Medicaid spending in Ohio

1. Agencies — home care, case management, community support
   24¢
2. Hospitals (outpatient claims only)
   17¢
3. Clinics and outpatient centers
   16¢
4. Physicians
   10¢
5. Medical equipment and supplies
   7¢
6. Counselors, therapists and social workers
   6¢
7. Laboratories
   4¢
8. Dentists
   3¢

Cents of every dollar billed by Ohio-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
   $2.6B
2. 99214Doctor's office visit, returning patient (more involved)
   $1.7B
3. 99213Doctor's office visit, returning patient (routine)
   $1.6B
4. H2019Therapeutic behavioral services, billed per 15 minutes
   $1.5B
5. T2046Hospice long term care, room and board only; per diem
   $1.3B
6. G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes
   $1.2B
7. H0015Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education
   $1.2B
8. 90837Psychotherapy session, about an hour
   $1.1B
9. 99284Emergency room visit (serious)
   $969M
10. G0463Hospital outpatient clinic visit for assessment and management of a patient
    $890M

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