H0006
Alcohol and/or drug services, case management
Alcohol and/or drug services, case management is the #293 most-billed Medicaid procedure code, with $484.5M in payments across 8.3M claims from 2018–2024. The national median cost per claim is $43.10. Costs vary widely — the 90th percentile is $115.99 per claim, 2.7× the median.
Total Paid
$484.5M
0.04% of all spending
Total Claims
8.3M
Providers
1K
Avg Cost/Claim
$58
National Cost Distribution
How much do providers bill per claim for H0006? Based on 1K providers billing this code nationally.
Median
$43.10
Average
$59.86
Std Dev
$59.97
Max
$971.28
Percentile Distribution (Cost per Claim)
50% of providers bill between $26.68 and $70.44 per claim for this code.
90% bill between $18.11 and $115.99.
Top 1% bill above $243.00.
About This Procedure
HCPCS code H0006 (Alcohol and/or drug services, case management) was billed by 1K providers across 8.3M claims, totaling $484.5M in Medicaid payments from 2018–2024. This code was used for 3.2M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$43.10
Providers Billing
1K
National Spending
$484.5M
Avg/Median Ratio
1.39×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for H0006
| # | Provider | Total Paid |
|---|---|---|
| 1 | Los Angeles County Department Of Public Health Alhambra, CA · Public Health or Welfare | $88.0M |
| 2 | County Of San Diego San Diego, CA · Public Health or Welfare | $24.3M |
| 3 | 1952734469 | $15.7M |
| 4 | 1629560230 | $14.3M |
| 5 | Scioto County Counseling Center, Inc Portsmouth, OH · Counselor, Addiction (Substance Use Disorder) | $12.3M |
| 6 | 1518356708 | $10.7M |
| 7 | 1225260888 | $9.5M |
| 8 | 1467652412 | $9.1M |
| 9 | 1215428016 | $8.6M |
| 10 | Brightview Llc Cincinnati, OH · Internal Medicine Addiction Medicine | $6.2M |
| 11 | 1548414923 | $5.0M |
| 12 | 1275589178 | $4.7M |
| 13 | 1982266656 | $4.3M |
| 14 | Monterey County Behavioral Health Division Salinas, CA · Community/Behavioral Health | $4.3M |
| 15 | County Of Orange Santa Ana, CA · Clinic/Center Mental Health (Including Community Mental Health Center) | $4.3M |
| 16 | Department Of Behavioral Health Fresno, CA · Social Worker, Clinical | $4.2M |
| 17 | 1578937116 | $4.1M |
| 18 | 1871150961 | $3.9M |
| 19 | Richmond Behavioral Health Authority Richmond, VA · Counselor | $3.7M |
| 20 | San Mateo County San Mateo, CA · Community/Behavioral Health | $3.2M |
Showing top 20 of 1K providers billing this code