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#175 of 11K

T1027

Family training and counseling, per 15 minutes

Family training and counseling, per 15 minutes is the #175 most-billed Medicaid procedure code, with $960.7M in payments across 10.4M claims from 2018–2024. The national median cost per claim is $53.00. Costs vary widely — the 90th percentile is $109.05 per claim, 2.1× the median.

Total Paid

$960.7M

0.09% of all spending

Total Claims

10.4M

Providers

2K

Avg Cost/Claim

$92

National Cost Distribution

How much do providers bill per claim for T1027? Based on 2K providers billing this code nationally.

Median

$53.00

Average

$63.77

Std Dev

$71.26

Max

$2,522.34

Percentile Distribution (Cost per Claim)

p10
$27.99
p25
$45.74
Median
$53.00
p75
$76.72
p90
$109.05
p95
$121.74
p99
$166.10

50% of providers bill between $45.74 and $76.72 per claim for this code.

90% bill between $27.99 and $109.05.

Top 1% bill above $166.10.

About This Procedure

HCPCS code T1027 (Family training and counseling, per 15 minutes) was billed by 2K providers across 10.4M claims, totaling $960.7M in Medicaid payments from 2018–2024. This code was used for 3.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$53.00

Providers Billing

2K

National Spending

$960.7M

Avg/Median Ratio

1.20×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for T1027

#ProviderTotal Paid
11326594896$43.6M
21487776217$30.9M
3Justice Resource Institute Inc

Acton, MA · Clinic/Center Mental Health (Including Community Mental Health Center)

$29.5M
4Amplified Therapy Inc

Cliff, NM · Early Intervention Provider Agency

$29.4M
51700130549$27.6M
6Child & Family Services Inc.

New Bedford, MA · Counselor Mental Health

$25.2M
71811021090$18.4M
81609979137$15.2M
91528292067$15.1M
101023096864$15.1M
111417965252$12.0M
121598820425$11.6M
131346293156$11.3M
14Gandara Mental Health Center Inc

Springfield, MA · Counselor Mental Health

$11.2M
15Sb Transitional Sub Llc

Brockton, MA · Clinic/Center Mental Health (Including Community Mental Health Center)

$11.1M
161871673848$10.8M
171538206198$10.4M
181497802953$10.3M
191982748646$9.6M
20Behavioral Health Network Inc

Springfield, MA · Clinic/Center Mental Health (Including Community Mental Health Center)

$8.9M

Showing top 20 of 2K providers billing this code