Medicaid spending in Kansas

1. Agencies — home care, case management, community support
   52¢
2. Clinics and outpatient centers
   10¢
3. Residential treatment
   6¢
4. Physicians
   5¢
5. Dentists
   3¢
6. Counselors, therapists and social workers
   3¢
7. Laboratories
   3¢
8. Nursing and custodial care facilities
   3¢

Cents of every dollar billed by Kansas-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
   $1.7B
2. S5125Attendant care at home, billed per 15 minutes
   $1.2B
3. T2021Day program for adults with developmental disabilities, per 15 minutes
   $805M
4. T1019Help at home with bathing, dressing and eating, billed per 15 minutes
   $470M
5. T1040Medicaid certified community behavioral health clinic services, per diem
   $458M
6. T1000Private duty / independent nursing service(s) - licensed, up to 15 minutes
   $299M
7. 99213Doctor's office visit, returning patient (routine)
   $279M
8. H0036Community psychiatric support and treatment, per 15 minutes
   $259M
9. T2025Waiver services not otherwise specified
   $201M
10. T2046Hospice long term care, room and board only; per diem
    $174M

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