Medicaid spending in District of Columbia

1. Agencies — home care, case management, community support
   33¢
2. Clinics and outpatient centers
   16¢
3. Physicians
   9¢
4. Hospitals (outpatient claims only)
   7¢
5. Residential treatment
   7¢
6. Rides and ambulances
   5¢
7. Counselors, therapists and social workers
   5¢
8. Respite Care Facility
   5¢

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

1. T1019Help at home with bathing, dressing and eating, billed per 15 minutes
   $1.4B
2. H0036Community psychiatric support and treatment, per 15 minutes
   $796M
3. T2016A day of residential support for a person with a developmental disability
   $559M
4. T1015A visit at a community health center or clinic (one all-in rate)
   $188M
5. H0039Assertive community treatment, face-to-face, per 15 minutes
   $156M
6. A0429Emergency ambulance ride, basic life support
   $136M
7. 99283Emergency room visit (moderate)
   $124M
8. 99284Emergency room visit (serious)
   $117M
9. 99213Doctor's office visit, returning patient (routine)
   $99M
10. 99214Doctor's office visit, returning patient (more involved)
    $99M

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