Medicaid spending in Missouri

1. Agencies — home care, case management, community support
   43¢
2. Residential treatment
   14¢
3. Rides and ambulances
   10¢
4. Hospitals (outpatient claims only)
   6¢
5. Clinics and outpatient centers
   6¢
6. Counselors, therapists and social workers
   5¢
7. Physicians
   5¢
8. Nursing Service Related Providers
   4¢

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

1. T1019Help at home with bathing, dressing and eating, billed per 15 minutes
   $6.2B
2. T2016A day of residential support for a person with a developmental disability
   $5.2B
3. T1040Medicaid certified community behavioral health clinic services, per diem
   $3.9B
4. T2021Day program for adults with developmental disabilities, per 15 minutes
   $905M
5. A0100Non-emergency taxi ride to a medical appointment
   $866M
6. G9012Other specified case management service not elsewhere classified
   $645M
7. 99213Doctor's office visit, returning patient (routine)
   $478M
8. 99214Doctor's office visit, returning patient (more involved)
   $406M
9. X4011State-specific procedure code
   $345M
10. T1000Private duty / independent nursing service(s) - licensed, up to 15 minutes
    $339M

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