Medicaid spending in New Mexico

1. Agencies — home care, case management, community support
   27¢
2. Physicians
   16¢
3. Clinics and outpatient centers
   12¢
4. Counselors, therapists and social workers
   9¢
5. Hospitals (outpatient claims only)
   5¢
6. Residential treatment
   5¢
7. Rides and ambulances
   3¢
8. Other Service Providers
   3¢

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

1. 99509Home visit for assistance with activities of daily living and personal care
   $1.3B
2. T1019Help at home with bathing, dressing and eating, billed per 15 minutes
   $1.2B
3. T2016A day of residential support for a person with a developmental disability
   $884M
4. 99213Doctor's office visit, returning patient (routine)
   $487M
5. 99214Doctor's office visit, returning patient (more involved)
   $472M
6. T2033Residential care, not otherwise specified (nos), waiver; per diem
   $422M
7. 90837Psychotherapy session, about an hour
   $334M
8. 99284Emergency room visit (serious)
   $299M
9. H2021Community-based wrap-around services, per 15 minutes
   $271M
10. 99285Emergency room visit (most serious)
    $248M

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