Medicaid spending in Florida

1. Agencies — home care, case management, community support
   29¢
2. Clinics and outpatient centers
   17¢
3. Physicians
   16¢
4. Hospitals (outpatient claims only)
   6¢
5. Medical equipment and supplies
   5¢
6. Counselors, therapists and social workers
   5¢
7. Nursing and custodial care facilities
   5¢
8. Rides and ambulances
   3¢

Cents of every dollar billed by Florida-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
   $1.9B
2. S9124Nursing care, in the home; by licensed practical nurse, per hour
   $1.5B
3. S5130Homemaker services, billed per 15 minutes
   $1.4B
4. H2017Psychosocial rehabilitation, billed per 15 minutes
   $1.3B
5. H2019Therapeutic behavioral services, billed per 15 minutes
   $1.0B
6. 99213Doctor's office visit, returning patient (routine)
   $1.0B
7. 90999Dialysis (unlisted procedure)
   $940M
8. T2030Assisted living, waiver; per month
   $889M
9. 99214Doctor's office visit, returning patient (more involved)
   $886M
10. T1017Case management, billed per 15 minutes
    $850M

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