0101T
HCPCS Procedure Code
HCPCS code 0101T is the #3,020 most-billed Medicaid procedure code, with $2.8M in payments across 14K claims from 2018–2024. The national median cost per claim is $109.21. Costs vary widely — the 90th percentile is $345.05 per claim, 3.2× the median.
Total Paid
$2.8M
0.00% of all spending
Total Claims
14K
Providers
13
Avg Cost/Claim
$201
National Cost Distribution
How much do providers bill per claim for 0101T? Based on 10 providers billing this code nationally.
Median
$109.21
Average
$147.86
Std Dev
$154.72
Max
$436.46
Percentile Distribution (Cost per Claim)
50% of providers bill between $19.78 and $255.30 per claim for this code.
90% bill between $9.25 and $345.05.
Top 1% bill above $427.32.
About This Procedure
HCPCS code 0101T was billed by 13 providers across 14K claims, totaling $2.8M in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$109.21
Providers Billing
10
National Spending
$2.8M
Avg/Median Ratio
1.35×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0101T
| # | Provider | Total Paid |
|---|---|---|
| 1 | Ahava Medical And Rehabilitation Center, Llc Brooklyn, NY · Rehabilitation Practitioner | $2.0M |
| 2 | Parcare Community Health Network Inc Brooklyn, NY · Specialist | $536K |
| 3 | 1386838548 | $78K |
| 4 | 1790771889 | $66K |
| 5 | 1417247883 | $51K |
| 6 | 1720022015 | $8K |
| 7 | 1518199264 | $3K |
| 8 | 1336682764 | $516 |
| 9 | 1568458032 | $485 |
| 10 | 1114225950 | $53 |
| 11 | 1285341537 | $0 |
| 12 | 1194893248 | $0 |
| 13 | 1194751677 | $0 |
Showing top 13 of 13 providers billing this code