Medicaid spending in Virginia

1. Agencies — home care, case management, community support
   32¢
2. Clinics and outpatient centers
   13¢
3. Physicians
   9¢
4. Residential treatment
   8¢
5. Counselors, therapists and social workers
   8¢
6. Hospitals (outpatient claims only)
   8¢
7. Rides and ambulances
   4¢
8. Medical equipment and supplies
   3¢

Cents of every dollar billed by Virginia-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
   $4.2B
2. H2022Community-based wrap-around services, per diem
   $2.1B
3. H0046Mental health services, not otherwise specified
   $1.4B
4. T2033Residential care, not otherwise specified (nos), waiver; per diem
   $1.2B
5. 99214Doctor's office visit, returning patient (more involved)
   $988M
6. 99213Doctor's office visit, returning patient (routine)
   $801M
7. H0023Behavioral health outreach service (planned approach to reach a targeted population)
   $748M
8. 99283Emergency room visit (moderate)
   $668M
9. H2012Behavioral health day treatment, per hour
   $649M
10. 99284Emergency room visit (serious)
    $628M

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