State rankings

Medicaid Enrollment by State

California has the highest Medicaid Enrollment in 2025 (11.4M), followed by New York (5.9M) and Texas (3.7M). Wyoming has the lowest (53.4K).

HealthPolitics & Government51 states · 4 metricsUpdated Apr 10, 2025Original page
1 source
51 of 51 states
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Medicaid Enrollment, 2025

Darker means higher. Click a place to highlight it.

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All 51 ranked

Highest first.

Distribution Median and middle halfThe median is the middle value: half of places are above it, half below. The middle half is the range holding the central 50% of places.More in the glossary →

Each dot is one state; the lines mark the median and the middle half.

Median
889K
Middle half 302.3K – 1.5M
Average
1.3M
51 states
Highest
11.4M
California
Lowest
53.4K
Wyoming

Biggest changes · 2024 → 2025

51 states have a value in both years.

Largest increases

Largest decreases

Data

Click a column to sort, a row to highlight that place on the charts.

51 states · # = rank by Medicaid Enrollment
#
1California11.4M1.2M12.6M
2New York5.9M662.4K6.5M
3Texas3.7M345K4.1M
4Florida3.4M161K3.6M
5Pennsylvania2.7M280.4K3M
6Illinois2.7M318.3K3M
7North Carolina2.5M345K2.9M
8Ohio2.5M242.3K2.7M
9Michigan2.1M167.1K2.3M
10Washington1.7M64.6K1.8M
11Georgia1.7M185.5K1.9M
12Arizona1.6M112.6K1.7M
13New Jersey1.5M258.2K1.7M
14Virginia1.5M193.5K1.7M
15Massachusetts1.4M191.2K1.6M
16Indiana1.4M122.7K1.5M
17Louisiana1.3M137.3K1.4M
18Tennessee1.2M181.8K1.4M
19Maryland1.2M196.6K1.4M
20Kentucky1.2M132.9K1.3M
21Minnesota1.1M4,2261.1M
22Oregon1.1M184K1.3M
23Missouri1.1M133.6K1.3M
24Colorado1M140.1K1.2M
25Wisconsin1M99.7K1.1M
26Oklahoma889K79K968.1K
27Connecticut880.6K25.3K905.9K
28South Carolina864.7K112.8K977.6K
29Alabama745.9K193.2K939.1K
30Arkansas717.5K83.5K801K
31Nevada679.3K47.1K726.4K
32New Mexico639K43.7K682.7K
33Iowa580.4K85K665.4K
34Mississippi504.6K83.6K588.3K
35West Virginia450.5K39.7K490.2K
36Hawaii363.3K24.8K388.1K
37Kansas325.5K72.6K398.1K
38Maine310.6K27.1K337.7K
39Nebraska293.9K36.8K330.8K
40Idaho291.6K19.7K311.3K
41Utah291.6K34.6K326.2K
42Rhode Island264.2K33.7K297.9K
43District of Columbia240.6K16.3K256.9K
44Delaware226.5K14K240.5K
45Alaska197.6K12.8K210.5K
46Montana190.7K19.8K210.4K
47New Hampshire155.9K19K174.9K
48Vermont145.3K5,393150.7K
49South Dakota122.1K14.4K136.5K
50North Dakota98.4K5,387103.8K
51Wyoming53.4K5,84759.3K

What correlates with Medicaid Enrollment (2025)?

Pearson r against 2,094 other state metrics sharing at least 31 states. Ranks are read by standing: a better rank counts as higher, whether rank 1 is the best place on a list or the worst. Correlation is not causation.

Higher together

Places that have a higher Medicaid Enrollment tend to score higher on these (or rank better)

  1. Registered DemocratsRegistered Voters by Party
    r = +0.98 · very strong · n = 31
    Plot
  2. SSI RecipientsSSI Payment Amounts by State
    r = +0.97 · very strong · n = 51
    Plot
  3. LGBTQ PopulationWhat Percentage of the Population is Gay?
    r = +0.97 · very strong · n = 51
    Plot
  4. ExpendituresState Budgets by State
    r = +0.97 · very strong · n = 51
    Plot
  5. Biden VotesNational Popular Vote by State
    r = +0.97 · very strong · n = 51
    Plot
  6. Robbery CountCrime Rate by State
    r = +0.97 · very strong · n = 51
    Plot

Opposite directions

Places that have a higher Medicaid Enrollment tend to score lower on these (or rank worse)

  1. Req. English CreditsHigh School Graduation Requirements by State
    r = −0.70 · strong · n = 48
    Plot
  2. FTE Convictions RankMost Corrupt StatesA rank: rank 1 is the worst
    r = −0.63 · strong · n = 50
    Plot
  3. Number of SeasonsAll Four Seasons States
    r = −0.51 · strong · n = 51
    Plot
  4. Mitigation Efforts RankFood Waste by StateA rank: rank 1 is the best
    r = +0.51 · strong · n = 50
    Plot
  5. OpportunityBest States to Live InA rank: rank 1 is the best
    r = +0.51 · strong · n = 49
    Plot
  6. Related Groups per Capita RankBest States to HomeschoolA rank: rank 1 is the best
    r = +0.49 · moderate · n = 50
    Plot

Quick answers

Which state has the highest Medicaid Enrollment?
California has the highest Medicaid Enrollment in 2025, at 11.4M, followed by New York (5.9M) and Texas (3.7M).
Which state has the lowest Medicaid Enrollment?
Wyoming has the lowest Medicaid Enrollment in 2025, at 53.4K.
What is the median Medicaid Enrollment across US states?
The median is 889K across the 51 US states with data in 2025.
Where does this medicaid enrollment by state data come from?
Rankodex compiles it from World Population Review and the primary sources it cites: State Medicaid and CHIP Applications, Eligibility Determinations, and Enrollment Data - Medicaid.