T1015
Clinic visit/encounter, all-inclusive
Clinic visit/encounter, all-inclusive is the #2 most-billed Medicaid procedure code, with $49.15B in payments across 322.2M claims from 2018–2024. The national median cost per claim is $121.16.
Total Paid
$49.15B
4.49% of all spending
Total Claims
322.2M
Providers
14K
Avg Cost/Claim
$153
National Cost Distribution
How much do providers bill per claim for T1015? Based on 13K providers billing this code nationally.
Median
$121.16
Average
$135.42
Std Dev
$124.83
Max
$7,079.77
Percentile Distribution (Cost per Claim)
50% of providers bill between $65.06 and $174.51 per claim for this code.
90% bill between $32.69 and $235.99.
Top 1% bill above $567.43.
About This Procedure
HCPCS code T1015 (Clinic visit/encounter, all-inclusive) was billed by 14K providers across 322.2M claims, totaling $49.15B in Medicaid payments from 2018–2024. This code was used for 235.4M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$121.16
Providers Billing
13K
National Spending
$49.15B
Avg/Median Ratio
1.12×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for T1015
| # | Provider | Total Paid |
|---|---|---|
| 1 | Community Health Center Inc Middletown, CT · Counselor, Addiction (Substance Use Disorder) | $511.8M |
| 2 | El Rio Santa Cruz Neighborhood Health Center, Inc Tucson, AZ · Clinic/Center, Federally Qualified Health Center (FQHC) | $357.8M |
| 3 | Mountain Park Health Center Phoenix, AZ · Clinic/Center, Federally Qualified Health Center (FQHC) | $345.4M |
| 4 | Legacy Community Health Services, Inc Houston, TX · Pediatrics | $336.7M |
| 5 | Stillaguamish Tribe Of Indians Arlington, WA · Clinic/Center Rehabilitation Substance Use Disorder | $333.8M |
| 6 | Altamed Health Services Corp. Los Angeles, CA · Clinic/Center Federally Qualified Health Center (FQHC) | $298.9M |
| 7 | Cornell Scott Hill Health Corporation New Haven, CT · Psychiatry & Neurology, Child & Adolescent Psychiatry | $269.7M |
| 8 | We Care Daily Clinics Llc Auburn, WA · Clinic/Center Methadone Clinic | $248.2M |
| 9 | Adelante Healthcare, Inc. Phoenix, AZ · Family Medicine | $244.8M |
| 10 | Sac Health System San Bernardino, CA · Clinic/Center, Community Health | $227.8M |
| 11 | Family Healthcare Network Fresno, CA · Clinic/Center Federally Qualified Health Center (FQHC) | $196.5M |
| 12 | Swinomish Health Services Anacortes, WA · Clinic/Center Rehabilitation Substance Use Disorder | $186.6M |
| 13 | County Of Santa Clara San Jose, CA · Clinic/Center Federally Qualified Health Center (FQHC) | $173.5M |
| 14 | County Of Los Angeles Los Angeles, CA · General Acute Care Hospital | $167.9M |
| 15 | Contra Costa County Pittsburg, CA · Clinic/Center Federally Qualified Health Center (FQHC) | $160.8M |
| 16 | Neighborhood Healthcare Hemet, CA · Clinic/Center, Federally Qualified Health Center (FQHC) | $146.8M |
| 17 | Erie Family Health Center, Inc Chicago, IL · Clinic/Center, Federally Qualified Health Center (FQHC) | $138.0M |
| 18 | Contra Costa County San Pablo, CA · Clinic/Center Federally Qualified Health Center (FQHC) | $135.8M |
| 19 | La Maestra Family Clinic, Inc. San Diego, CA · Clinic/Center, Federally Qualified Health Center (FQHC) | $134.4M |
| 20 | County Of Santa Clara San Jose, CA · Clinic/Center Federally Qualified Health Center (FQHC) | $123.1M |
Showing top 20 of 14K providers billing this code