Medicaid spending in New Jersey

1. Agencies — home care, case management, community support
   36¢
2. Clinics and outpatient centers
   13¢
3. Hospitals (outpatient claims only)
   12¢
4. Physicians
   8¢
5. Residential treatment
   7¢
6. Laboratories
   7¢
7. Other Service Providers
   4¢
8. Counselors, therapists and social workers
   3¢

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

1. H2016Community support for mental illness or disability, billed per day
   $8.7B
2. T1019Help at home with bathing, dressing and eating, billed per 15 minutes
   $4.2B
3. S5102Adult day care, billed per day
   $2.1B
4. T2021Day program for adults with developmental disabilities, per 15 minutes
   $1.7B
5. T1018School-based individualized education program (iep) services, bundled
   $1.6B
6. 99284Emergency room visit (serious)
   $1.3B
7. 99213Doctor's office visit, returning patient (routine)
   $1.1B
8. 99283Emergency room visit (moderate)
   $1.1B
9. T2023Targeted case management; per month
   $997M
10. 99214Doctor's office visit, returning patient (more involved)
    $839M

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