Medicaid spending in Colorado

1. Agencies — home care, case management, community support
   30¢
2. Rides and ambulances
   17¢
3. Clinics and outpatient centers
   15¢
4. Physicians
   7¢
5. Medical equipment and supplies
   6¢
6. Dentists
   4¢
7. Counselors, therapists and social workers
   3¢
8. Hospitals (outpatient claims only)
   3¢

Cents of every dollar billed by Colorado-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
   $2.4B
2. T1019Help at home with bathing, dressing and eating, billed per 15 minutes
   $1.7B
3. A0100Non-emergency taxi ride to a medical appointment
   $1.3B
4. H0038Self-help/peer services, per 15 minutes
   $1.3B
5. 99213Doctor's office visit, returning patient (routine)
   $888M
6. 99214Doctor's office visit, returning patient (more involved)
   $711M
7. A0130Non-emergency transportation: wheelchair van
   $665M
8. T2021Day program for adults with developmental disabilities, per 15 minutes
   $658M
9. S5130Homemaker services, billed per 15 minutes
   $406M
10. 90837Psychotherapy session, about an hour
    $383M

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