Year	Employer	Vendor Name	Amount	Source
2017	Department Of Medical Assistance Services	Optima Health Plan	$5,140,972,285.66	Department Of Medical Assistance Services
2017	Department Of Medical Assistance Services	Healthkeepers Inc	$5,140,972,285.66	Department Of Medical Assistance Services
2017	Department Of Medical Assistance Services	Aetna Medicaid Administrators Llc	$5,140,972,285.66	Department Of Medical Assistance Services
2017	Department Of Medical Assistance Services	Virginia Premier Health Plan	$5,140,972,285.66	Department Of Medical Assistance Services
2017	Department Of Medical Assistance Services	Magellan Complete Care Of Virginia Llc	$5,140,972,285.66	Department Of Medical Assistance Services
2017	Department Of Medical Assistance Services	United Health Care Insurance Co	$5,140,972,285.66	Department Of Medical Assistance Services
2020	University Of Virginia	Adjustment	$516,810,171.80	University Of Virginia
2018	University Of Virginia	** Detailed Data Not Yet Available **	$391,396,901.03	Auditor of Public Accounts
2020	Treasury Board Wbu	The Bank Of New York Mellon	$383,417,122.50	Treasury Board Wbu
2019	Treasury Board Wbu	The Bank Of New York Mellon	$354,141,799.30	Treasury Board Wbu
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$337,647,174.20	Dept Of Med Assistance Svcs
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$321,381,395.10	Dept Of Med Assistance Svcs
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$300,341,411.70	Dept Of Med Assistance Svcs
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$300,338,302.90	Dept Of Med Assistance Svcs
2018	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$300,000,000.00	Auditor of Public Accounts
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$293,826,155.10	Dept Of Med Assistance Svcs
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$293,820,987.00	Dept Of Med Assistance Svcs
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$288,217,269.90	Dept Of Med Assistance Svcs
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$288,212,423.80	Dept Of Med Assistance Svcs
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$286,263,368.30	Dept Of Med Assistance Svcs
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$286,260,272.90	Dept Of Med Assistance Svcs
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$284,690,192.30	Dept Of Med Assistance Svcs
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$284,687,082.80	Dept Of Med Assistance Svcs
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$284,527,537.80	Dept Of Med Assistance Svcs
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$284,522,167.60	Dept Of Med Assistance Svcs
2019	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$282,758,227.80	Dept Of Med Assistance Svcs
2019	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$282,754,901.30	Dept Of Med Assistance Svcs
2019	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$281,792,236.20	Dept Of Med Assistance Svcs
2019	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$281,788,917.90	Dept Of Med Assistance Svcs
2017	Department Of Medical Assistance Services	Public Partnerships Llc	$280,484,048.00	Department Of Medical Assistance Services
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$279,957,920.80	Dept Of Med Assistance Svcs
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$279,954,799.20	Dept Of Med Assistance Svcs
2019	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$279,471,889.70	Dept Of Med Assistance Svcs
2019	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$279,468,558.10	Dept Of Med Assistance Svcs
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$279,380,351.90	Dept Of Med Assistance Svcs
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$279,377,248.90	Dept Of Med Assistance Svcs
2018	Treasury Board Wbu	The Bank Of New York Mellon	$279,215,000.00	Auditor of Public Accounts
2019	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$278,045,796.10	Dept Of Med Assistance Svcs
2019	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$278,042,476.80	Dept Of Med Assistance Svcs
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$277,748,770.70	Dept Of Med Assistance Svcs
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$277,745,452.00	Dept Of Med Assistance Svcs
2019	Treasury Board	Miscellaneous Adjustment	$273,705,000.00	Treasury Board
2019	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$273,131,290.80	Dept Of Med Assistance Svcs
2019	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$273,127,989.90	Dept Of Med Assistance Svcs
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$269,320,569.10	Dept Of Med Assistance Svcs
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$269,317,450.20	Dept Of Med Assistance Svcs
2019	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$267,711,372.40	Dept Of Med Assistance Svcs
2019	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$267,707,053.00	Dept Of Med Assistance Svcs
2019	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$267,268,644.30	Dept Of Med Assistance Svcs
2019	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$267,264,320.90	Dept Of Med Assistance Svcs
2019	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$263,565,490.30	Dept Of Med Assistance Svcs
2019	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$263,561,140.50	Dept Of Med Assistance Svcs
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$263,141,301.60	Dept Of Med Assistance Svcs
2019	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$262,936,204.30	Dept Of Med Assistance Svcs
2019	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$262,932,152.20	Dept Of Med Assistance Svcs
2019	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$257,321,789.60	Dept Of Med Assistance Svcs
2019	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$257,318,121.10	Dept Of Med Assistance Svcs
2019	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$255,557,673.60	Dept Of Med Assistance Svcs
2019	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$255,553,462.20	Dept Of Med Assistance Svcs
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$248,587,620.20	Dept Of Med Assistance Svcs
2018	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$248,395,037.52	Auditor of Public Accounts
2018	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$248,391,396.86	Auditor of Public Accounts
2018	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$248,271,680.63	Auditor of Public Accounts
2018	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$248,268,031.98	Auditor of Public Accounts
2018	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$247,282,401.79	Auditor of Public Accounts
2018	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$247,278,884.40	Auditor of Public Accounts
2018	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$245,865,831.73	Auditor of Public Accounts
2018	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$245,862,209.55	Auditor of Public Accounts
2019	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$245,805,105.10	Dept Of Med Assistance Svcs
2019	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$245,801,302.10	Dept Of Med Assistance Svcs
2018	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$245,640,574.95	Auditor of Public Accounts
2018	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$245,637,077.57	Auditor of Public Accounts
2018	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$231,648,690.90	Auditor of Public Accounts
2018	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$231,645,237.19	Auditor of Public Accounts
2018	Va Dept Of Transportation	Miscellaneous Adjustment	$228,508,610.17	Auditor of Public Accounts
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$226,345,771.30	Dept Of Med Assistance Svcs
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$213,718,943.30	Dept Of Med Assistance Svcs
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$210,432,232.10	Dept Of Med Assistance Svcs
2018	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$208,131,433.85	Auditor of Public Accounts
2018	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$208,128,034.87	Auditor of Public Accounts
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$202,548,244.80	Dept Of Med Assistance Svcs
2019	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$200,000,000.00	Dept Of Med Assistance Svcs
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$198,715,609.60	Dept Of Med Assistance Svcs
2018	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$197,558,983.48	Auditor of Public Accounts
2018	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$197,555,726.09	Auditor of Public Accounts
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$188,366,574.10	Dept Of Med Assistance Svcs
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$188,352,348.20	Dept Of Med Assistance Svcs
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$185,005,611.10	Dept Of Med Assistance Svcs
2018	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$184,018,336.08	Auditor of Public Accounts
2018	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$184,015,231.74	Auditor of Public Accounts
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$182,757,245.00	Dept Of Med Assistance Svcs
2018	Direct Aid To Public Education	Miscellaneous Adjustment	$181,349,570.00	Auditor of Public Accounts
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$179,764,710.50	Dept Of Med Assistance Svcs
2018	Treasury Board Wbu	The Bank Of New York Mellon	$172,245,000.00	Auditor of Public Accounts
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$170,722,100.40	Dept Of Med Assistance Svcs
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$170,484,148.70	Dept Of Med Assistance Svcs
2017	Virginia Department Of Transportation	Bizzack Construction Llc	$167,000,000.00	Virginia Department Of Transportation
2018	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$164,979,551.84	Auditor of Public Accounts
2018	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$164,976,465.59	Auditor of Public Accounts
2020	Treasury Board Wbu	The Bank Of New York Mellon	$164,670,000.00	Treasury Board Wbu