#240 of 11K

H2034

Alcohol and/or drug abuse halfway house services, per hour

Alcohol and/or drug abuse halfway house services, per hour is the #240 most-billed Medicaid procedure code, with $609.9M in payments across 3.6M claims from 2018–2024. The national median cost per claim is $164.03. Costs vary widely — the 90th percentile is $1,145.36 per claim, 7.0× the median.

Total Paid

$609.9M

0.06% of all spending

Total Claims

3.6M

Providers

272

Avg Cost/Claim

$172

National Cost Distribution

How much do providers bill per claim for H2034? Based on 272 providers billing this code nationally.

Median

$164.03

Average

$429.88

Std Dev

$693.17

Max

$4,190.38

Percentile Distribution (Cost per Claim)

p10

$36.01

p25

$121.71

Median

$164.03

p75

$260.81

p90

$1,145.36

p95

$2,395.76

p99

$2,830.87

50% of providers bill between $121.71 and $260.81 per claim for this code.

90% bill between $36.01 and $1,145.36.

Top 1% bill above $2,830.87.

About This Procedure

HCPCS code H2034 (Alcohol and/or drug abuse halfway house services, per hour) was billed by 272 providers across 3.6M claims, totaling $609.9M in Medicaid payments from 2018–2024. This code was used for 275K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$164.03

Providers Billing

272

National Spending

$609.9M

Avg/Median Ratio

2.62×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for H2034

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Addiction Recovery Care Llc Louisa, KY · Community Based Residential Treatment Facility, Mental Illness	$53.9M	$222.45	1.4× median	Above Median
2	1376064147	$16.1M	$180.49	1.1× median	Above Median
3	1639193485	$14.3M	$144.59	0.9× median	Below Median
4	1346379310	$14.3M	$2,364.04	14.4× median	Top 10%
5	1396086559	$13.6M	$231.47	1.4× median	Above Median
6	1386916880	$12.6M	$156.43	1.0× median	Below Median
7	1114012473	$12.2M	$2,251.03	13.7× median	Top 10%
8	1962536466	$12.1M	$227.81	1.4× median	Above Median
9	1497871719	$12.0M	$141.30	0.9× median	Below Median
10	1275526303	$11.8M	$2,839.27	17.3× median	Top 1%
11	1730127176	$11.3M	$146.40	0.9× median	Below Median
12	1619466141	$10.7M	$239.26	1.5× median	Above Median
13	1366836884	$10.6M	$915.14	5.6× median	Above 75th
14	Southeastern Council On Alcoholism And Drug Dependence Inc Lebanon, CT · Substance Abuse Rehabilitation Facility	$9.6M	$325.68	2.0× median	Above 75th
15	1770971236	$9.2M	$1,028.82	6.3× median	Above 75th
16	1033631585	$9.0M	$185.38	1.1× median	Above Median
17	1083743975	$8.5M	$238.27	1.5× median	Above Median
18	1558799122	$8.3M	$4,190.38	25.5× median	Top 1%
19	1780100453	$7.9M	$2,853.36	17.4× median	Top 1%
20	1871023416	$7.8M	$102.04	0.6× median	Below Median

Showing top 20 of 272 providers billing this code

Related Procedures

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