Medicaid spending in Washington

1. Clinics and outpatient centers
   21¢
2. Physicians
   13¢
3. Hospitals (outpatient claims only)
   13¢
4. Agencies — home care, case management, community support
   10¢
5. Dentists
   9¢
6. Medical equipment and supplies
   8¢
7. Counselors, therapists and social workers
   6¢
8. Rides and ambulances
   4¢

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

1. T1015A visit at a community health center or clinic (one all-in rate)
   $3.2B
2. 99214Doctor's office visit, returning patient (more involved)
   $692M
3. 99213Doctor's office visit, returning patient (routine)
   $551M
4. 99283Emergency room visit (moderate)
   $418M
5. 99284Emergency room visit (serious)
   $411M
6. A0999Unlisted ambulance service
   $396M
7. G0463Hospital outpatient clinic visit for assessment and management of a patient
   $391M
8. 99285Emergency room visit (most serious)
   $340M
9. H0018Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem
   $287M
10. 96361Intravenous infusion, hydration; each additional hour
    $274M

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