Medicaid spending in Oregon

1. Clinics and outpatient centers
   22¢
2. Physicians
   18¢
3. Counselors, therapists and social workers
   12¢
4. Agencies — home care, case management, community support
   9¢
5. Medical equipment and supplies
   7¢
6. Rides and ambulances
   6¢
7. Hospitals (outpatient claims only)
   6¢
8. Residential treatment
   4¢

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

1. 90837Psychotherapy session, about an hour
   $501M
2. 99214Doctor's office visit, returning patient (more involved)
   $470M
3. 99284Emergency room visit (serious)
   $405M
4. 99213Doctor's office visit, returning patient (routine)
   $376M
5. 99283Emergency room visit (moderate)
   $313M
6. 99285Emergency room visit (most serious)
   $300M
7. T1020Help at home with daily living, billed per day
   $283M
8. H0019Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem
   $276M
9. H0004Behavioral health counseling and therapy, per 15 minutes
   $180M
10. A0427Emergency ambulance ride, advanced life support
    $177M

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