H0043
Supported housing, per diem
Supported housing, per diem is the #105 most-billed Medicaid procedure code, with $1.89B in payments across 14.4M claims from 2018–2024. The national median cost per claim is $164.87. Costs vary widely — the 90th percentile is $741.27 per claim, 4.5× the median.
Total Paid
$1.89B
0.17% of all spending
Total Claims
14.4M
Providers
780
Avg Cost/Claim
$131
National Cost Distribution
How much do providers bill per claim for H0043? Based on 691 providers billing this code nationally.
Median
$164.87
Average
$393.23
Std Dev
$748.33
Max
$7,009.65
Percentile Distribution (Cost per Claim)
50% of providers bill between $108.04 and $386.00 per claim for this code.
90% bill between $54.00 and $741.27.
Top 1% bill above $4,049.26.
About This Procedure
HCPCS code H0043 (Supported housing, per diem) was billed by 780 providers across 14.4M claims, totaling $1.89B in Medicaid payments from 2018–2024. This code was used for 1.5M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$164.87
Providers Billing
691
National Spending
$1.89B
Avg/Median Ratio
2.39×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for H0043
| # | Provider | Total Paid |
|---|---|---|
| 1 | Generations Health Association Inc. Morrison, TN · Clinic/Center Mental Health (Including Community Mental Health Center) | $125.2M |
| 2 | Peabody Resident Services Inc Braintree, MA · Custodial Care Facility, Adult Care Home | $105.8M |
| 3 | Macomb Oakland Regional Center Inc. Auburn Hills, MI · Community/Behavioral Health | $69.6M |
| 4 | Centerstone Of Tennessee Inc. Nashville, TN · Clinic/Center Mental Health (Including Community Mental Health Center) | $55.9M |
| 5 | Money Minders Plus Llc Garden City, MI · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities | $38.9M |
| 6 | Living Alternatives For The Developmentally Disabled, Inc. Dowagiac, MI · Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $35.4M |
| 7 | Pas-personal Accounting Services, Inc. Taylor, MI · Contractor | $32.0M |
| 8 | Alliance Healthcare Services Memphis, TN · Community/Behavioral Health | $28.0M |
| 9 | Extended Family Care Llc Manchester, TN · Community/Behavioral Health | $27.4M |
| 10 | Independent Community Care Services Farmington Hills, MI · Home Health | $24.4M |
| 11 | 1497157283 | $22.2M |
| 12 | Volunteer Behavioral Health Care System Murfreesboro, TN · Counselor | $21.6M |
| 13 | Carey Counseling Center Inc. Paris, TN · Counselor Mental Health | $21.5M |
| 14 | 1114208360 | $17.9M |
| 15 | Spectrum Community Services Westland, MI · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $16.6M |
| 16 | 1205488962 | $16.3M |
| 17 | 1154507556 | $16.0M |
| 18 | 1053643999 | $16.0M |
| 19 | 1194926758 | $15.8M |
| 20 | 1073887246 | $15.5M |
Showing top 20 of 780 providers billing this code