Year	Employer	Vendor Name	Amount	Source
2018	Department Of Health And Human Services	Dhhs - Health Care Financing & Policy	$8,316,064,168.14	Nevada State Checkbook
2023	Nevada State Checkbook	Hhs-Hcf&P - Nevada Medicaid Title Xix	$5,616,253,247.69	Nevada State Checkbook
2023	Nevada State Checkbook	Clark County School District	$3,910,077,209.81	Nevada State Checkbook
2022	Nevada State Checkbook	Clark County School District	$3,757,781,555.30	Nevada State Checkbook
2017	Department Of Health And Human Services	Hhs-hcf&p - Nevada Medicaid, Title Xix	$3,706,141,994.86	Nevada State Checkbook
2018	Department Of Education	Clark County School District	$2,377,850,100.42	Nevada State Checkbook
2020	Department Of Education	Clark County School District	$1,322,828,519.98	Nevada State Checkbook
2021	Nevada State Checkbook	Clark County School District	$1,275,975,075.77	Nevada State Checkbook
2018	Nevada System Of Higher Education (Nshe)	Board Of Regents-Sa	$1,229,842,088.36	Nevada State Checkbook
2018	Treasurer's Office	Treasurer - College Savings Trust	$1,218,052,978.10	Nevada State Checkbook
2019	Department Of Education	Clark County School District	$1,183,040,157.34	Nevada State Checkbook
2017	Department Of Education	Clark County School District	$1,156,002,689.36	Nevada State Checkbook
2017	Treasurer's Office	Program Account-non-executive	$1,029,794,629.00	Nevada State Checkbook
2023	Nevada State Checkbook	Program Account-Non-Exec	$947,678,625.00	Nevada State Checkbook
2018	Employees' Benefits Division	Public Employees' Benefits Program	$925,567,700.12	Nevada State Checkbook
2023	Nevada State Checkbook	Washoe County School District	$700,251,803.54	Nevada State Checkbook
2022	Nevada State Checkbook	Washoe County School District	$678,684,373.24	Nevada State Checkbook
2018	Nevada System Of Higher Education (Nshe)	Nshe - Nevada System Of Higher Education	$674,021,953.14	Nevada State Checkbook
2020	Nevada System Of Higher Education (Nshe)	Board Of Regents-Sa	$669,113,714.55	Nevada State Checkbook
2023	Nevada State Checkbook	Board Of Regents	$664,874,474.88	Nevada State Checkbook
2019	Nevada System Of Higher Education (Nshe)	Board Of Regents-Sa	$644,124,574.66	Nevada State Checkbook
2022	Nevada State Checkbook	Board Of Regents-Sa	$626,945,463.23	Nevada State Checkbook
2017	Nevada System Of Higher Education (nshe)	Board Of Regents-sa	$568,894,797.04	Nevada State Checkbook
2018	Department Of Corrections	Department Of Corrections	$498,851,112.10	Nevada State Checkbook
2021	Nevada State Checkbook	Board Of Regents-Sa	$487,310,646.45	Nevada State Checkbook
2018	Department Of Education	Washoe County School District	$470,058,206.45	Nevada State Checkbook
2018	Treasurer's Office	Us Bank National Association	$439,451,286.58	Nevada State Checkbook
2018	Department Of Transportation	Kiewit Infrastructure West Co	$434,000,000.00	Nevada State Checkbook
2018	Department Of Education	Nde - Department Of Education	$426,308,697.32	Nevada State Checkbook
2023	Nevada State Checkbook	Vendor For Drug Co Rebates	$412,325,862.16	Nevada State Checkbook
2022	Nevada State Checkbook	Clark County Of	$362,972,418.46	Nevada State Checkbook
2018	Department Of Health And Human Services	Dhhs - Welfare And Supportive Services	$355,007,262.08	Nevada State Checkbook
2017	Treasurer's Office	Us Bank National Association	$354,648,735.29	Nevada State Checkbook
2022	Nevada State Checkbook	Employment Security Division	$333,295,845.39	Nevada State Checkbook
2018	Department Of Health And Human Services	Department Of Health&Human Svc	$311,773,332.00	Nevada State Checkbook
2023	Nevada State Checkbook	Covid-19 Relief Programs	$307,342,505.59	Nevada State Checkbook
2018	Department Of Health And Human Services	Clark, County Of	$292,942,994.06	Nevada State Checkbook
2023	Nevada State Checkbook	Clark County Of	$288,297,149.27	Nevada State Checkbook
2023	Nevada State Checkbook	Pebp - Public Employees' Benefits Program	$282,605,019.60	Nevada State Checkbook
2023	Nevada State Checkbook	Us Bank National Association	$279,571,427.25	Nevada State Checkbook
2022	Nevada State Checkbook	Us Bank National Association	$265,890,627.44	Nevada State Checkbook
2023	Nevada State Checkbook	Department Of Health&Human Svc	$263,395,919.86	Nevada State Checkbook
2020	Department Of Education	Washoe County School District	$260,446,103.68	Nevada State Checkbook
2018	Department Of Health And Human Services	Dhhs - Public And Behavioral Health	$256,796,314.78	Nevada State Checkbook
2017	Department Of Education	Washoe County School District	$247,741,814.79	Nevada State Checkbook
2021	Nevada State Checkbook	Us Bank National Association	$246,892,695.27	Nevada State Checkbook
2018	Department Of Agriculture	Clark County School District	$236,518,414.14	Nevada State Checkbook
2021	Nevada State Checkbook	Washoe County School District	$231,804,271.93	Nevada State Checkbook
2019	Department Of Education	Washoe County School District	$227,632,833.56	Nevada State Checkbook
2017	Public Employees' Benefits Program	Pebp - Active Employees Group Insurance	$215,600,000.00	Nevada State Checkbook
2021	Nevada State Checkbook	Clark County Of	$211,876,287.91	Nevada State Checkbook
2018	Department Of Transportation	Department Of Transportation	$207,133,067.97	Nevada State Checkbook
2020	Department Of Health And Human Services	Department Of Health&Human Svc	$203,661,247.65	Nevada State Checkbook
2022	Nevada State Checkbook	Department Of Health&Human Svc	$199,340,803.33	Nevada State Checkbook
2020	Treasurer's Office	Us Bank National Association	$194,926,472.14	Nevada State Checkbook
2021	Nevada State Checkbook	Department Of Health&Human Svc	$193,700,681.53	Nevada State Checkbook
2017	Public Employees' Benefits Program	Pebp - Public Employees' Benefits Program	$189,453,175.25	Nevada State Checkbook
2018	Department Of Motor Vehicles	Department Of Motor Vehicles	$182,221,550.80	Nevada State Checkbook
2019	Treasurer's Office	Us Bank National Association	$181,484,387.30	Nevada State Checkbook
2017	Department Of Health And Human Services	Hhs-hcf&p - Intergovernmental Transfer Program	$181,234,442.05	Nevada State Checkbook
2017	Department Of Transportation	Ndot - Bond Construction	$179,794,674.56	Nevada State Checkbook
2017	Department Of Education	Nde - State Supplemental School Support Account	$179,000,000.00	Nevada State Checkbook
2019	Department Of Health And Human Services	Department Of Health&Human Svc	$178,653,586.90	Nevada State Checkbook
2023	Nevada State Checkbook	Pebp - Active Employees Group Insurance	$173,254,316.10	Nevada State Checkbook
2017	Department Of Transportation	Kiewit Infrastructure West Co	$165,900,000.00	Nevada State Checkbook
2022	Nevada State Checkbook	Childrens Cabinet Inc The	$163,032,130.60	Nevada State Checkbook
2017	Department Of Health And Human Services	Department Of Health&human Svc	$159,819,464.60	Nevada State Checkbook
2023	Nevada State Checkbook	Nshe - University Of Nevada Las Vegas	$157,839,222.27	Nevada State Checkbook
2019	Department Of Transportation	Kiewit Infrastructure West Co	$157,000,000.00	Nevada State Checkbook
2018	Department Of Health And Human Services	Health Plan Of Nevada Inc	$154,667,425.34	Nevada State Checkbook
2019	Department Of Health And Human Services	Clark, County Of	$154,646,467.46	Nevada State Checkbook
2023	Nevada State Checkbook	Hhs-Hcf&P - Intergovernmental Transfer Program	$152,351,141.07	Nevada State Checkbook
2018	Department Of Health And Human Services	Dhhs - Aging And Disability Services Division	$151,247,008.16	Nevada State Checkbook
2020	Department Of Health And Human Services	Clark, County Of	$143,774,042.92	Nevada State Checkbook
2018	Department Of Transportation	Las Vegas Paving Corporation	$143,560,034.06	Nevada State Checkbook
2017	Department Of Health And Human Services	Clark, County Of	$141,694,581.01	Nevada State Checkbook
2018	Department Of Health And Human Services	Dhhs - Division Of Child And Family Services	$141,198,948.86	Nevada State Checkbook
2023	Nevada State Checkbook	Las Vegas Paving Corporation	$138,061,887.03	Nevada State Checkbook
2022	Nevada State Checkbook	Las Vegas Paving Corporation	$134,747,547.65	Nevada State Checkbook
2018	Employees' Benefits Division	Hometown Health Plan Inc	$130,732,713.82	Nevada State Checkbook
2023	Nevada State Checkbook	Childrens Cabinet Inc The	$126,663,089.61	Nevada State Checkbook
2018	Department Of Education	Lyon County School District	$126,636,446.48	Nevada State Checkbook
2021	Nevada State Checkbook	Intragovernmental	$126,560,232.10	Nevada State Checkbook
2023	Nevada State Checkbook	Elko County School District	$126,246,972.10	Nevada State Checkbook
2018	Department Of Transportation	Regional Transportation	$125,384,490.82	Nevada State Checkbook
2023	Nevada State Checkbook	Hhs-Welfare - Welfare Field Services	$124,986,212.71	Nevada State Checkbook
2018	Department Of Public Safety	Dps-Highway Patrol	$124,685,097.34	Nevada State Checkbook
2023	Nevada State Checkbook	Lyon County School District	$122,533,509.73	Nevada State Checkbook
2022	Nevada State Checkbook	Intragovernmental	$121,858,955.17	Nevada State Checkbook
2022	Nevada State Checkbook	Elko County School District	$121,692,183.75	Nevada State Checkbook
2017	Nevada System Of Higher Education (nshe)	Nshe - University Of Nevada - Las Vegas	$121,245,243.00	Nevada State Checkbook
2023	Nevada State Checkbook	Intragovernmental	$121,139,503.19	Nevada State Checkbook
2018	Department Of Health And Human Services	Dhhs - Health And Human Services Director's Office	$119,003,696.62	Nevada State Checkbook
2023	Nevada State Checkbook	Nshe - University Of Nevada Reno	$118,760,658.78	Nevada State Checkbook
2019	Department Of Agriculture	Clark County School District	$115,493,946.58	Nevada State Checkbook
2018	Department Of Taxation	Department Of Taxation	$113,162,068.44	Nevada State Checkbook
2021	Nevada State Checkbook	Washoe County Of	$111,877,445.12	Nevada State Checkbook
2022	Nevada State Checkbook	Lyon County School District	$110,331,908.02	Nevada State Checkbook
2017	Department Of Agriculture	Clark County School District	$109,920,520.59	Nevada State Checkbook
2021	Nevada State Checkbook	National Council For Community	$109,603,335.60	Nevada State Checkbook