Top 10 states by exclusion intensity (per 10K establishments)
Mississippi leads with 788.3. The 10 US states with the highest combined federal-exclusion count (LEIE Medicare/Medicaid + SAM procurement) per 10,000 business establishments — a size-normalized risk measure.
| # | Name | Exclusions per 10K estab |
|---|---|---|
| 1 | Mississippi | 788.3 |
| 2 | Vermont | 645.4 |
| 3 | West Virginia | 585.3 |
| 4 | Rhode Island | 445.2 |
| 5 | Oklahoma | 437.8 |
| 6 | Louisiana | 430.0 |
| 7 | Kentucky | 426.7 |
| 8 | Arkansas | 422.8 |
| 9 | Alabama | 420.6 |
| 10 | Arizona | 381.4 |
Methodology
Exclusion intensity = (LEIE Medicare/Medicaid exclusions + SAM federal-procurement exclusions) ÷ total CBP 2022 establishments × 10,000. Sources: HHS-OIG LEIE, SAM.gov Exclusions, US Census CBP 2022. As of 2026-05-27.
As of 2026-05-28. ACS 2023 5-year + CBP 2022.
Related rankings
- Top 10 states by construction industry size — #1 California (85,171)
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- Top 10 states by manufacturing industry size — #1 California (35,936)
- Top 10 states by professional services industry size — #1 California (142,540)
- Top 10 states by retail industry size — #1 California (107,053)
- Top 10 highest-paying construction states — #1 Alaska ($92,599)
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