Medicaid spending in Montana

1. Other Service Providers
   40¢
2. Agencies — home care, case management, community support
   23¢
3. Counselors, therapists and social workers
   11¢
4. Physicians
   5¢
5. Clinics and outpatient centers
   4¢
6. Dentists
   4¢
7. Residential treatment
   3¢
8. Nursing and custodial care facilities
   2¢

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

1. S5126Attendant care services; per diem
   $1.8B
2. T1019Help at home with bathing, dressing and eating, billed per 15 minutes
   $553M
3. T2017Habilitation, residential, waiver; 15 minutes
   $277M
4. S5150Respite care, billed per 15 minutes
   $234M
5. 90837Psychotherapy session, about an hour
   $172M
6. H0036Community psychiatric support and treatment, per 15 minutes
   $147M
7. 99214Doctor's office visit, returning patient (more involved)
   $120M
8. T2021Day program for adults with developmental disabilities, per 15 minutes
   $118M
9. 99213Doctor's office visit, returning patient (routine)
   $103M
10. S5145Foster care, therapeutic, child; per diem
    $99M

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