Medicaid spending in Alaska

1. Agencies — home care, case management, community support
   24¢
2. Clinics and outpatient centers
   19¢
3. Hospitals (outpatient claims only)
   17¢
4. Physicians
   6¢
5. Rides and ambulances
   6¢
6. Residential treatment
   4¢
7. Dentists
   4¢
8. Counselors, therapists and social workers
   3¢

Cents of every dollar billed by Alaska-based providers, grouped by each provider's primary NPPES type. Compare: nationally, agencies take 33¢ and physicians 11¢.

1. 99213Doctor's office visit, returning patient (routine)
   $507M
2. T2016A day of residential support for a person with a developmental disability
   $403M
3. T2017Habilitation, residential, waiver; 15 minutes
   $222M
4. T2021Day program for adults with developmental disabilities, per 15 minutes
   $211M
5. 99214Doctor's office visit, returning patient (more involved)
   $202M
6. T1019Help at home with bathing, dressing and eating, billed per 15 minutes
   $181M
7. A0140Non-emergency transportation and air travel (private or commercial) intra or inter state
   $178M
8. T2031Assisted living; waiver, per diem
   $146M
9. 99284Emergency room visit (serious)
   $146M
10. H0047Alcohol and/or other drug abuse services, not otherwise specified
    $132M

Statistical outliers on claims per beneficiary, single-code billing, and OIG exclusion. Not evidence of fraud — how these work.