Medicaid spending in California

1. Clinics and outpatient centers
   32¢
2. Agencies — home care, case management, community support
   13¢
3. Physicians
   11¢
4. Hospitals (outpatient claims only)
   8¢
5. Other Service Providers
   7¢
6. Hospital Units
   6¢
7. Dentists
   5¢
8. Laboratories
   4¢

Cents of every dollar billed by California-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)
   $22B
2. H2015Community support for mental illness or disability, per 15 minutes
   $8.4B
3. 00003Internal/system code - not a standard HCPCS code
   $5.3B
4. S5102Adult day care, billed per day
   $3.3B
5. 90999Dialysis (unlisted procedure)
   $3.3B
6. H2010Comprehensive medication services, per 15 minutes
   $3.2B
7. H2017Psychosocial rehabilitation, billed per 15 minutes
   $3.0B
8. T1017Case management, billed per 15 minutes
   $2.6B
9. 99214Doctor's office visit, returning patient (more involved)
   $2.3B
10. H2019Therapeutic behavioral services, billed per 15 minutes
    $2.1B

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