H2022
Community-based wrap-around services, per diem
Community-based wrap-around services, per diem is the #50 most-billed Medicaid procedure code, with $3.93B in payments across 7.9M claims from 2018–2024. The national median cost per claim is $336.31. Costs vary widely — the 90th percentile is $2,965.58 per claim, 8.8× the median.
Total Paid
$3.93B
0.36% of all spending
Total Claims
7.9M
Providers
507
Avg Cost/Claim
$498
National Cost Distribution
How much do providers bill per claim for H2022? Based on 489 providers billing this code nationally.
Median
$336.31
Average
$1,363.43
Std Dev
$2,476.18
Max
$32,943.85
Percentile Distribution (Cost per Claim)
50% of providers bill between $251.29 and $1,635.61 per claim for this code.
90% bill between $220.65 and $2,965.58.
Top 1% bill above $9,646.60.
About This Procedure
HCPCS code H2022 (Community-based wrap-around services, per diem) was billed by 507 providers across 7.9M claims, totaling $3.93B in Medicaid payments from 2018–2024. This code was used for 1.0M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$336.31
Providers Billing
489
National Spending
$3.93B
Avg/Median Ratio
4.05×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for H2022
| # | Provider | Total Paid |
|---|---|---|
| 1 | Wall Residences Llc Floyd, VA · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities | $178.8M |
| 2 | Howard Center Inc Burlington, VT · Day Training Developmentally Disabled Services | $107.3M |
| 3 | Vermont Department Of Mental Health Burlington, VT · Clinic/Center Adult Mental Health | $105.1M |
| 4 | Community Systems Inc. Springfield, VA · Residential Treatment Facility Intellectual and/or Developmental Disabilities | $68.2M |
| 5 | 1760420186 | $63.1M |
| 6 | Community Concepts Inc. Dumfries, VA · Community/Behavioral Health | $62.3M |
| 7 | Northeast Kingdom Human Services Inc Ds Waiver Newport, VT · Clinic/Center Developmental Disabilities | $60.6M |
| 8 | 1720159676 | $55.3M |
| 9 | Insight Inc. Woodbridge, VA · Residential Treatment Facility Intellectual and/or Developmental Disabilities | $53.9M |
| 10 | Hartwood Foundation Inc. Springfield, VA · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities | $52.4M |
| 11 | 1356538383 | $46.4M |
| 12 | Virginia Baptist Children's Home & Family Services Salem, VA · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities | $43.5M |
| 13 | Washington County Mental Health Services Inc. Barre, VT · Clinic/Center Developmental Disabilities | $42.9M |
| 14 | 1730112871 | $41.8M |
| 15 | Rutland Mental Health Services Rutland, VT · Clinic/Center Developmental Disabilities | $38.9M |
| 16 | Health Care & Rehabilitation Services Bellows Falls, VT · Clinic/Center Developmental Disabilities | $38.5M |
| 17 | Northwestern Counseling & Support Services Saint Albans, VT · Community/Behavioral Health | $38.4M |
| 18 | Rappahannock Area Community Services Board Fredericksburg, VA · Day Training, Developmentally Disabled Services | $38.3M |
| 19 | 1467948729 | $35.9M |
| 20 | 1215032735 | $35.2M |
Showing top 20 of 507 providers billing this code