H2015
Comprehensive community support services, per 15 min
Comprehensive community support services, per 15 min is the #10 most-billed Medicaid procedure code, with $16.47B in payments across 109.9M claims from 2018–2024. The national median cost per claim is $96.24. Costs vary widely — the 90th percentile is $321.58 per claim, 3.3× the median.
Total Paid
$16.47B
1.51% of all spending
Total Claims
109.9M
Providers
4K
Avg Cost/Claim
$150
National Cost Distribution
How much do providers bill per claim for H2015? Based on 4K providers billing this code nationally.
Median
$96.24
Average
$151.00
Std Dev
$183.82
Max
$3,000.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $64.06 and $179.68 per claim for this code.
90% bill between $38.66 and $321.58.
Top 1% bill above $723.34.
About This Procedure
HCPCS code H2015 (Comprehensive community support services, per 15 min) was billed by 4K providers across 109.9M claims, totaling $16.47B in Medicaid payments from 2018–2024. This code was used for 20.8M unique beneficiaries.
Investigation Context
Comprehensive community support services (H2015) covers intensive community-based behavioral health services. This code has seen significant growth alongside the expansion of community-based mental health programs and is closely monitored for billing anomalies.
Risk Assessment
Billing Statistics
Median Cost/Claim
$96.24
Providers Billing
4K
National Spending
$16.47B
Avg/Median Ratio
1.57×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for H2015
| # | Provider | Total Paid |
|---|---|---|
| 1 | Los Angeles County Department Of Mental Health Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center) | $2.73B |
| 2 | County Of Santa Clara San Jose, CA · Community/Behavioral Health | $890.2M |
| 3 | Community Assistance Resources & Extended Services Inc New York, NY · Case Management | $552.1M |
| 4 | City & County Of San Francisco San Francisco, CA · Community/Behavioral Health | $369.7M |
| 5 | Alameda County Behavioral Health Care Oakland, CA · Community/Behavioral Health | $327.8M |
| 6 | County Of San Bernardino San Bernardino, CA · Clinic/Center Rehabilitation Substance Use Disorder | $325.1M |
| 7 | County Of Orange Santa Ana, CA · Clinic/Center Mental Health (Including Community Mental Health Center) | $296.2M |
| 8 | County Of Sacramento Sacramento, CA · Clinic/Center Adult Mental Health | $221.9M |
| 9 | County Of Riverside Riverside, CA · Community/Behavioral Health | $220.9M |
| 10 | Guardiantrac. Llc Sturgis, MI · Community/Behavioral Health | $201.7M |
| 11 | County Of Fresno Fresno, CA · Clinic/Center Mental Health (Including Community Mental Health Center) | $197.6M |
| 12 | Stuart T.wilson C.p.a.,p.c. Midland, MI · Supports Brokerage | $185.6M |
| 13 | Pro Care Unlimited, Inc Southfield, MI · Home Health | $154.7M |
| 14 | County Of Ventura Oxnard, CA · Community/Behavioral Health | $154.7M |
| 15 | Contra Costa County Martinez, CA · General Acute Care Hospital | $150.9M |
| 16 | The Arc Of Oakland County Inc Troy, MI · Voluntary or Charitable | $142.4M |
| 17 | Pas-personal Accounting Services, Inc. Taylor, MI · Contractor | $134.9M |
| 18 | County Of Kern Bakersfield, CA · Clinic/Center, Adult Mental Health | $131.3M |
| 19 | Community Living Network Ypsilanti, MI · Voluntary or Charitable | $104.2M |
| 20 | Human Care Services For Families And Children Inc Brooklyn, NY · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities | $98.5M |
Showing top 20 of 4K providers billing this code