| Year |
Employer |
Vendor Name |
Amount |
Source |
| 2020 |
Department Of Health And Human Services |
Benefit Recipient |
$5,016,030,983.47 |
North Carolina State Checkbook |
| 2021 |
Department Of Health And Human Services |
Benefit Recipient |
$3,997,508,220.28 |
North Carolina State Checkbook |
| 2018 |
Division Of Medical Assistance |
Benefit Recipient |
$3,994,280,427.00 |
North Carolina State Checkbook |
| 2017 |
Division Of Medical Assistance |
Benefit Recipient |
$3,890,116,544.81 |
North Carolina State Checkbook |
| 2022 |
Department Of Health And Human Services |
Benefit Recipient |
$2,454,648,387.00 |
North Carolina State Checkbook |
| 2023 |
Central Administration |
Benefit Recipient |
$1,778,342,808.00 |
North Carolina State Checkbook |
| 2023 |
Office Of The State Treasurer |
Pension And Benefit Claimant |
$1,703,649,187.00 |
North Carolina State Checkbook |
| 2019 |
Division Of Medical Assistance |
Benefit Recipient |
$1,640,327,009.00 |
North Carolina State Checkbook |
| 2022 |
Office Of The State Treasurer |
Pension And Benefit Claimant |
$1,493,274,368.00 |
North Carolina State Checkbook |
| 2024 |
Department Of The State Treasurer |
Pension And Benefit Claimant |
$1,344,141,611.00 |
North Carolina State Checkbook |
| 2021 |
Office Of The State Treasurer |
Pension And Benefit Claimant |
$1,335,840,008.29 |
North Carolina State Checkbook |
| 2020 |
Office Of The State Treasurer |
Pension And Benefit Claimant |
$1,211,428,280.51 |
North Carolina State Checkbook |
| 2022 |
Department Of Public Instruction |
Non-Trade Vendor Payments |
$894,089,116.00 |
North Carolina State Checkbook |
| 2019 |
State Treasurer Administration |
Pension And Benefit Claimant |
$695,496,786.00 |
North Carolina State Checkbook |
| 2023 |
Department Of Public Instruction |
Non-Trade Vendor Payments |
$676,817,780.00 |
North Carolina State Checkbook |
| 2018 |
Nc Dept Of Public Instruction |
Non-Trade Vendor Payments |
$541,890,851.00 |
North Carolina State Checkbook |
| 2017 |
Nc Dept Of Public Instruction |
Non-trade Vendor Payments |
$540,785,707.21 |
North Carolina State Checkbook |
| 2020 |
Department Of Public Instruction |
Non-Trade Vendor Payments |
$536,215,842.90 |
North Carolina State Checkbook |
| 2021 |
Department Of Public Instruction |
Non-Trade Vendor Payments |
$521,118,949.84 |
North Carolina State Checkbook |
| 2017 |
Division Of Child Development |
Benefit Recipient |
$375,271,608.42 |
North Carolina State Checkbook |
| 2024 |
Department Of Commerce |
Toyota Battery Manufacturing Inc |
$360,000,000.00 |
North Carolina State Checkbook |
| 2019 |
Nc Dept Of Public Instruction |
Non-Trade Vendor Payments |
$307,307,973.00 |
North Carolina State Checkbook |
| 2023 |
Department Of Health And Human Services |
Benefit Recipient |
$222,296,403.00 |
North Carolina State Checkbook |
| 2020 |
Office Of The State Treasurer |
United Healthcare Insurance Co |
$216,004,053.60 |
North Carolina State Checkbook |
| 2022 |
Department Of Health And Human Services |
Logistics Health Incorporated |
$173,180,306.00 |
North Carolina State Checkbook |
| 2024 |
Department Of Adult Correction |
Non-Trade Vendor |
$151,243,695.00 |
North Carolina State Checkbook |
| 2019 |
State Treasurer Administration |
United Healthcare Insurance Co |
$138,308,027.00 |
North Carolina State Checkbook |
| 2022 |
Department Of Health And Human Services |
Csra State And Local |
$120,223,729.00 |
North Carolina State Checkbook |
| 2024 |
Dhhs Health Benefits |
Benefit Recipient |
$116,011,103.00 |
North Carolina State Checkbook |
| 2021 |
Office Of The State Treasurer |
Blue Cross Blue Shield Of Nc |
$113,015,168.14 |
North Carolina State Checkbook |
| 2024 |
Administrative Office Of The Courts |
Court Related Services |
$110,362,583.00 |
North Carolina State Checkbook |
| 2022 |
Department Of Public Safety |
Pgba |
$107,736,222.00 |
North Carolina State Checkbook |
| 2022 |
Department Of Health And Human Services |
Ernst & Young Llp |
$102,237,205.00 |
North Carolina State Checkbook |
| 2024 |
Dhhs Health Benefits |
Accenture Llp |
$100,479,113.00 |
North Carolina State Checkbook |
| 2022 |
Office Of The State Treasurer |
Blue Cross Blue Shield Of Nc |
$100,042,528.00 |
North Carolina State Checkbook |
| 2017 |
The Judicial Dept |
Court Related Services |
$99,861,928.29 |
North Carolina State Checkbook |
| 2020 |
Office Of The State Treasurer |
Blue Cross Blue Shield Of Nc |
$99,083,546.18 |
North Carolina State Checkbook |
| 2023 |
Central Administration |
Csra State And Local |
$98,714,439.00 |
North Carolina State Checkbook |
| 2023 |
Central Administration |
Logistics Health Incorporated |
$97,460,737.00 |
North Carolina State Checkbook |
| 2020 |
Judicial Branch |
Court Related Services |
$96,789,591.67 |
North Carolina State Checkbook |
| 2018 |
The Judicial Dept |
Court Related Services |
$95,633,760.00 |
North Carolina State Checkbook |
| 2022 |
Department Of Health And Human Services |
Community Care Of Nc |
$93,696,475.00 |
North Carolina State Checkbook |
| 2018 |
Div Of Mental Health/Retardation & Subst |
Cardinal Innovations |
$93,075,240.00 |
North Carolina State Checkbook |
| 2024 |
Dhhs Mental Health |
Trillium Health Resources |
$91,254,470.00 |
North Carolina State Checkbook |
| 2020 |
Department Of Public Safety |
Non-Trade Vendor Payments |
$90,630,401.17 |
North Carolina State Checkbook |
| 2021 |
Office Of The State Treasurer |
United Healthcare Insurance Co |
$90,007,874.95 |
North Carolina State Checkbook |
| 2020 |
Department Of Health And Human Services |
Cardinal Innovations |
$90,001,913.16 |
North Carolina State Checkbook |
| 2023 |
Indigent Defense Services |
Court Related Services |
$89,283,322.00 |
North Carolina State Checkbook |
| 2017 |
Div Of Mental Health/retardation & Subst |
Cardinal Innovations |
$87,948,183.44 |
North Carolina State Checkbook |
| 2024 |
Department Of Administration |
Barnhill Balfour Beatty Da Everett Dhhs Campus A Joint Venture |
$87,328,449.00 |
North Carolina State Checkbook |
| 2021 |
Department Of Health And Human Services |
Cardinal Innovations |
$86,701,600.81 |
North Carolina State Checkbook |
| 2018 |
Dept Of Public Safety |
Pgba, Llc |
$84,921,776.00 |
North Carolina State Checkbook |
| 2023 |
Office Of The State Treasurer |
Blue Cross Blue Shield Of Nc |
$80,068,233.00 |
North Carolina State Checkbook |
| 2024 |
Dhhs Mental Health |
Vaya Health |
$79,670,202.00 |
North Carolina State Checkbook |
| 2023 |
Central Administration |
Alliance Behavioral Healthcare |
$79,273,484.00 |
North Carolina State Checkbook |
| 2022 |
Indigent Defense Services |
Court Related Services |
$77,074,611.00 |
North Carolina State Checkbook |
| 2018 |
Division Of Child Development |
Benefit Recipient |
$76,343,373.00 |
North Carolina State Checkbook |
| 2022 |
Department Of Health And Human Services |
Alliance Behavioral Healthcare |
$75,751,796.00 |
North Carolina State Checkbook |
| 2024 |
Dhhs Mental Health |
Non-Trade Vendor |
$75,624,874.00 |
North Carolina State Checkbook |
| 2024 |
Dhhs Mental Health |
Alliance Behavioral Healthcare Center |
$75,562,571.00 |
North Carolina State Checkbook |
| 2018 |
Div Of Mental Health/Retardation & Subst |
Vaya Health |
$73,897,100.00 |
North Carolina State Checkbook |
| 2021 |
Department Of Public Safety |
Pgba |
$72,747,634.78 |
North Carolina State Checkbook |
| 2023 |
Department Of Commerce |
Piedmont Triad Airport Authori |
$71,750,000.00 |
North Carolina State Checkbook |
| 2020 |
Department Of Public Safety |
Pgba |
$71,742,364.88 |
North Carolina State Checkbook |
| 2021 |
Department Of Public Safety |
Non-Trade Vendor Payments |
$70,939,572.68 |
North Carolina State Checkbook |
| 2024 |
Department Of The State Treasurer |
Blue Cross Blue Shield Of Nc |
$67,791,049.00 |
North Carolina State Checkbook |
| 2021 |
Indigent Defense Services |
Court Related Services |
$67,144,473.26 |
North Carolina State Checkbook |
| 2019 |
Treasurer-Retirement |
Pension And Benefit Claimant |
$67,113,502.00 |
North Carolina State Checkbook |
| 2021 |
Department Of Public Instruction |
Banc Of America Public Capital |
$66,174,678.61 |
North Carolina State Checkbook |
| 2021 |
Department Of Health And Human Services |
Trillium Health Resources |
$65,998,345.63 |
North Carolina State Checkbook |
| 2017 |
Dept Of Public Safety |
Cardinal Health Pharmaceutical |
$65,541,707.20 |
North Carolina State Checkbook |
| 2020 |
Department Of Health And Human Services |
Vaya Health |
$64,627,383.84 |
North Carolina State Checkbook |
| 2023 |
Department Of Public Safety |
Pgba |
$64,132,033.00 |
North Carolina State Checkbook |
| 2019 |
The Judicial Dept |
Court Related Services |
$63,315,301.00 |
North Carolina State Checkbook |
| 2018 |
Div Of Mental Health/Retardation & Subst |
Trillium Health Resources |
$63,284,943.00 |
North Carolina State Checkbook |
| 2024 |
Dhhs Health Benefits |
Csra State And Local Solutions Llc |
$62,503,800.00 |
North Carolina State Checkbook |
| 2021 |
Department Of Health And Human Services |
Vaya Health |
$62,114,232.78 |
North Carolina State Checkbook |
| 2023 |
Central Administration |
Information Technology Service |
$58,927,397.00 |
North Carolina State Checkbook |
| 2018 |
Division Of Vocational Rehabilitation Se |
Benefit Recipient |
$58,225,763.00 |
North Carolina State Checkbook |
| 2024 |
Dhhs Central Administration |
Computer Aid Inc |
$58,128,604.00 |
North Carolina State Checkbook |
| 2020 |
Department Of Health And Human Services |
Csra State And Local |
$57,917,657.54 |
North Carolina State Checkbook |
| 2023 |
Central Administration |
Partners Behavioral Health Mgm |
$57,574,813.00 |
North Carolina State Checkbook |
| 2024 |
Department Of Commerce |
Wolfspeed, Inc |
$57,500,000.00 |
North Carolina State Checkbook |
| 2020 |
Department Of Public Safety |
Cardinal Health 110 Llc |
$56,920,652.98 |
North Carolina State Checkbook |
| 2023 |
Workforce Solutions |
North Carolina Rural Economic |
$56,779,423.00 |
North Carolina State Checkbook |
| 2024 |
Dhhs Mental Health |
Partners Behavioral Health Management |
$56,611,084.00 |
North Carolina State Checkbook |
| 2022 |
Department Of Health And Human Services |
Information Technology Service |
$55,880,339.00 |
North Carolina State Checkbook |
| 2017 |
Division Of Vocational Rehabilitation Se |
Benefit Recipient |
$55,803,095.09 |
North Carolina State Checkbook |
| 2022 |
Department Of Health And Human Services |
Computer Aid, Inc. (Cai) |
$55,414,434.00 |
North Carolina State Checkbook |
| 2020 |
Department Of Health And Human Services |
Trillium Health Resources |
$55,333,429.55 |
North Carolina State Checkbook |
| 2022 |
Department Of Public Instruction |
Banc Of America Public Capital |
$55,084,188.00 |
North Carolina State Checkbook |
| 2019 |
Dept Of Public Safety |
Pgba |
$54,291,782.00 |
North Carolina State Checkbook |
| 2022 |
Department Of Health And Human Services |
Accenture |
$53,858,290.00 |
North Carolina State Checkbook |
| 2024 |
Dhhs Vocational Rehabilitiation |
Benefit Recipient |
$53,467,056.00 |
North Carolina State Checkbook |
| 2022 |
Department Of Health And Human Services |
Partners Behavioral Health Mgm |
$53,098,573.00 |
North Carolina State Checkbook |
| 2022 |
Department Of Public Safety |
Non-Trade Vendor Payments |
$53,047,948.00 |
North Carolina State Checkbook |
| 2022 |
Department Of Health And Human Services |
Nc Dept Of Administration |
$52,883,199.00 |
North Carolina State Checkbook |
| 2020 |
Department Of Health And Human Services |
Alliance Behavioral Healthcare |
$52,654,808.09 |
North Carolina State Checkbook |
| 2018 |
Dept Of Public Safety |
Cardinal Health 110 Llc |
$51,535,866.00 |
North Carolina State Checkbook |
| 2018 |
Division Of Public Health |
Benefit Recipient |
$51,167,695.00 |
North Carolina State Checkbook |