TOP 10 TAKEAWAYS
1. Total Overpayments
In 2022, $247 billion in estimated improper payments were reported by 17 federal agencies, averaging $20.5 billion per month.
2. Worst Programs
Department of Health and Human Services’ Medicaid ($81 billion); HHS’s Medicare — consisting of several parts — ($47 billion); and Small Business Administration’s Paycheck Protection Program ($29 billion).
3. Claw Back
The government identified $51.7 billion of overpayments to recapture, and was successful in recapturing $23.2 billion through audits and other “recovery activities,” making for a 45% recovery rate, or an actual recovery rate of 9% of all improper payments.
4. Dead People Payments
Dead people received $532.5 million in 2022 and $441.7 million in 2021 in mistaken payments. Federal retirement services (pensions), old-age, survivors, and disability insurance, and social security were sent to dead recipients.
Two year total: $974.3 million.
5. Top 10 Worst Agencies
Agency 2021 2022
Health and Human Services Dept. $154.3 billion $132.6 billion
Small Business Administration $671 million $37.3 billion
Treasury Department $26 billion $25.9 billion
Labor Department $78.2 billion $19 billion
Education Department $3.2 billion $15.7 billion
Social Security Administration $8.3 billion $7.4 billion
Veterans Affairs Department $5.1 billion $3.5 billion
Defense Department $2.5 billion  $2 billion
Agriculture Department $1.5 billion   $1.9 billion
Transportation Department $697 million $756 million
6. Worst Loss
In 2021, the Small Business Administration overpaid $671 million in improper payments. That number ballooned to $37.3 billion in 2022, due mostly to the Paycheck Protection Loan Program and COVID-Economic Injury Disaster Loan program — $35.9 billion combined.
7. Best Recovery
In 2021, the Labor Department overpaid $78.2 billion, almost all the Federal State Unemployment Insurance program. In 2022, the total number of improper payments dropped to $19 billion — a 75% reduction.
8. Added To The List
Seventeen agencies reported having made improper payments in FY 2022 and 16 reported such payments in 2021.
USAID — United States Agency for International Development — had no improper payments in 2021 but $200,000 in 2022.
9. Risk-Susceptible
U.S. Government Accountability Office identified some risk-susceptible programs that had no reported FY 2022 improper payments, including HHS’s Temporary Assistance for Needy Families and the Department of Agriculture’s Supplemental Nutrition Assistance Program.
10. What Can $247 Billion Buy?
