Medicaid spending in Rhode Island

1. Agencies — home care, case management, community support
   47¢
2. Hospitals (outpatient claims only)
   10¢
3. Physicians
   9¢
4. Counselors, therapists and social workers
   8¢
5. Clinics and outpatient centers
   7¢
6. Laboratories
   4¢
7. Residential treatment
   3¢
8. Dentists
   2¢

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

1. T2033Residential care, not otherwise specified (nos), waiver; per diem
   $877M
2. S5125Attendant care at home, billed per 15 minutes
   $651M
3. T2017Habilitation, residential, waiver; 15 minutes
   $382M
4. T2021Day program for adults with developmental disabilities, per 15 minutes
   $331M
5. 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
   $243M
6. H0037Community psychiatric supportive treatment program, per diem
   $218M
7. T1019Help at home with bathing, dressing and eating, billed per 15 minutes
   $172M
8. 99213Doctor's office visit, returning patient (routine)
   $148M
9. T2046Hospice long term care, room and board only; per diem
   $146M
10. 80307Drug test(s), presumptive, any number of drug classes; immunoassay
    $135M

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