H0010
Alcohol and/or drug services, sub-acute detoxification, per diem
Alcohol and/or drug services, sub-acute detoxification, per diem is the #120 most-billed Medicaid procedure code, with $1.64B in payments across 3.9M claims from 2018–2024. The national median cost per claim is $369.55. Costs vary widely — the 90th percentile is $1,115.89 per claim, 3.0× the median.
Total Paid
$1.64B
0.15% of all spending
Total Claims
3.9M
Providers
275
Avg Cost/Claim
$422
National Cost Distribution
How much do providers bill per claim for H0010? Based on 260 providers billing this code nationally.
Median
$369.55
Average
$576.88
Std Dev
$725.68
Max
$6,139.86
Percentile Distribution (Cost per Claim)
50% of providers bill between $249.54 and $575.73 per claim for this code.
90% bill between $153.97 and $1,115.89.
Top 1% bill above $4,025.03.
About This Procedure
HCPCS code H0010 (Alcohol and/or drug services, sub-acute detoxification, per diem) was billed by 275 providers across 3.9M claims, totaling $1.64B in Medicaid payments from 2018–2024. This code was used for 548K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$369.55
Providers Billing
260
National Spending
$1.64B
Avg/Median Ratio
1.56×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for H0010
| # | Provider | Total Paid |
|---|---|---|
| 1 | Summit Bhc Henryvillle, Llc Terre Haute, IN · Substance Abuse Rehabilitation Facility | $90.5M |
| 2 | Galax Treatment Center, Llc Galax, VA · Clinic/Center, Methadone Clinic | $75.6M |
| 3 | 1558415968 | $68.8M |
| 4 | 1457897647 | $53.8M |
| 5 | 1083250542 | $43.8M |
| 6 | 1326494758 | $38.0M |
| 7 | Centerstone Of Indiana, Inc. Bloomington, IN · Community/Behavioral Health | $36.1M |
| 8 | 1881658276 | $33.7M |
| 9 | 1659988525 | $33.0M |
| 10 | 1164064242 | $32.4M |
| 11 | 1598005274 | $32.3M |
| 12 | 1578121547 | $25.5M |
| 13 | 1245378546 | $25.0M |
| 14 | 1376546291 | $24.5M |
| 15 | 1477569838 | $23.9M |
| 16 | Kentuckiana Detox And Rehab Center Clarksville, IN · Clinic/Center, Rehabilitation, Substance Use Disorder | $22.1M |
| 17 | 1174123582 | $21.2M |
| 18 | 1003458191 | $21.2M |
| 19 | Landmark Recovery Of Carmel Llc Bluffton, IN · Substance Abuse Rehabilitation Facility | $20.8M |
| 20 | 1275019994 | $20.7M |
Showing top 20 of 275 providers billing this code