nih-reporter · CMS
nih-reporter · CMS
nih-reporter · CMS
nih-reporter · CMS
nih-reporter · CMS
NIH is the largest public funder of biomedical research in the world, and it publishes every award. The RePORTER project file — pulled from NIH's public API — lists each funded application with its award amount, its awardee organization, and the National Institutes of Health institute that paid for it. Add the awards up by institution and one fact dominates: the money is not spread across the research landscape so much as it pools in a few dozen places. In fiscal year 2025, the most recent complete year on the file, the top 100 of 2,682 awardee institutions captured 73.3% of the $41.4 billion NIH awarded — and the same money lands, overwhelmingly, in a handful of states.
The money concentrates in a few dozen institutions
Of the 2,682 institutions that won any NIH research dollars in FY2025, the top 100 — 3.7% of them — captured 73.3% of the $41.4 billion awarded. The curve is steep all the way up: the top 50 took 56.2%, the top 25 took 38.3%, and the ten largest institutions alone took 19.4%.
| Awardee institution | State | Awards | FY2025 award dollars | Share of file |
|---|---|---|---|---|
| Johns Hopkins University | MD | 1,700 | $974.0M | 2.35% |
| University of California, San Francisco | CA | 1,699 | $919.5M | 2.22% |
| Washington University | MO | 1,405 | $841.6M | 2.03% |
| University of Pennsylvania | PA | 1,460 | $824.6M | 1.99% |
| University of Michigan at Ann Arbor | MI | 1,507 | $819.9M | 1.98% |
| University of Pittsburgh | PA | 1,325 | $762.6M | 1.84% |
| Yale University | CT | 1,276 | $736.2M | 1.78% |
| Stanford University | CA | 1,324 | $729.4M | 1.76% |
| Duke University | NC | 1,104 | $724.8M | 1.75% |
| Massachusetts General Hospital | MA | 1,187 | $700.3M | 1.69% |
Source: NIH RePORTER, the ten largest awardee institutions by FY2025 award dollars, snapshot 2026-06-14.
Every institution in the top ten is a major research university or academic medical center, and each one drew more than $700 million in a single year. The single largest, Johns Hopkins, took 2.35% of the entire national total on its own — its $974.0 million is more than the 1,300 smallest-funded institutions drew combined ($541.6 million). This is the shape of an enterprise with very high fixed costs: the laboratories, cores, and research administration that win and execute NIH grants are expensive to stand up, and they compound.
A grant total is a record of where federal research money went, not a verdict on merit. It says which institutions and states host the funded research enterprise — and nothing about the quality of any one scientist's work.
The long tail: hundreds of institutions, a sliver of the money
The 83.1% of awardee institutions that drew under $5 million apiece shared just 5.2% of all FY2025 NIH dollars. The concentration at the top has a mirror image at the bottom: a very wide, very thin tail.
| Institution group (FY2025) | Institutions | Share of all awardees | Share of dollars |
|---|---|---|---|
| Drew $5M or more | 454 | 16.9% | 94.8% |
| Drew under $5M | 2,228 | 83.1% | 5.2% |
| Received exactly one award | 1,598 | 59.6% | — |
Source: NIH RePORTER, awardee institutions by FY2025 funding band, snapshot 2026-06-14.
Most institutions that touch NIH money barely touch it: 1,598 of the 2,682 — 59.6% — received exactly one award all year. These are the smaller colleges, hospitals, community organizations, and companies that win a single grant rather than running a portfolio of them. They are the large majority of awardees and a rounding error in the dollars. The federal research budget reads, structurally, like a small number of institutions running most of the science and a long roster of everyone else holding a single project.
Where the money lands: a geography of a few states
Institutions in just 10 states captured 64.0% of FY2025 NIH research dollars, and the top three — California, New York, and Massachusetts — took 32.8% between them. Concentration by institution is also concentration by place.
| State | Awards | FY2025 award dollars | Share of file |
|---|---|---|---|
| California | 9,769 | $5.82B | 14.1% |
| New York | 6,751 | $3.95B | 9.5% |
| Massachusetts | 6,295 | $3.80B | 9.2% |
| Pennsylvania | 4,455 | $2.58B | 6.2% |
| Maryland | 2,921 | $2.36B | 5.7% |
| Texas | 3,975 | $2.13B | 5.2% |
| North Carolina | 3,009 | $1.91B | 4.6% |
| Washington | 1,947 | $1.42B | 3.4% |
| Illinois | 2,398 | $1.39B | 3.4% |
| Michigan | 2,116 | $1.13B | 2.7% |
Source: NIH RePORTER, the ten states with the most FY2025 award dollars, snapshot 2026-06-14.
California alone drew $5.82 billion, 14.1% of the national total — more than any other state by a wide margin, with second-place New York at $3.95 billion. The three coastal hubs — California, the New York metro, and the Boston-Cambridge corridor in Massachusetts — sit at the top because that is where the largest research universities and academic medical centers physically are. The remaining 46 of 56 state and territory codes on the file split the other 36.0% of the money. The geography of NIH funding is the geography of the research universities themselves.
Which NIH institutes write the checks
The funding is concentrated on the paying side too: the National Cancer Institute alone funded 15.1% of FY2025 award dollars, and the top three institutes funded 39.2% between them. NIH is not one budget but two-dozen-plus institute budgets, and they are far from equal.
| Funding institute | Awards | FY2025 award dollars | Share of file |
|---|---|---|---|
| National Cancer Institute | 11,131 | $6.24B | 15.1% |
| National Institute of Allergy and Infectious Diseases | 7,902 | $5.40B | 13.1% |
| National Institute on Aging | 5,723 | $4.58B | 11.1% |
| National Heart, Lung, and Blood Institute | 6,444 | $3.65B | 8.8% |
| National Institute of General Medical Sciences | 7,360 | $3.54B | 8.5% |
| National Institute of Neurological Disorders and Stroke | 4,738 | $2.55B | 6.2% |
| National Institute of Diabetes and Digestive and Kidney Diseases | 4,477 | $2.18B | 5.3% |
| National Institute of Mental Health | 3,229 | $1.90B | 4.6% |
Source: NIH RePORTER, the eight NIH institutes with the most FY2025 award dollars, snapshot 2026-06-14.
The order tracks national disease burden and the politics of research priorities: cancer, infectious disease, and aging lead. The National Institute on Aging's rise to third reflects the decade-long expansion of Alzheimer's and dementia funding. Whichever institute writes the check, though, it largely flows to the same short list of institutions in the same short list of states.
What one row actually is
Each row in nih_reporter_projects is one funded application — an appl_id carrying a project title, fiscal year, award amount, the awardee organization, and the named principal investigators. A multi-year grant or a project with sub-awards shows up as several rows under one core project number; in FY2025 the file holds 72,550 award rows across 57,988 distinct core projects. Summing award_amount across rows is the total of award dollars, because each row is a distinct funding action and no appl_id repeats. Principal investigators are recorded by name, with no NPI in the source, and the NPI-to-entity-graph link is deferred — so no funding total renders on any individual provider profile. Every figure in this study is a count or sum at the institution, state, or institute level. No researcher is named, ranked, or scored.
Methodology
All figures are direct aggregations over the nih_reporter_projects table, populated from the NIH RePORTER public project file via the NIH RePORTER API v2 (api.reporter.nih.gov). The table holds 179,957 funded-award records across fiscal years 2024-2026, 81,521 distinct core projects, and $98.81 billion in award dollars; snapshot updated_at 2026-06-14; public, key-less, public domain as a U.S.-government work.
Concentration figures are computed over fiscal year 2025, the most recent complete fiscal year on the file — FY2026 is partial (27,692 rows at this snapshot) and is excluded from share calculations to avoid a partial-year artifact. Dollar sums and the institution, state, and institute denominators use the 70,728 of 72,550 FY2025 rows that carry a published award_amount; the 1,822 rows with a null amount (training awards and other actions with no dollar figure) are excluded from dollar math. Institutions are grouped by organization_name exactly as published, with no entity normalization, so a parent system and a campus or affiliated hospital that file under different names are counted separately. Because these are counts and sums over a published file, every figure is exact as of the snapshot rather than estimated. Methodology version: nih-reporter/v1. The source-provenance contract is documented in the provenance methodology.
Limitations
- A funding record, not a merit or quality signal. A grant total records where federal research money went. It is not a measurement of scientific quality, productivity, or impact, and it is unrelated to any clinical-quality assessment. This study draws no inference about any funded project or any researcher.
- Aggregate and institution-level only. Every figure is a count or sum at the institution, state, or institute level. No principal investigator is named, ranked, or scored, and the NPI-to-entity-graph link is deferred, so funding totals render on no provider profile.
- Institutions are grouped by name as published. Grouping follows
organization_nameexactly, with no entity resolution. A university and its affiliated hospital, or a parent system and its campuses, may file under distinct names and be counted as separate institutions — which, if anything, understates true concentration at the parent-organization level. - A complete-year snapshot, not a trend model. Concentration is measured over FY2025, the most recent full year. The file also holds FY2024 and a partial FY2026; this study reports the FY2025 structure and does not model change over time. RePORTER refreshes and figures advance with each snapshot.
- Award amount is missing on some rows. 1,822 of the 72,550 FY2025 rows carry no published
award_amountand are excluded from dollar sums. They are a small share of awards and concentrated in action types that often lack a dollar figure, so their exclusion does not materially move the concentration ratios. - NIH funding is one slice of federal research. RePORTER covers NIH (and a few co-funded agencies), not the full federal research budget. The concentration described here is of NIH dollars specifically, not of all U.S. research funding.
Sources
- NIH RePORTER — the public reporting tool and project file behind every figure in this study.
- NIH RePORTER API v2 — the key-less public API the
nih_reporter_projectstable is pulled from. - NIH Institutes, Centers, and Offices — the funding institutes whose award shares are tabulated above.
The companion dataset page for NIH RePORTER lists the full schema and refresh cadence, and the sources page for NIH RePORTER documents the provenance contract. This concentration mirrors the same shape elsewhere in healthcare spending — the few drugs that carry most of the Medicare Part D bill, the nursing homes that carry most of the CMS penalty dollars, and the providers who collect most industry payments — while the geography of where the research enterprise sits is the supply-side counterpart to where Medicare providers cluster thickest and the changing shape of Medicare enrollment.
Frequently asked questions
- What is NIH RePORTER?
- NIH RePORTER is the National Institutes of Health's public database of federally funded research projects. Each record carries a project title, fiscal year, award amount, principal investigators, and the awardee organization. It is key-less, public, and in the public domain as a U.S.-government work, attributed to NIH RePORTER.
- How concentrated is NIH research funding?
- Very. In fiscal year 2025, the top 100 of 2,682 awardee institutions — 3.7% of them — captured 73.3% of the $41.4 billion awarded. The top 50 took 56.2%, the top 25 took 38.3%, and the ten largest institutions alone took 19.4%. At the other end, the 83.1% of institutions that drew under $5 million apiece shared just 5.2% of the money.
- Which institutions receive the most NIH funding?
- Large research universities and academic medical centers. The ten largest FY2025 awardees — led by Johns Hopkins University at $974.0 million, then the University of California, San Francisco, Washington University, the University of Pennsylvania, and the University of Michigan — together hold 19.4% of all NIH award dollars. These are institution-level totals over public award records, not a ranking of any individual researcher.
- Which states get the most NIH research money?
- California leads with $5.82 billion in FY2025, 14.1% of the national total, followed by New York (9.5%) and Massachusetts (9.2%). Institutions in just 10 states captured 64.0% of all NIH research dollars; the top three states alone took 32.8%, while the other 46 of 56 state and territory codes split the remaining 36.0%.
- Does a large grant total mean the research is better?
- No. A grant total records where federal research money went, not a judgment of scientific merit or quality. Concentration reflects the structure of the research enterprise — where large universities and academic medical centers cluster — and this study draws no inference about the quality of any funded project or any researcher.
- Are principal investigators linked to provider profiles?
- No. NIH RePORTER records are name-keyed — principal investigators are recorded by name and the awardee as an organization, with no NPI in the source. The NPI-to-entity-graph link is deferred, so funding totals render on no individual provider profile. Every figure in this study is an aggregate at the institution, state, or institute level.
- Can I reproduce these figures?
- Yes. Every number is a direct count or sum over the public nih_reporter_projects table — the NIH RePORTER project file, snapshot dated 2026-06-14 — with no modeling. The exact SQL for the institutional concentration, the long-tail split, the state breakdown, and the funding-institute mix is published in the reproducibility block below.
Who uses this data
The source data behind this study is public
Compliance teams, journalists, and researchers work from the same federal source families cited above — queried by NPI or facility identifier through Fonteum’s open dataset pages and API. Every figure traces to a frozen, downloadable snapshot you can reproduce yourself.
Datasets used
Reproducibility
Every claim, reproducible
The SQL
-- Where NIH research money goes — and how few institutions and states capture
-- most of it. Fully reproducible query.
--
-- Question: of the federal research dollars NIH awarded in its most recent
-- complete fiscal year, how concentrated is the funding by awardee institution
-- and by state? The lead figure: of the 2,682 institutions that won NIH
-- research dollars in fiscal year 2025, the top 100 (3.7% of awardees) captured
-- 73.3% of the $41.4 billion awarded. Concentration is a structure-of-funding
-- signal, NOT a quality, merit, or wrongdoing signal of any kind, and nothing
-- here describes or ranks any individual principal investigator.
--
-- Source:
-- public.nih_reporter_projects — NIH RePORTER public project file, pulled
-- from the NIH RePORTER API v2 (api.reporter.nih.gov/v2/projects/search).
-- 179,957 funded-award records across FY2024-2026; 81,521 distinct core
-- projects; snapshot updated_at 2026-06-14. Public, key-less, public domain
-- (U.S.-government works). methodology_version = 'nih-reporter/v1'.
--
-- Grain: one row per appl_id — a single funded application/award action. In
-- FY2025 there are 72,550 rows and 72,550 distinct appl_id (no duplication),
-- so summing award_amount across rows is the total of award dollars. A
-- "core project" (core_project_num) groups the multi-year/sub-project actions
-- under one grant; FY2025 holds 57,988 distinct core projects.
--
-- Reference period: FY2025 is the most recent COMPLETE fiscal year on the file
-- (FY2026 is partial — only 27,692 rows at this snapshot), so every
-- concentration figure below is computed over FY2025 to avoid a partial-year
-- artifact. award_amount is NULL on 1,822 of the 72,550 FY2025 rows (training
-- awards and other actions with no dollar figure published); those rows are
-- excluded from dollar sums and from the institution/state denominators.
-- ============================================================================
-- (1) Universe reconciliation — the published file at a glance, by fiscal year.
-- ============================================================================
SELECT
fiscal_year,
count(*) AS award_rows,
count(DISTINCT core_project_num) AS distinct_projects,
count(DISTINCT organization_name) AS awardee_orgs,
count(*) FILTER (WHERE award_amount IS NULL) AS null_amount,
round(sum(award_amount) / 1e9, 2) AS funded_b
FROM public.nih_reporter_projects
GROUP BY fiscal_year
ORDER BY fiscal_year;
-- 2024 79,715 rows · 2,900 orgs · $42.26B
-- 2025 72,550 rows · 2,753 orgs · $41.40B <- most recent COMPLETE year
-- 2026 27,692 rows · 896 orgs · $15.15B (partial)
-- whole file: 179,957 rows · 81,521 distinct core projects · $98.81B ·
-- 56 distinct organization_state codes · 38 funding ICs · snapshot 2026-06-14.
-- ============================================================================
-- (2) HEADLINE: institutional concentration in FY2025. Rank every awardee
-- institution by total award dollars, then read the cumulative share of
-- the top N. The top 100 of 2,682 institutions hold 73.3% of the money.
-- ============================================================================
WITH y AS (
SELECT * FROM public.nih_reporter_projects
WHERE fiscal_year = 2025 AND award_amount IS NOT NULL
),
org AS (
SELECT organization_name, sum(award_amount) AS amt
FROM y GROUP BY organization_name
),
r AS (
SELECT *, row_number() OVER (ORDER BY amt DESC) AS rk,
sum(amt) OVER () AS total, count(*) OVER () AS n_orgs
FROM org
)
SELECT
max(n_orgs) AS awardee_orgs,
round(max(total) / 1e9, 2) AS total_b,
round(100.0 * sum(amt) FILTER (WHERE rk <= 10) / max(total), 1) AS top10_pct,
round(100.0 * sum(amt) FILTER (WHERE rk <= 25) / max(total), 1) AS top25_pct,
round(100.0 * sum(amt) FILTER (WHERE rk <= 50) / max(total), 1) AS top50_pct,
round(100.0 * sum(amt) FILTER (WHERE rk <= 100) / max(total), 1) AS top100_pct
FROM r;
-- awardee_orgs 2,682 · total $41.40B
-- top 10 = 19.4% · top 25 = 38.3% · top 50 = 56.2% · top 100 = 73.3%
-- (top 100 = 3.7% of the 2,682 awardee institutions.)
-- ============================================================================
-- (3) The ten largest awardee institutions, FY2025, by total award dollars and
-- share of the national total. These ten alone hold 19.4% of the file.
-- ============================================================================
SELECT
organization_name,
organization_state,
count(*) AS awards,
round(sum(award_amount) / 1e6, 1) AS amount_m,
round(100.0 * sum(award_amount)
/ (SELECT sum(award_amount) FROM public.nih_reporter_projects
WHERE fiscal_year = 2025 AND award_amount IS NOT NULL), 2) AS pct_of_all
FROM public.nih_reporter_projects
WHERE fiscal_year = 2025 AND award_amount IS NOT NULL
GROUP BY organization_name, organization_state
ORDER BY sum(award_amount) DESC
LIMIT 10;
-- Johns Hopkins University MD 1,700 $974.0M 2.35%
-- University of California, San Fran. CA 1,699 $919.5M 2.22%
-- Washington University MO 1,405 $841.6M 2.03%
-- University of Pennsylvania PA 1,460 $824.6M 1.99%
-- University of Michigan at Ann Arbor MI 1,507 $819.9M 1.98%
-- University of Pittsburgh PA 1,325 $762.6M 1.84%
-- Yale University CT 1,276 $736.2M 1.78%
-- Stanford University CA 1,324 $729.4M 1.76%
-- Duke University NC 1,104 $724.8M 1.75%
-- Massachusetts General Hospital MA 1,187 $700.3M 1.69%
-- ============================================================================
-- (4) THE LONG TAIL — most institutions get very little. 83.1% of awardee
-- institutions drew under $5M each and split just 5.2% of the money, and
-- 1,598 of the 2,682 (59.6%) received exactly one award all year.
-- ============================================================================
WITH y AS (
SELECT * FROM public.nih_reporter_projects
WHERE fiscal_year = 2025 AND award_amount IS NOT NULL
),
org AS (
SELECT organization_name, count(*) AS awards, sum(award_amount) AS amt
FROM y GROUP BY organization_name
)
SELECT
count(*) AS awardee_orgs,
count(*) FILTER (WHERE amt < 5e6) AS orgs_under_5m,
round(100.0 * count(*) FILTER (WHERE amt < 5e6) / count(*), 1) AS pct_orgs_under_5m,
round(100.0 * sum(amt) FILTER (WHERE amt < 5e6) / sum(amt), 1) AS dollar_share_under_5m,
count(*) FILTER (WHERE awards = 1) AS single_award_orgs,
round(100.0 * count(*) FILTER (WHERE awards = 1) / count(*), 1) AS pct_single_award
FROM org;
-- 2,682 awardee orgs · 2,228 under $5M (83.1%) holding 5.2% of dollars ·
-- 1,598 single-award orgs (59.6%).
-- ============================================================================
-- (5) WHERE the money lands — top 10 states by FY2025 award dollars, with each
-- state's share of the national total. Institutions in 10 states capture
-- 64.0% of NIH dollars; the top three (CA, NY, MA) alone take 32.8%.
-- ============================================================================
WITH y AS (
SELECT * FROM public.nih_reporter_projects
WHERE fiscal_year = 2025 AND award_amount IS NOT NULL
AND organization_state IS NOT NULL
),
st AS (
SELECT organization_state, count(*) AS awards, sum(award_amount) AS amt
FROM y GROUP BY organization_state
),
r AS (
SELECT *, row_number() OVER (ORDER BY amt DESC) AS rk,
sum(amt) OVER () AS total, count(*) OVER () AS n_states
FROM st
)
SELECT organization_state, awards,
round(amt / 1e9, 2) AS amount_b,
round(100.0 * amt / total, 1) AS pct_of_all,
rk
FROM r WHERE rk <= 10 ORDER BY rk;
-- CA $5.82B 14.1% · NY $3.95B 9.5% · MA $3.80B 9.2% · PA $2.58B 6.2% ·
-- MD $2.36B 5.7% · TX $2.13B 5.2% · NC $1.91B 4.6% · WA $1.42B 3.4% ·
-- IL $1.39B 3.4% · MI $1.13B 2.7%
-- top 3 = 32.8% · top 5 = 44.7% · top 10 = 64.0% · the other 46 codes
-- (of 56) split the remaining 36.0%.
-- ============================================================================
-- (6) WHICH NIH institutes write the checks — top 8 funding ICs in FY2025 by
-- award dollars. The National Cancer Institute alone funds 15.1% of the
-- dollars; the top three ICs fund 39.2% (exact aggregate; the displayed
-- per-IC shares of 15.1 + 13.1 + 11.1 sum to 39.3 only because each is
-- rounded — the unrounded top-3 share is 39.18%, which rounds to 39.2%).
-- ============================================================================
SELECT
agency_ic_admin,
count(*) AS awards,
round(sum(award_amount) / 1e9, 2) AS amount_b,
round(100.0 * sum(award_amount)
/ (SELECT sum(award_amount) FROM public.nih_reporter_projects
WHERE fiscal_year = 2025 AND award_amount IS NOT NULL), 1) AS pct_of_all
FROM public.nih_reporter_projects
WHERE fiscal_year = 2025 AND award_amount IS NOT NULL
GROUP BY agency_ic_admin
ORDER BY sum(award_amount) DESC
LIMIT 8;
-- National Cancer Institute $6.24B 15.1%
-- National Institute of Allergy and Infectious Diseases $5.40B 13.1%
-- National Institute on Aging $4.58B 11.1%
-- National Heart Lung and Blood Institute $3.65B 8.8%
-- National Institute of General Medical Sciences $3.54B 8.5%
-- National Institute of Neurological Disorders & Stroke $2.55B 6.2%
-- National Institute of Diabetes & Digestive & Kidney $2.18B 5.3%
-- National Institute of Mental Health $1.90B 4.6%
-- (6b) The exact top-3-IC aggregate behind the 39.2% headline — computed as a
-- single share so it does not depend on summing the rounded per-IC shares.
WITH ic AS (
SELECT agency_ic_admin, sum(award_amount) AS amt
FROM public.nih_reporter_projects
WHERE fiscal_year = 2025 AND award_amount IS NOT NULL
GROUP BY agency_ic_admin
),
r AS (
SELECT *, row_number() OVER (ORDER BY amt DESC) AS rk, sum(amt) OVER () AS total
FROM ic
)
SELECT round(100.0 * sum(amt) FILTER (WHERE rk <= 3) / max(total), 1) AS top3_ic_pct
FROM r;
-- top3_ic_pct 39.2 (exact 39.1848%)
-- ============================================================================
-- (7) THE TOP-VS-TAIL CONTRAST, exact. The single largest awardee institution
-- drew more in FY2025 than the 1,300 smallest-funded institutions did
-- combined: $974.0M vs $541.6M.
-- ============================================================================
WITH y AS (
SELECT * FROM public.nih_reporter_projects
WHERE fiscal_year = 2025 AND award_amount IS NOT NULL
),
org AS (
SELECT organization_name, sum(award_amount) AS amt
FROM y GROUP BY organization_name
),
r AS (
SELECT *, row_number() OVER (ORDER BY amt DESC) AS rk, count(*) OVER () AS n
FROM org
)
SELECT
round((SELECT amt FROM r WHERE rk = 1) / 1e6, 1) AS top1_m,
round((SELECT sum(amt) FROM r WHERE rk > n - 1300) / 1e6, 1) AS bottom_1300_m
FROM r LIMIT 1;
-- top1_m 974.0 · bottom_1300_m 541.6
-- (the largest single institution outdraws the 1,300 smallest combined.)The snapshot
| dataset_id | nih-reporter |
| snapshot_date | 2026-06-16 |
| doi | 10.5072/fonteum/nih-research-funding-concentration-2026 |
The JOINs
universe: the published file as a whole -- 179,957 award rows, 81,521 distinct projects, $98.81B, FY2024-2026 reference year = fiscal_year 2025, the most recent COMPLETE year -- 72,550 rows; FY2026 is partial (27,692) and excluded from shares dollar base = award_amount IS NOT NULL -- 70,728 of 72,550 FY2025 rows carry a dollar figure; $41.40B total institution rank = sum(award_amount) GROUP BY organization_name -- 2,682 awardee orgs; top 100 = 73.3%, top 10 = 19.4% long tail = orgs with sum(award_amount) < $5M -- 2,228 orgs (83.1%) holding 5.2% of dollars; 1,598 single-award (59.6%) state mix = sum(award_amount) GROUP BY organization_state -- CA 14.1%, top 3 = 32.8%, top 10 = 64.0% across 56 codes funding IC = sum(award_amount) GROUP BY agency_ic_admin -- NCI 15.1%; top 3 ICs = 39.2% of dollars
The pipeline version
| methodology_version | nih-reporter/v1 |
Reproduce this
Run the exact query against the frozen 2026-06-16.
Cite this study
Citation-ready for researchers and AI.
Check the chain
Each figure is snapshot-attested — re-derive the hash from the federal file.
nih-reporter · 2026-06-16SHA-256 a3f1c9…7e6b- FINANCIAL DISTRESS · JUN 2026The few drugs that drive most of Medicare's Part D bill, 2023Medicare Part D paid $275.9 billion for 3,598 drugs in 2023. The 100 costliest — just 2.8% of the list — account for $176.2 billion, 63.8% of the bill. Ten drugs alone are a quarter of it, and 61.5% of priced drugs cost more per dose than a year earlier.
- FINANCIAL DISTRESS · JUN 2026Where nursing-home penalties concentrate: a repeat-citation story, 2026Between May 2023 and April 2026, CMS imposed $459.3M in civil money penalties and 2,513 payment denials on 6,884 nursing facilities. Enforcement concentrates: the 53.7% of penalized facilities cited more than once carry 80.1% of the fine dollars and 90.6% of the payment denials — the half cited once drew a fifth of the money.
- FINANCIAL DISTRESS · JUN 2026The 1% of doctors who get two-thirds of industry moneyIn 2024 the top 1% of physicians — 9,792 of the 979,136 who received any industry money — captured 66% of every general-payment dollar tied to a recipient, $1.74 billion of $2.64 billion. The bottom half split 1.2%. Measured across recipients, the Gini coefficient is 0.927, far above the ~0.41 of US household income.
- ACCESS · JUN 2026Where Medicare providers cluster: home health and DME market saturation, 2025In Los Angeles County, 1,847 home health agencies serve Medicare's fee-for-service population — the most of any U.S. county, at 2.12 per 1,000 beneficiaries, nearly ten times the national rate of 0.22. CMS publishes this market-saturation map for program-integrity monitoring, not as proof of fraud.
- WORKFORCE · JUN 2026Who is enrolled in Medicare? The nurse practitioner is now the most common clinician413,539 nurse practitioner enrollments make NPs the single most common clinician type in Medicare's provider-enrollment file — 13.9% of all 2.98 million PECOS records, nearly triple the largest physician specialty. Together, NPs and physician assistants are one in five enrollments. Advanced-practice providers now anchor the Medicare workforce.
Federal source citations
Fonteum Research · June 16, 2026 · All figures trace to the frozen federal-data snapshot cited above.