Medicaid spending in New York

1. Agencies — home care, case management, community support
   65¢
2. Clinics and outpatient centers
   9¢
3. Physicians
   9¢
4. Hospitals (outpatient claims only)
   5¢
5. Dentists
   2¢
6. Counselors, therapists and social workers
   2¢
7. Medical equipment and supplies
   2¢
8. Rides and ambulances
   2¢

Cents of every dollar billed by New York-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
   $75B
2. 99213Doctor's office visit, returning patient (routine)
   $6.1B
3. T1020Help at home with daily living, billed per day
   $4.6B
4. 99214Doctor's office visit, returning patient (more involved)
   $3.0B
5. S5126Attendant care services; per diem
   $2.4B
6. G9005Coordinated care fee, risk adjusted maintenance
   $2.1B
7. 90834Psychotherapy session, about 45 minutes
   $2.0B
8. 90832Psychotherapy session, about 30 minutes
   $1.6B
9. S5105Day care services, center-based; services not included in program fee, per diem
   $1.5B
10. 99284Emergency room visit (serious)
    $1.0B

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