaos — it has hidden structure. And a few providers hold it all together.

Spending dropped 76% in 2024. Ten million people disenrolled. Is it a collapse or a reset? Understanding who got left behind tells us everything.