#1179 of 11K

H2001

HCPCS Procedure Code

HCPCS code H2001 is the #1,179 most-billed Medicaid procedure code, with $35.3M in payments across 195K claims from 2018–2024. The national median cost per claim is $309.28. Costs vary widely — the 90th percentile is $716.49 per claim, 2.3× the median.

Total Paid

$35.3M

0.00% of all spending

Total Claims

195K

Providers

Avg Cost/Claim

$181

National Cost Distribution

How much do providers bill per claim for H2001? Based on 92 providers billing this code nationally.

Median

$309.28

Average

$374.49

Std Dev

$260.95

Max

$864.96

Percentile Distribution (Cost per Claim)

p10

$79.82

p25

$105.21

Median

$309.28

p75

$603.40

p90

$716.49

p95

$827.37

p99

$864.96

50% of providers bill between $105.21 and $603.40 per claim for this code.

90% bill between $79.82 and $716.49.

Top 1% bill above $864.96.

About This Procedure

HCPCS code H2001 was billed by 94 providers across 195K claims, totaling $35.3M in Medicaid payments from 2018–2024. This code was used for 37K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$309.28

Providers Billing

National Spending

$35.3M

Avg/Median Ratio

1.21×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for H2001

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Mentor Abi Charlestown, RI · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities	$19.9M	$437.22	1.4× median	Above Median
2	1578526695	$1.7M	$104.06	0.3× median	Below Median
3	1295817583	$1.6M	$82.61	0.3× median	Below Median
4	1679883037	$1.5M	$108.39	0.4× median	Below Median
5	1194035709	$1.4M	$105.60	0.3× median	Below Median
6	Beth Israel Medical Center Brooklyn, NY · Psychiatric Unit	$1.2M	$144.36	0.5× median	Below Median
7	1790853844	$1.1M	$74.40	0.2× median	Below Median
8	1437221355	$1.0M	$79.75	0.3× median	Below Median
9	St Lukes Roosevelt Hospital Center New York, NY · Case Management	$618K	$136.57	0.4× median	Below Median
10	1720185267	$524K	$120.41	0.4× median	Below Median
11	1093875007	$511K	$80.40	0.3× median	Below Median
12	1487709671	$461K	$98.04	0.3× median	Below Median
13	1477640258	$359K	$103.31	0.3× median	Below Median
14	1275610545	$284K	$95.00	0.3× median	Below Median
15	West Central Services Inc. Lebanon, NH · Clinic/Center Mental Health (Including Community Mental Health Center)	$282K	$64.27	0.2× median	Below Median
16	1083717326	$280K	$92.38	0.3× median	Below Median
17	1184962201	$258K	$299.18	1.0× median	Below Median
18	1033107743	$215K	$79.61	0.3× median	Below Median
19	1801056098	$156K	$740.84	2.4× median	Top 10%
20	1972728905	$145K	$98.27	0.3× median	Below Median

Showing top 20 of 94 providers billing this code

Related Procedures

H2010Comprehensive medication services, per 15 min$3.50B H2011Crisis intervention service, per 15 minutes$1.86B H2000Comprehensive multidisciplinary evaluation$434.2M

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