H0039
Assertive community treatment, per diem
Assertive community treatment, per diem is the #118 most-billed Medicaid procedure code, with $1.70B in payments across 13.4M claims from 2018–2024. The national median cost per claim is $132.62. Costs vary widely — the 90th percentile is $770.25 per claim, 5.8× the median.
Total Paid
$1.70B
0.16% of all spending
Total Claims
13.4M
Providers
499
Avg Cost/Claim
$127
National Cost Distribution
How much do providers bill per claim for H0039? Based on 462 providers billing this code nationally.
Median
$132.62
Average
$258.25
Std Dev
$400.86
Max
$2,276.14
Percentile Distribution (Cost per Claim)
50% of providers bill between $66.99 and $217.44 per claim for this code.
90% bill between $25.01 and $770.25.
Top 1% bill above $1,945.21.
About This Procedure
HCPCS code H0039 (Assertive community treatment, per diem) was billed by 499 providers across 13.4M claims, totaling $1.70B in Medicaid payments from 2018–2024. This code was used for 1.8M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$132.62
Providers Billing
462
National Spending
$1.70B
Avg/Median Ratio
1.95×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for H0039
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1497819510 | $50.0M |
| 2 | Trilogy, Inc. Chicago, IL · Clinic/Center, Community Health | $49.1M |
| 3 | 1407872575 | $39.9M |
| 4 | 1033484019 | $37.6M |
| 5 | Mbi Health Services Llc Washington, DC · Case Management | $34.4M |
| 6 | 1255606224 | $32.3M |
| 7 | 1700156866 | $30.1M |
| 8 | 1811265242 | $28.1M |
| 9 | 1013077551 | $27.5M |
| 10 | New Vitae Inc. Quakertown, PA · Community/Behavioral Health | $24.5M |
| 11 | 1023382033 | $24.0M |
| 12 | 1700218260 | $23.7M |
| 13 | 1922311679 | $22.0M |
| 14 | Mercy Life Center Corporation Pittsburgh, PA · Public Health or Welfare | $21.1M |
| 15 | 1740319854 | $20.8M |
| 16 | 1992079909 | $20.4M |
| 17 | 1063528560 | $20.2M |
| 18 | Community Mental Health For Central Michigan Mt Pleasant, MI · Psychiatry & Neurology Psychiatry | $18.4M |
| 19 | 1982962353 | $18.2M |
| 20 | 1083807929 | $18.2M |
Showing top 20 of 499 providers billing this code