diff --git a/src/app/http/patients/patients.repository.ts b/src/app/http/patients/patients.repository.ts
index 538548f..fffcd60 100644
--- a/src/app/http/patients/patients.repository.ts
+++ b/src/app/http/patients/patients.repository.ts
@@ -8,6 +8,7 @@ import {
   MoreThanOrEqual,
   Not,
   Repository,
+  type SelectQueryBuilder,
 } from 'typeorm';
 
 import { Patient } from '@/domain/entities/patient';
@@ -16,7 +17,10 @@ import type {
   PatientStatus,
   PatientType,
 } from '@/domain/schemas/patient';
-import type { PatientsStatisticField } from '@/domain/schemas/statistics';
+import type {
+  PatientsStatisticField,
+  StateReferredPatients,
+} from '@/domain/schemas/statistics';
 
 import type { GetPatientsByPeriodQuery } from '../statistics/statistics.dtos';
 import { CreatePatientDto, FindAllPatientQueryDto } from './patients.dtos';
@@ -179,7 +183,7 @@ export class PatientsRepository {
     active: number;
     inactive: number;
   }> {
-    const raw = await this.patientsRepository
+    const queryBuilder = await this.patientsRepository
       .createQueryBuilder('patient')
       .select('COUNT(patient.id)', 'total')
       .where('patient.status != :status', { status: 'pending' })
@@ -194,9 +198,9 @@ export class PatientsRepository {
       .getRawOne<{ total: string; active: string; inactive: string }>();
 
     return {
-      total: Number(raw?.total ?? 0),
-      active: Number(raw?.active ?? 0),
-      inactive: Number(raw?.inactive ?? 0),
+      total: Number(queryBuilder?.total ?? 0),
+      active: Number(queryBuilder?.active ?? 0),
+      inactive: Number(queryBuilder?.inactive ?? 0),
     };
   }
 
@@ -220,7 +224,7 @@ export class PatientsRepository {
     const queryBuilder = this.patientsRepository
       .createQueryBuilder('patient')
       .select(`patient.${field}`, field)
-      .addSelect('COUNT(*)', 'total')
+      .addSelect('COUNT(patient.id)', 'total')
       .where('patient.created_at BETWEEN :start AND :end', {
         start: startDate,
         end: endDate,
@@ -242,11 +246,7 @@ export class PatientsRepository {
   }
 
   public async getTotalPatients(
-    input: {
-      status?: PatientStatus;
-      startDate?: Date;
-      endDate?: Date;
-    } = {},
+    input: { status?: PatientStatus; startDate?: Date; endDate?: Date } = {},
   ): Promise<number> {
     const { status, startDate, endDate } = input;
 
@@ -270,10 +270,7 @@ export class PatientsRepository {
   }
 
   public async getTotalReferredPatients(
-    input: {
-      startDate?: Date;
-      endDate?: Date;
-    } = {},
+    input: { startDate?: Date; endDate?: Date } = {},
   ): Promise<number> {
     const { startDate, endDate } = input;
 
@@ -295,4 +292,54 @@ export class PatientsRepository {
 
     return await this.patientsRepository.count({ where });
   }
+
+  public async getReferredPatientsByState(
+    input: { startDate?: Date; endDate?: Date; limit?: number } = {},
+  ): Promise<{ states: StateReferredPatients[]; total: number }> {
+    const { startDate, endDate, limit = 10 } = input;
+
+    const createQueryBuilder = (): SelectQueryBuilder<Patient> => {
+      return this.patientsRepository
+        .createQueryBuilder('patient')
+        .innerJoin('patient.referrals', 'referral')
+        .where('referral.referred_to IS NOT NULL')
+        .andWhere('referral.referred_to != :empty', { empty: '' });
+    };
+
+    function getQueryBuilderWithFilters(
+      queryBuilder: SelectQueryBuilder<Patient>,
+    ) {
+      if (startDate && endDate) {
+        queryBuilder.andWhere('referral.date BETWEEN :start AND :end', {
+          start: startDate,
+          end: endDate,
+        });
+      }
+
+      return queryBuilder;
+    }
+
+    const stateListQuery = getQueryBuilderWithFilters(
+      createQueryBuilder()
+        .select('patient.state', 'state')
+        .addSelect('COUNT(DISTINCT patient.id)', 'total')
+        .groupBy('patient.state')
+        .orderBy('COUNT(DISTINCT patient.id)', 'DESC')
+        .limit(limit),
+    );
+
+    const totalStatesQuery = getQueryBuilderWithFilters(
+      createQueryBuilder().select('COUNT(DISTINCT patient.state)', 'total'),
+    );
+
+    const [states, totalResult] = await Promise.all([
+      stateListQuery.getRawMany<StateReferredPatients>(),
+      totalStatesQuery.getRawOne<{ total: string }>(),
+    ]);
+
+    return {
+      states,
+      total: Number(totalResult?.total || 0),
+    };
+  }
 }
diff --git a/src/app/http/statistics/statistics.controller.ts b/src/app/http/statistics/statistics.controller.ts
index 390dba0..b0aae11 100644
--- a/src/app/http/statistics/statistics.controller.ts
+++ b/src/app/http/statistics/statistics.controller.ts
@@ -5,6 +5,7 @@ import { Roles } from '@/common/decorators/roles.decorator';
 import type {
   GetPatientsByCityResponse,
   GetPatientsByGenderResponse,
+  GetReferredPatientsByStateResponse,
   GetTotalReferralsAndReferredPatientsPercentageResponse,
   PatientsByCity,
   PatientsByGender,
@@ -12,6 +13,7 @@ import type {
 
 import {
   GetPatientsByPeriodQuery,
+  GetReferredPatientsByStateQuery,
   GetTotalReferralsAndReferredPatientsPercentageQuery,
 } from './statistics.dtos';
 import { StatisticsService } from './statistics.service';
@@ -72,7 +74,7 @@ export class StatisticsController {
     };
   }
 
-  @Get('referrals/total')
+  @Get('referrals-total')
   @Roles(['manager', 'nurse'])
   @ApiOperation({ summary: 'Estatísticas do total de encaminhamentos' })
   async getTotalReferralsAndReferredPatientsPercentage(
@@ -90,4 +92,23 @@ export class StatisticsController {
       data,
     };
   }
+
+  @Get('referrals-by-state')
+  @Roles(['manager', 'nurse'])
+  @ApiOperation({
+    summary: 'Lista com o total de pacientes encaminhados por estado',
+  })
+  async getReferredPatientsByState(
+    @Query() query: GetReferredPatientsByStateQuery,
+  ): Promise<GetReferredPatientsByStateResponse> {
+    const { states, total } =
+      await this.statisticsService.getReferredPatientsByState(query);
+
+    return {
+      success: true,
+      message:
+        'Lista com o total de pacientes encaminhados por estado retornada com sucesso.',
+      data: { states, total },
+    };
+  }
 }
diff --git a/src/app/http/statistics/statistics.dtos.ts b/src/app/http/statistics/statistics.dtos.ts
index 5f87abe..bd9861e 100644
--- a/src/app/http/statistics/statistics.dtos.ts
+++ b/src/app/http/statistics/statistics.dtos.ts
@@ -1,14 +1,19 @@
 import { createZodDto } from 'nestjs-zod';
 
 import {
-  getPatientsByPeriodSchema,
+  getPatientsByPeriodQuerySchema,
+  getReferredPatientsByStateQuerySchema,
   getTotalReferralsAndReferredPatientsPercentageQuerySchema,
 } from '@/domain/schemas/statistics';
 
 export class GetPatientsByPeriodQuery extends createZodDto(
-  getPatientsByPeriodSchema,
+  getPatientsByPeriodQuerySchema,
 ) {}
 
 export class GetTotalReferralsAndReferredPatientsPercentageQuery extends createZodDto(
   getTotalReferralsAndReferredPatientsPercentageQuerySchema,
 ) {}
+
+export class GetReferredPatientsByStateQuery extends createZodDto(
+  getReferredPatientsByStateQuerySchema,
+) {}
diff --git a/src/app/http/statistics/statistics.service.ts b/src/app/http/statistics/statistics.service.ts
index 85d1a9e..bf63d73 100644
--- a/src/app/http/statistics/statistics.service.ts
+++ b/src/app/http/statistics/statistics.service.ts
@@ -3,6 +3,7 @@ import { Injectable } from '@nestjs/common';
 import type {
   GetTotalPatientsByStatusResponse,
   PatientsStatisticField,
+  StateReferredPatients,
 } from '@/domain/schemas/statistics';
 import { UtilsService } from '@/utils/utils.service';
 
@@ -10,6 +11,7 @@ import { PatientsRepository } from '../patients/patients.repository';
 import { ReferralsRepository } from '../referrals/referrals.repository';
 import type {
   GetPatientsByPeriodQuery,
+  GetReferredPatientsByStateQuery,
   GetTotalReferralsAndReferredPatientsPercentageQuery,
 } from './statistics.dtos';
 
@@ -66,4 +68,17 @@ export class StatisticsService {
       referredPatientsPercentage: Number(percentage.toFixed(2)),
     };
   }
+
+  async getReferredPatientsByState(
+    query: GetReferredPatientsByStateQuery,
+  ): Promise<{ states: StateReferredPatients[]; total: number }> {
+    const { startDate, endDate } = this.utilsService.getDateRangeForPeriod(
+      query.period,
+    );
+
+    return await this.patientsRepository.getReferredPatientsByState({
+      startDate,
+      endDate,
+    });
+  }
 }
diff --git a/src/constants/brazilian-states.ts b/src/constants/brazilian-states.ts
index e91674b..e4b7f1e 100644
--- a/src/constants/brazilian-states.ts
+++ b/src/constants/brazilian-states.ts
@@ -27,4 +27,4 @@ export const BRAZILIAN_STATES = [
   'SE',
   'TO',
 ] as const;
-export type BrazilianStateType = (typeof BRAZILIAN_STATES)[number];
+export type BrazilianState = (typeof BRAZILIAN_STATES)[number];
diff --git a/src/domain/entities/patient.ts b/src/domain/entities/patient.ts
index 9bbe613..590e7cd 100644
--- a/src/domain/entities/patient.ts
+++ b/src/domain/entities/patient.ts
@@ -11,7 +11,7 @@ import {
 
 import {
   BRAZILIAN_STATES,
-  type BrazilianStateType,
+  type BrazilianState,
 } from '@/constants/brazilian-states';
 import { User } from '@/domain/entities/user';
 
@@ -48,7 +48,7 @@ export class Patient implements PatientSchema {
   cpf: string;
 
   @Column({ type: 'enum', enum: BRAZILIAN_STATES })
-  state: BrazilianStateType;
+  state: BrazilianState;
 
   @Column({ type: 'varchar', length: 50 })
   city: string;
diff --git a/src/domain/schemas/query.ts b/src/domain/schemas/query.ts
index 6c096cd..92d7ad8 100644
--- a/src/domain/schemas/query.ts
+++ b/src/domain/schemas/query.ts
@@ -1,20 +1,20 @@
 import { z } from 'zod';
 
-export const ORDER = ['ASC', 'DESC'] as const;
-export type OrderType = (typeof ORDER)[number];
+export const QUERY_ORDER = ['ASC', 'DESC'] as const;
+export type QueryOrder = (typeof QUERY_ORDER)[number];
 
-export const PERIOD = [
+export const QUERY_PERIOD = [
   'today',
   'last-year',
   'last-month',
   'last-week',
 ] as const;
-export type PeriodType = (typeof PERIOD)[number];
+export type QueryPeriod = (typeof QUERY_PERIOD)[number];
 
 export const baseQuerySchema = z.object({
   search: z.string().optional(),
-  order: z.enum(ORDER).optional(),
-  period: z.enum(PERIOD).optional().default('today'),
+  order: z.enum(QUERY_ORDER).optional(),
+  period: z.enum(QUERY_PERIOD).optional().default('today'),
   page: z.coerce.number().min(1).optional().default(1),
   perPage: z.coerce.number().min(1).max(50).optional().default(10),
   limit: z.coerce.number().min(1).optional().default(10),
diff --git a/src/domain/schemas/statistics.ts b/src/domain/schemas/statistics.ts
index 39860b5..f8e4348 100644
--- a/src/domain/schemas/statistics.ts
+++ b/src/domain/schemas/statistics.ts
@@ -1,12 +1,14 @@
 import { z } from 'zod';
 
+import { BRAZILIAN_STATES } from '@/constants/brazilian-states';
+
 import { baseResponseSchema } from './base';
 import { GENDERS } from './patient';
 import { baseQuerySchema } from './query';
 
 // Patients
 
-export const PATIENTS_STATISTIC_FIELDS = ['gender', 'city'] as const;
+export const PATIENTS_STATISTIC_FIELDS = ['gender', 'city', 'state'] as const;
 export type PatientsStatisticField = (typeof PATIENTS_STATISTIC_FIELDS)[number];
 
 export const getTotalPatientsByStatusResponseSchema = baseResponseSchema.extend(
@@ -22,7 +24,7 @@ export type GetTotalPatientsByStatusResponse = z.infer<
   typeof getTotalPatientsByStatusResponseSchema
 >;
 
-export const getPatientsByPeriodSchema = baseQuerySchema
+export const getPatientsByPeriodQuerySchema = baseQuerySchema
   .pick({
     period: true,
     limit: true,
@@ -66,10 +68,10 @@ export type GetPatientsByCityResponse = z.infer<
   typeof getPatientsByCityResponseSchema
 >;
 
+// Referrals
+
 export const getTotalReferralsAndReferredPatientsPercentageQuerySchema =
-  baseQuerySchema.pick({
-    period: true,
-  });
+  baseQuerySchema.pick({ period: true });
 
 export const getTotalReferralsAndReferredPatientsPercentageResponseSchema =
   baseResponseSchema.extend({
@@ -81,3 +83,24 @@ export const getTotalReferralsAndReferredPatientsPercentageResponseSchema =
 export type GetTotalReferralsAndReferredPatientsPercentageResponse = z.infer<
   typeof getTotalReferralsAndReferredPatientsPercentageResponseSchema
 >;
+
+export const getReferredPatientsByStateQuerySchema = baseQuerySchema.pick({
+  period: true,
+});
+
+export const stateReferredPatientsSchema = z.object({
+  state: z.enum(BRAZILIAN_STATES),
+  total: z.number(),
+});
+export type StateReferredPatients = z.infer<typeof stateReferredPatientsSchema>;
+
+export const getReferredPatientsByStateResponseSchema =
+  baseResponseSchema.extend({
+    data: z.object({
+      states: z.array(stateReferredPatientsSchema),
+      total: z.number(),
+    }),
+  });
+export type GetReferredPatientsByStateResponse = z.infer<
+  typeof getReferredPatientsByStateResponseSchema
+>;
diff --git a/src/utils/utils.service.ts b/src/utils/utils.service.ts
index c3acadc..a3ce020 100644
--- a/src/utils/utils.service.ts
+++ b/src/utils/utils.service.ts
@@ -8,7 +8,7 @@ import {
 } from 'date-fns';
 import { type CookieOptions, Response } from 'express';
 
-import type { PeriodType } from '@/domain/schemas/query';
+import type { QueryPeriod } from '@/domain/schemas/query';
 import { EnvService } from '@/env/env.service';
 
 type SetCookieOptions = CookieOptions & {
@@ -56,7 +56,7 @@ export class UtilsService {
     });
   }
 
-  getDateRangeForPeriod(period: PeriodType): {
+  getDateRangeForPeriod(period: QueryPeriod): {
     startDate: Date;
     endDate: Date;
   } {