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. Author manuscript; available in PMC: 2021 Jul 1.
Published in final edited form as: Acad Pediatr. 2020 Feb 2;20(5):678–686. doi: 10.1016/j.acap.2020.01.013

Table 3.

Health Care Spending for Children with Mental Health Conditions in Medicaid, by Spending Group

Health Service Total Annual Spending ($) Per-Member-Per-Year
Spending1 ($)
Within-Spending Group
Cost Distribution2 (%)

99% Lower
Spending
Top 1% Highest
Spending
99% Lower
Spending
Top 1% Highest
Spending
99% Lower
Spending
Top 1% Highest
Spending
Total 4,683,666,570 1,272,666,816 6097 164,003 100 100


Mental Health 2,715,344,392 342,278,337 3535 44,108 57 27

Inpatient 197,361,861 152,802,175 257 19,691 2 12
ED 14,938,698 1,115,210 19 144 0 0
Ambulatory 1,885,831,728 176,949,889 2455 22,803 37 14
Pharmacy 617,212,104 11,411,064 803 1470 17 1

General 1,968,322,178 1,272,666,816 2562 119,895 43 73

Inpatient 192,304,830 930,388,479 250 58,363 1 36
ED 200,976,745 452,900,210 262 1234 6 1
Ambulatory 345,590,165 9,573,987 450 16,040 9 10
Pharmacy 474,720,667 124,471,351 618 26,559 9 16
Dental 183,985,509 1,424,673 240 184 6 0
Misc. therapies 238,610,513 22,790,359 311 2937 5 2
Testing 118,909,477 11,460,716 155 1477 3 1
Other 213,224,266 101,670,776 278 13,102 4 8

Abbreviations: ED,Emergency Department

1

Per-member-per-year spending varied significantly (p<0.001) across the spending groups for all health services.

2

The distribution of spending varied significantly (p<0.001) across the spending groups for all health services.