H0019
Behavioral health; residential, per diem
Behavioral health; residential, per diem is the #31 most-billed Medicaid procedure code, with $5.98B in payments across 20.4M claims from 2018–2024. The national median cost per claim is $357.16. Costs vary widely — the 90th percentile is $3,282.12 per claim, 9.2× the median.
Total Paid
$5.98B
0.55% of all spending
Total Claims
20.4M
Providers
756
Avg Cost/Claim
$294
National Cost Distribution
How much do providers bill per claim for H0019? Based on 718 providers billing this code nationally.
Median
$357.16
Average
$1,193.64
Std Dev
$2,148.28
Max
$29,033.72
Percentile Distribution (Cost per Claim)
50% of providers bill between $177.62 and $1,305.82 per claim for this code.
90% bill between $103.61 and $3,282.12.
Top 1% bill above $11,050.01.
About This Procedure
HCPCS code H0019 (Behavioral health; residential, per diem) was billed by 756 providers across 20.4M claims, totaling $5.98B in Medicaid payments from 2018–2024. This code was used for 1.4M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$357.16
Providers Billing
718
National Spending
$5.98B
Avg/Median Ratio
3.34×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for H0019
| # | Provider | Total Paid |
|---|---|---|
| 1 | Los Angeles County Department Of Public Health Alhambra, CA · Public Health or Welfare | $554.0M |
| 2 | County Of San Diego San Diego, CA · Public Health or Welfare | $211.0M |
| 3 | County Of Riverside Riverside, CA · Community/Behavioral Health | $179.1M |
| 4 | Serv Centers Of New Jersey, Inc Trenton, NJ · Community Based Residential Treatment Facility, Mental Illness | $160.1M |
| 5 | Spurwink Services Portland, ME · Residential Treatment Facility Emotionally Disturbed Children | $90.3M |
| 6 | Motivational Services Inc Augusta, ME · Voluntary or Charitable | $79.4M |
| 7 | City & County Of San Francisco San Francisco, CA · Community/Behavioral Health | $74.6M |
| 8 | 1992702955 | $69.9M |
| 9 | Omni Visions Inc. Nashville, TN · Foster Care Agency | $69.4M |
| 10 | Mount Prospect Academy Inc. Plymouth, NH · Residential Treatment Facility Emotionally Disturbed Children | $67.0M |
| 11 | Nfi North Inc Contoocook, NH · Voluntary or Charitable | $63.3M |
| 12 | 1487885976 | $53.6M |
| 13 | County Of San Bernardino San Bernardino, CA · Clinic/Center Rehabilitation Substance Use Disorder | $51.8M |
| 14 | County Of Ventura Oxnard, CA · Community/Behavioral Health | $51.7M |
| 15 | Youth Villages Inc. Bartlett, TN · Community/Behavioral Health | $49.7M |
| 16 | 1295240158 | $48.2M |
| 17 | Trillium Family Services Inc. Portland, OR · Residential Treatment Facility Emotionally Disturbed Children | $47.4M |
| 18 | Volunteers Of America Northern New England Brunswick, ME · Community Based Residential Treatment Facility Mental Illness | $45.2M |
| 19 | Kennebec Valley Mental Health Center Waterville, ME · Clinic/Center Mental Health (Including Community Mental Health Center) | $44.5M |
| 20 | 1598884488 | $44.1M |
Showing top 20 of 756 providers billing this code