H0047
Alcohol and/or drug abuse, not otherwise specified
Alcohol and/or drug abuse, not otherwise specified is the #287 most-billed Medicaid procedure code, with $494.1M in payments across 2.6M claims from 2018–2024. The national median cost per claim is $81.37. Costs vary widely — the 90th percentile is $413.26 per claim, 5.1× the median.
Total Paid
$494.1M
0.05% of all spending
Total Claims
2.6M
Providers
530
Avg Cost/Claim
$187
National Cost Distribution
How much do providers bill per claim for H0047? Based on 421 providers billing this code nationally.
Median
$81.37
Average
$153.32
Std Dev
$161.53
Max
$945.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $50.60 and $222.74 per claim for this code.
90% bill between $17.18 and $413.26.
Top 1% bill above $664.98.
About This Procedure
HCPCS code H0047 (Alcohol and/or drug abuse, not otherwise specified) was billed by 530 providers across 2.6M claims, totaling $494.1M in Medicaid payments from 2018–2024. This code was used for 834K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$81.37
Providers Billing
421
National Spending
$494.1M
Avg/Median Ratio
1.88×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for H0047
| # | Provider | Total Paid |
|---|---|---|
| 1 | Recover Together Inc. Greenfield, IN · Clinic/Center Adult Mental Health | $46.6M |
| 2 | 1346604246 | $33.2M |
| 3 | 1528427598 | $31.2M |
| 4 | 1053478164 | $27.9M |
| 5 | 1073972048 | $24.3M |
| 6 | 1902325426 | $20.8M |
| 7 | 1154594216 | $18.9M |
| 8 | 1518503267 | $14.7M |
| 9 | 1992281034 | $14.3M |
| 10 | 1851513394 | $14.1M |
| 11 | 1417316902 | $13.1M |
| 12 | 1073841789 | $12.4M |
| 13 | 1538385489 | $9.8M |
| 14 | 1134575335 | $9.1M |
| 15 | 1699329003 | $6.7M |
| 16 | 1437273000 | $6.5M |
| 17 | Spero Health Of Kentucky Llc Danville, KY · Family Medicine Addiction Medicine | $5.4M |
| 18 | 1174122766 | $5.0M |
| 19 | 1184678559 | $4.8M |
| 20 | 1912482787 | $4.6M |
Showing top 20 of 530 providers billing this code