S0209
Outpatient psychiatric services, partial hospitalization, per hour
Outpatient psychiatric services, partial hospitalization, per hour is the #450 most-billed Medicaid procedure code, with $217.7M in payments across 11.9M claims from 2018–2024. The national median cost per claim is $18.24. Costs vary widely — the 90th percentile is $68.94 per claim, 3.8× the median.
Total Paid
$217.7M
0.02% of all spending
Total Claims
11.9M
Providers
710
Avg Cost/Claim
$18
National Cost Distribution
How much do providers bill per claim for S0209? Based on 659 providers billing this code nationally.
Median
$18.24
Average
$35.14
Std Dev
$60.27
Max
$674.23
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.12 and $37.83 per claim for this code.
90% bill between $4.97 and $68.94.
Top 1% bill above $312.17.
About This Procedure
HCPCS code S0209 (Outpatient psychiatric services, partial hospitalization, per hour) was billed by 710 providers across 11.9M claims, totaling $217.7M in Medicaid payments from 2018–2024. This code was used for 2.2M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$18.24
Providers Billing
659
National Spending
$217.7M
Avg/Median Ratio
1.93×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for S0209
| # | Provider | Total Paid |
|---|---|---|
| 1 | Total Transit Inc Glendale, AZ · Non-emergency Medical Transport (VAN) | $36.1M |
| 2 | Veyo, Llc Lake St Louis, MO · Secured Medical Transport (VAN) | $13.6M |
| 3 | 1386008027 | $7.3M |
| 4 | 1265724215 | $6.3M |
| 5 | 1558511618 | $5.3M |
| 6 | 1578732178 | $5.1M |
| 7 | Not Found Unknown, Unknown · Unknown | $4.4M |
| 8 | Epicmd Technologies Llc Miami, FL · Transportation Network Company | $4.1M |
| 9 | 1669915047 | $4.0M |
| 10 | Coordinated Transportation Solutions, Inc. Trumbull, CT · Transportation Broker | $3.9M |
| 11 | 1780110403 | $3.8M |
| 12 | Centrek Transportation Llc Bronx, NY · Non-emergency Medical Transport (VAN) | $3.5M |
| 13 | Fejost Llc Bronx, NY · Transportation Broker | $3.5M |
| 14 | 1306996848 | $3.4M |
| 15 | American Logistics Llc. St. George, UT · Transportation Broker | $3.4M |
| 16 | 1053523357 | $3.3M |
| 17 | 1427338094 | $2.9M |
| 18 | 1306117478 | $2.8M |
| 19 | Modivcare Solutions, Llc Denver, CO · Transportation Broker | $2.7M |
| 20 | Intelliride Llc Lombard, IL · Transportation Broker | $2.4M |
Showing top 20 of 710 providers billing this code