Medicaid spending in Louisiana

1. Agencies — home care, case management, community support
   27¢
2. Clinics and outpatient centers
   15¢
3. Physicians
   14¢
4. Hospitals (outpatient claims only)
   11¢
5. Residential treatment
   5¢
6. Rides and ambulances
   5¢
7. Dentists
   4¢
8. Nursing Service Related Providers
   3¢

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

1. S5125Attendant care at home, billed per 15 minutes
   $3.6B
2. T1015A visit at a community health center or clinic (one all-in rate)
   $1.5B
3. T1019Help at home with bathing, dressing and eating, billed per 15 minutes
   $1.2B
4. 99214Doctor's office visit, returning patient (more involved)
   $720M
5. 99284Emergency room visit (serious)
   $699M
6. 99213Doctor's office visit, returning patient (routine)
   $664M
7. H2036Alcohol and/or other drug treatment program, per diem
   $644M
8. H0036Community psychiatric support and treatment, per 15 minutes
   $483M
9. 99285Emergency room visit (most serious)
   $477M
10. 99283Emergency room visit (moderate)
    $470M

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