Medicare Supplementary Medical Insurance federal funding in North Dakota

Fifty awards carrying a North Dakota SMI cell

CFDA 93.774 is the catalog key. North Dakota (ND) is the place-of-performance key. Together they produce $123,385,699,095.04 and 50 records. A 93.774 award tagged to Minnesota or South Dakota is out of scope. A North Dakota hospital-insurance or Part D row is a different CFDA. This page does not add those siblings to the SMI total.

Fifty rows against $123,385,699,095.04 implies a mean of about $2,467,713,982 per award. That quotient is not a typical clinic visit in Bismarck or Fargo, and it is not a typical enrollee year. Large assistance vehicles can book enormous dollars against a short row list. This packet does not name those vehicles.

North Dakota did not cause $123,385,699,095.04 by being the geography tag. CMS did not “select North Dakota” in a sense this extract can prove. Correlation is not causation. Place-of-performance can be a contractor or fiscal intermediary address rather than a clinic. Medicare Supplementary Medical Insurance in North Dakota is the live overlay.

What the 93.774 hub holds without a state filter

CFDA 93.774 is the national program page. This packet has no national SMI total, so North Dakota is not given a share of a U.S. figure. SpendingVault does not rank North Dakota against other states on this cell. $123,385,699,095.04 is an obligation sum, not a quality score and not a rural-access index.

CMS enrollment files and Trustees’ reports are other products. They are not the 50 USAspending.gov awards. Importing an enrollment number would invent a per-enrollee dollar figure this packet cannot support.

North Dakota’s federal book besides supplementary medical insurance

North Dakota federal spending is the all-program state rollup. North Dakota programs lists sibling catalog cells. $123,385,699,095.04 is one line inside those views, not a synonym for either parent. Quoting it as “federal spending in North Dakota” would drop every other CFDA.

A payment contractor tagged to North Dakota can carry a large slice of the $123,385,699,095.04 even if care occurred elsewhere. This packet has no county split and no facility list. Do not draw a care map from the state total.

Obligations versus cash already paid

An obligation is a recorded commitment. An outlay is a payment. $123,385,699,095.04 is stored as obligations. Timing and recoveries can separate cash from that sum. This page does not age the 50 awards into outlays.

Bismarck budget documents and state Medicaid or insurance publications are different ledgers. They are not the source of the 50 rows. Keep the citation on USAspending.gov CFDA aggregates by place of performance state.

Citing the 93.774–North Dakota snapshot

Write: Medicare Supplementary Medical Insurance (CFDA 93.774) obligated $123,385,699,095.04 on 50 awards coded to North Dakota, per USAspending.gov. Name both sides. Do not invent a fiscal year. All spending ties indexes this pair with other joins.

If a later ingest revises dollars or the 50-award count, the overlay Medicare Supplementary Medical Insurance in North Dakota overrides this prose.

What a large ND cell will not be asked to prove

This page will not compute a per-capita SMI figure. The packet has no population. It will not say North Dakota’s total is “surprising” for a small state, because that claim needs a population denominator that is not here. The only facts are $123,385,699,095.04, 50 awards, CFDA 93.774, and North Dakota place-of-performance.

Hospital insurance and prescription-drug catalog numbers stay outside this cell. North Dakota federal spending, North Dakota programs, CFDA 93.774, and All spending ties are the parent hubs. None of them converts the join into a grade of North Dakota’s physician market or into Treasury outlays.

Fifty awards is a row count, not fifty clinics and not fifty counties. The mean of about $2.47 billion per record is a quotient of packet facts, not a typical claim. Keep both keys in every citation sentence. Treat this JSON as a packet snapshot, not as a frozen CMS press total.

A contractor or Medicare Administrative Contractor tagged to North Dakota can dominate $123,385,699,095.04 even if most clinical encounters occurred in another coded geography. This packet cannot split that possibility from in-state care. It only reports the geography tag on the 50 awards. Do not read the cell as a map of where North Dakotans went to the doctor.

Questions

How much Medicare SMI is obligated in North Dakota?

USAspending.gov records $123,385,699,095.04 in CFDA 93.774 obligations across 50 awards coded to North Dakota. That is a program × state join, not an outlay and not North Dakota’s full federal total.

Why would North Dakota show such a large SMI total?

This packet cannot answer “why.” It reports $123,385,699,095.04 and 50 awards for CFDA 93.774 with an ND geography tag. Place-of-performance can be a contractor address. The extract has no population or enrollment figure.

Is 50 a count of North Dakota clinics?

No. It is an award-row count. $123,385,699,095.04 ÷ 50 is about $2.47 billion per record as a mean, not a typical visit. This packet does not list facilities.

Where is the live overlay?

Medicare Supplementary Medical Insurance in North Dakota is the overlay. See North Dakota federal spending, North Dakota programs, CFDA 93.774, and All spending ties. Later bulk files override this snapshot.