Medicaid spending in Maryland

1. Clinics and outpatient centers
   27¢
2. Agencies — home care, case management, community support
   24¢
3. Physicians
   14¢
4. Counselors, therapists and social workers
   7¢
5. Residential treatment
   5¢
6. Dentists
   5¢
7. Medical equipment and supplies
   3¢
8. Other Service Providers
   2¢

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

1. H0044Supported housing, per month
   $1.7B
2. 90834Psychotherapy session, about 45 minutes
   $1.3B
3. 99214Doctor's office visit, returning patient (more involved)
   $1.1B
4. 99213Doctor's office visit, returning patient (routine)
   $968M
5. S5102Adult day care, billed per day
   $753M
6. T1003Lpn/lvn services, up to 15 minutes
   $693M
7. H0015Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education
   $584M
8. H2016Community support for mental illness or disability, billed per day
   $580M
9. H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)
   $519M
10. T2022Case management, per month
    $368M

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