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#275 of 11K

T1024

Evaluation & treatment, integrated specialty team

Evaluation & treatment, integrated specialty team is the #275 most-billed Medicaid procedure code, with $509.2M in payments across 2.2M claims from 2018–2024. The national median cost per claim is $119.08. Costs vary widely — the 90th percentile is $342.31 per claim, 2.9× the median.

Total Paid

$509.2M

0.05% of all spending

Total Claims

2.2M

Providers

478

Avg Cost/Claim

$231

National Cost Distribution

How much do providers bill per claim for T1024? Based on 464 providers billing this code nationally.

Median

$119.08

Average

$167.67

Std Dev

$166.16

Max

$1,305.47

Percentile Distribution (Cost per Claim)

p10
$23.16
p25
$79.12
Median
$119.08
p75
$217.16
p90
$342.31
p95
$469.21
p99
$759.90

50% of providers bill between $79.12 and $217.16 per claim for this code.

90% bill between $23.16 and $342.31.

Top 1% bill above $759.90.

About This Procedure

HCPCS code T1024 (Evaluation & treatment, integrated specialty team) was billed by 478 providers across 2.2M claims, totaling $509.2M in Medicaid payments from 2018–2024. This code was used for 896K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$119.08

Providers Billing

464

National Spending

$509.2M

Avg/Median Ratio

1.41×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for T1024

#ProviderTotal Paid
1Douglas A. Thom Clinic, Inc.

Lowell, MA · Clinic/Center, Developmental Disabilities

$27.8M
21346344454$18.4M
3Childserve Community Options Inc.

Johnston, IA · Respite Care Respite Care Intellectual and/or Developmental Disabilities Child

$17.2M
41124292529$16.7M
51881722437$15.2M
6Hba Management Inc

Marlton, NJ · Clinic/Center Medically Fragile Infants and Children Day Care

$12.0M
71235679929$11.9M
81750487245$11.4M
9Forkidcare Llc

Voorhees, NJ · Clinic/Center Medically Fragile Infants and Children Day Care

$9.4M
10Moore Center Services Inc.

Manchester, NH · Early Intervention Provider Agency

$8.5M
111427175678$8.2M
12Manchester Pediatric Medical Day Care

Manchester, NJ · Clinic/Center Medically Fragile Infants and Children Day Care

$8.0M
13Rainbow Children's Medical Day Care Llc

Mercerville, NJ · Clinic/Center Medically Fragile Infants and Children Day Care

$7.9M
14Applied Behavioral Interventions Psychology Pt Ot Slp Lmsw Pllc.

Brooklyn, NY · Behavior Analyst

$7.6M
151952452914$7.5M
16Hba Management Inc

Marlton, NJ · Clinic/Center Medically Fragile Infants and Children Day Care

$7.3M
17Sb Transitional Sub, Llc

Brockton, MA · Early Intervention Provider Agency

$7.3M
181922174226$7.1M
191033294558$6.8M
201275743916$6.8M

Showing top 20 of 478 providers billing this code