Medicaid spending in Nevada

1. Agencies — home care, case management, community support
   21¢
2. Physicians
   20¢
3. Respite Care Facility
   12¢
4. Clinics and outpatient centers
   11¢
5. Hospitals (outpatient claims only)
   8¢
6. Counselors, therapists and social workers
   5¢
7. Dentists
   4¢
8. Rides and ambulances
   4¢

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

1. T1019Help at home with bathing, dressing and eating, billed per 15 minutes
   $752M
2. T2017Habilitation, residential, waiver; 15 minutes
   $695M
3. T1017Case management, billed per 15 minutes
   $336M
4. 99214Doctor's office visit, returning patient (more involved)
   $311M
5. 99213Doctor's office visit, returning patient (routine)
   $267M
6. 99285Emergency room visit (most serious)
   $241M
7. T1015A visit at a community health center or clinic (one all-in rate)
   $231M
8. 90999Dialysis (unlisted procedure)
   $180M
9. 99284Emergency room visit (serious)
   $176M
10. A0427Emergency ambulance ride, advanced life support
    $171M

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