Medicaid spending in Texas

1. Agencies — home care, case management, community support
   41¢
2. Physicians
   11¢
3. Clinics and outpatient centers
   11¢
4. Nursing Service Related Providers
   7¢
5. Dentists
   6¢
6. Medical equipment and supplies
   5¢
7. Laboratories
   3¢
8. Counselors, therapists and social workers
   3¢

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

1. S5125Attendant care at home, billed per 15 minutes
   $16B
2. T1000Private duty / independent nursing service(s) - licensed, up to 15 minutes
   $3.4B
3. H2016Community support for mental illness or disability, billed per day
   $2.4B
4. T1015A visit at a community health center or clinic (one all-in rate)
   $2.0B
5. T1019Help at home with bathing, dressing and eating, billed per 15 minutes
   $1.9B
6. 99284Emergency room visit (serious)
   $1.5B
7. 99213Doctor's office visit, returning patient (routine)
   $1.4B
8. 92507Treatment of speech, language, voice, communication, and/or auditory processing disorder
   $1.2B
9. 99214Doctor's office visit, returning patient (more involved)
   $904M
10. T2016A day of residential support for a person with a developmental disability
    $880M

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