Medicaid spending in Arkansas

1. Agencies — home care, case management, community support
   32¢
2. Clinics and outpatient centers
   21¢
3. Physicians
   9¢
4. Dentists
   6¢
5. Hospitals (outpatient claims only)
   5¢
6. Counselors, therapists and social workers
   5¢
7. Respiratory, Developmental, Rehabilitative and Restorative Service Providers
   4¢
8. Medical equipment and supplies
   4¢

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

1. T1015A visit at a community health center or clinic (one all-in rate)
   $1.4B
2. H2016Community support for mental illness or disability, billed per day
   $662M
3. 92507Treatment of speech, language, voice, communication, and/or auditory processing disorder
   $454M
4. 97530Therapeutic activities, direct patient contact, each 15 minutes
   $414M
5. T1019Help at home with bathing, dressing and eating, billed per 15 minutes
   $352M
6. 90837Psychotherapy session, about an hour
   $293M
7. 97110Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion
   $261M
8. 99214Doctor's office visit, returning patient (more involved)
   $198M
9. H0019Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem
   $187M
10. H2019Therapeutic behavioral services, billed per 15 minutes
    $184M

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