H2019
Therapeutic behavioral services, per 15 min
Therapeutic behavioral services, per 15 min is the #22 most-billed Medicaid procedure code, with $7.47B in payments across 69.5M claims from 2018–2024. The national median cost per claim is $84.12. Costs vary widely — the 90th percentile is $201.45 per claim, 2.4× the median.
Total Paid
$7.47B
0.68% of all spending
Total Claims
69.5M
Providers
6K
Avg Cost/Claim
$107
National Cost Distribution
How much do providers bill per claim for H2019? Based on 5K providers billing this code nationally.
Median
$84.12
Average
$130.01
Std Dev
$218.35
Max
$7,370.53
Percentile Distribution (Cost per Claim)
50% of providers bill between $61.64 and $132.27 per claim for this code.
90% bill between $38.54 and $201.45.
Top 1% bill above $857.56.
About This Procedure
HCPCS code H2019 (Therapeutic behavioral services, per 15 min) was billed by 6K providers across 69.5M claims, totaling $7.47B in Medicaid payments from 2018–2024. This code was used for 18.8M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$84.12
Providers Billing
5K
National Spending
$7.47B
Avg/Median Ratio
1.55×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for H2019
| # | Provider | Total Paid |
|---|---|---|
| 1 | Bhpn Llc Walnut Creek, CA · Case Management | $178.8M |
| 2 | Los Angeles County Department Of Mental Health Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center) | $107.3M |
| 3 | California Psychcare, Inc. Van Nuys, CA · Behavior Analyst | $107.0M |
| 4 | Ohioguidestone Berea, OH · Community/Behavioral Health | $103.6M |
| 5 | Viaquest Psychiatric & Behavioral Solutions Llc Dublin, OH · Community/Behavioral Health | $99.7M |
| 6 | Chrysalis Center Llc Fort Lauderdale, FL · Community/Behavioral Health | $91.4M |
| 7 | Integrated Services For Behavioral Health Nelsonville, OH · Social Worker, Clinical | $89.5M |
| 8 | 1720251788 | $77.6M |
| 9 | 1942537733 | $63.7M |
| 10 | Justice Resource Institute Inc Acton, MA · Clinic/Center Mental Health (Including Community Mental Health Center) | $53.7M |
| 11 | Mountain Comprehensive Care Center, Inc. Prestonsburg, KY · Counselor, Mental Health | $43.1M |
| 12 | 1982637633 | $41.8M |
| 13 | 1780958025 | $39.3M |
| 14 | 1821059486 | $38.6M |
| 15 | Gandara Mental Health Center Inc Springfield, MA · Counselor Mental Health | $38.6M |
| 16 | County Of Santa Clara San Jose, CA · Community/Behavioral Health | $36.9M |
| 17 | Easter Seals Southern California Inc Anaheim, CA · Behavior Analyst | $36.5M |
| 18 | 1629001920 | $35.1M |
| 19 | 1093118580 | $33.7M |
| 20 | County Of Riverside Riverside, CA · Community/Behavioral Health | $33.3M |
Showing top 20 of 6K providers billing this code