Medicaid spending in Nebraska

1. Physicians
   23¢
2. Clinics and outpatient centers
   18¢
3. Counselors, therapists and social workers
   13¢
4. Rides and ambulances
   8¢
5. Dentists
   7¢
6. Medical equipment and supplies
   6¢
7. Agencies — home care, case management, community support
   6¢
8. Hospitals (outpatient claims only)
   6¢

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

1. 99213Doctor's office visit, returning patient (routine)
   $213M
2. 99214Doctor's office visit, returning patient (more involved)
   $150M
3. T1015A visit at a community health center or clinic (one all-in rate)
   $101M
4. 99284Emergency room visit (serious)
   $87M
5. 90834Psychotherapy session, about 45 minutes
   $86M
6. 99283Emergency room visit (moderate)
   $84M
7. 90837Psychotherapy session, about an hour
   $80M
8. H2016Community support for mental illness or disability, billed per day
   $46M
9. H0018Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem
   $44M
10. 99285Emergency room visit (most serious)
    $41M

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