Medicaid spending in Vermont

1. Clinics and outpatient centers
   47¢
2. Agencies — home care, case management, community support
   24¢
3. Counselors, therapists and social workers
   9¢
4. Residential treatment
   6¢
5. Physicians
   5¢
6. Dentists
   2¢
7. Other Service Providers
   2¢
8. Rides and ambulances
   1¢

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

1. 99199Unlisted special service, procedure or report
   $955M
2. H2022Community-based wrap-around services, per diem
   $498M
3. T1015A visit at a community health center or clinic (one all-in rate)
   $234M
4. H2015Community support for mental illness or disability, per 15 minutes
   $136M
5. H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)
   $123M
6. H2017Psychosocial rehabilitation, billed per 15 minutes
   $116M
7. 90837Psychotherapy session, about an hour
   $96M
8. H0023Behavioral health outreach service (planned approach to reach a targeted population)
   $87M
9. T1024Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter
   $59M
10. H2020Therapeutic behavioral services, per diem
    $49M

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