CMS and DOE each account for $13B+. CMS I expected (Medicare billing disputes), but the DOE number is almost entirely a handful of nuclear-cleanup contract disputes with scale I wasn't expecting.
Federal medical malpractice under the FTCA accounts for 10,170 cases totaling $3.2B. The VA is the single largest federal healthcare payer — 13,194 claims at $3.3B. Negotiated settlements average $577K vs. administrative settlements at $145K.
The largest single payment in the dataset was $1.9 billion.
If anyone wants the processed CSVs, they're linked from the "Cite this research" section on the page or directly on Zenodo.
govledger•1h ago
Key finding: fiscal year 2020 saw $14.2B in payments, roughly 10x the typical year. 89% of that came from one citation category. The write-up has the breakdown and an interactive table of the top 20 agencies.
Data is released as an open dataset (CC BY 4.0, DOI 10.5281/zenodo.19495955) in case anyone wants to verify or dig deeper.