Medicaid spending in Alabama

1. Agencies — home care, case management, community support
   45¢
2. Physicians
   16¢
3. Laboratories
   10¢
4. Clinics and outpatient centers
   10¢
5. Dentists
   5¢
6. Rides and ambulances
   4¢
7. Hospitals (outpatient claims only)
   3¢
8. Medical equipment and supplies
   2¢

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

1. T2016A day of residential support for a person with a developmental disability
   $1.8B
2. T1015A visit at a community health center or clinic (one all-in rate)
   $700M
3. T1019Help at home with bathing, dressing and eating, billed per 15 minutes
   $628M
4. 99214Doctor's office visit, returning patient (more involved)
   $402M
5. 99213Doctor's office visit, returning patient (routine)
   $369M
6. H0036Community psychiatric support and treatment, per 15 minutes
   $339M
7. 81479Unlisted molecular pathology procedure
   $268M
8. T2021Day program for adults with developmental disabilities, per 15 minutes
   $212M
9. 99284Emergency room visit (serious)
   $192M
10. A0431Ambulance service, conventional air services, transport, one way (rotary wing)
    $176M

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