Medicaid spending in Idaho

1. Agencies — home care, case management, community support
   27¢
2. Clinics and outpatient centers
   17¢
3. Physicians
   15¢
4. Counselors, therapists and social workers
   14¢
5. Dentists
   5¢
6. Medical equipment and supplies
   3¢
7. Respiratory, Developmental, Rehabilitative and Restorative Service Providers
   3¢
8. Speech, Language and Hearing Service Providers
   3¢

Cents of every dollar billed by Idaho-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)
   $380M
2. H0004Behavioral health counseling and therapy, per 15 minutes
   $255M
3. T1019Help at home with bathing, dressing and eating, billed per 15 minutes
   $203M
4. 99213Doctor's office visit, returning patient (routine)
   $129M
5. H2022Community-based wrap-around services, per diem
   $125M
6. 99214Doctor's office visit, returning patient (more involved)
   $119M
7. 97530Therapeutic activities, direct patient contact, each 15 minutes
   $110M
8. H2016Community support for mental illness or disability, billed per day
   $107M
9. T2016A day of residential support for a person with a developmental disability
   $106M
10. S5125Attendant care at home, billed per 15 minutes
    $102M

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