Medicaid spending in South Carolina

1. Agencies — home care, case management, community support
   22¢
2. Physicians
   17¢
3. Clinics and outpatient centers
   15¢
4. Hospitals (outpatient claims only)
   14¢
5. Dentists
   7¢
6. Counselors, therapists and social workers
   5¢
7. Medical equipment and supplies
   4¢
8. Rides and ambulances
   3¢

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

1. T2016A day of residential support for a person with a developmental disability
   $801M
2. 99213Doctor's office visit, returning patient (routine)
   $704M
3. 99214Doctor's office visit, returning patient (more involved)
   $611M
4. T1019Help at home with bathing, dressing and eating, billed per 15 minutes
   $443M
5. 90837Psychotherapy session, about an hour
   $267M
6. T2046Hospice long term care, room and board only; per diem
   $249M
7. 92507Treatment of speech, language, voice, communication, and/or auditory processing disorder
   $242M
8. 97530Therapeutic activities, direct patient contact, each 15 minutes
   $190M
9. T1015A visit at a community health center or clinic (one all-in rate)
   $186M
10. 36415Collection of venous blood by venipuncture
    $176M

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