Medicaid spending in Michigan

1. Agencies — home care, case management, community support
   27¢
2. Physicians
   15¢
3. Clinics and outpatient centers
   13¢
4. Hospitals (outpatient claims only)
   10¢
5. Counselors, therapists and social workers
   9¢
6. Residential treatment
   8¢
7. Medical equipment and supplies
   4¢
8. Dentists
   3¢

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

1. H2015Community support for mental illness or disability, per 15 minutes
   $3.7B
2. H2016Community support for mental illness or disability, billed per day
   $2.6B
3. T1017Case management, billed per 15 minutes
   $1.4B
4. 99214Doctor's office visit, returning patient (more involved)
   $1.3B
5. T1019Help at home with bathing, dressing and eating, billed per 15 minutes
   $1.2B
6. 99213Doctor's office visit, returning patient (routine)
   $1.2B
7. 99285Emergency room visit (most serious)
   $1.1B
8. T1020Help at home with daily living, billed per day
   $1.0B
9. 97153Applied behavior analysis (autism therapy), per 15 minutes
   $996M
10. 99284Emergency room visit (serious)
    $812M

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