Medicaid spending in New Hampshire

1. Agencies — home care, case management, community support
   34¢
2. Clinics and outpatient centers
   18¢
3. Speech, Language and Hearing Service Providers
   12¢
4. Residential treatment
   6¢
5. Counselors, therapists and social workers
   6¢
6. Respiratory, Developmental, Rehabilitative and Restorative Service Providers
   6¢
7. Hospitals (outpatient claims only)
   4¢
8. Physicians
   4¢

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

1. T1020Help at home with daily living, billed per day
   $1.3B
2. T2021Day program for adults with developmental disabilities, per 15 minutes
   $494M
3. T1016Case management, each 15 minutes
   $413M
4. T2025Waiver services not otherwise specified
   $374M
5. T1019Help at home with bathing, dressing and eating, billed per 15 minutes
   $281M
6. H0019Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem
   $230M
7. S5140Foster care, adult; per diem
   $178M
8. T1015A visit at a community health center or clinic (one all-in rate)
   $159M
9. H2019Therapeutic behavioral services, billed per 15 minutes
   $144M
10. E0766Electrical stimulation device used for cancer treatment, includes all accessories, any type
    $113M

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