H2020
Day habilitation, waiver, per 15 minutes
Day habilitation, waiver, per 15 minutes is the #138 most-billed Medicaid procedure code, with $1.32B in payments across 8.0M claims from 2018–2024. The national median cost per claim is $144.05.
Total Paid
$1.32B
0.12% of all spending
Total Claims
8.0M
Providers
951
Avg Cost/Claim
$165
National Cost Distribution
How much do providers bill per claim for H2020? Based on 913 providers billing this code nationally.
Median
$144.05
Average
$262.23
Std Dev
$491.45
Max
$4,083.17
Percentile Distribution (Cost per Claim)
50% of providers bill between $95.69 and $185.27 per claim for this code.
90% bill between $56.64 and $253.86.
Top 1% bill above $2,371.55.
About This Procedure
HCPCS code H2020 (Day habilitation, waiver, per 15 minutes) was billed by 951 providers across 8.0M claims, totaling $1.32B in Medicaid payments from 2018–2024. This code was used for 2.1M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$144.05
Providers Billing
913
National Spending
$1.32B
Avg/Median Ratio
1.82×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for H2020
| # | Provider | Total Paid |
|---|---|---|
| 1 | Omni Visions Inc. Nashville, TN · Foster Care Agency | $52.8M |
| 2 | Youth Villages Inc. Bartlett, TN · Community/Behavioral Health | $32.3M |
| 3 | 1831397645 | $31.6M |
| 4 | Howard Center Inc Burlington, VT · Clinic/Center, Adolescent and Children Mental Health | $28.8M |
| 5 | 1851729800 | $28.7M |
| 6 | Nfi North Inc Contoocook, NH · Voluntary or Charitable | $26.5M |
| 7 | 1124057914 | $25.5M |
| 8 | 1609834712 | $19.2M |
| 9 | 1528017142 | $18.6M |
| 10 | 1205893070 | $18.5M |
| 11 | Washington County Mental Health Services Inc. Berlin, VT · Community/Behavioral Health | $18.3M |
| 12 | 1134278518 | $17.3M |
| 13 | 1649230236 | $14.8M |
| 14 | Anderson Behavioral Health Inc Marshville, NC · Foster Care Agency | $14.7M |
| 15 | 1033230289 | $14.2M |
| 16 | 1811920556 | $13.0M |
| 17 | 1649744228 | $12.8M |
| 18 | Centerstone Of Tennessee Inc. Nashville, TN · Clinic/Center Mental Health (Including Community Mental Health Center) | $12.4M |
| 19 | 1417999327 | $11.6M |
| 20 | Riverbend Community Mental Health Inc. Concord, NH · Clinic/Center Mental Health (Including Community Mental Health Center) | $11.6M |
Showing top 20 of 951 providers billing this code