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#32 of 11K

T1040

Medicaid certified CCBHC services

Medicaid certified CCBHC services is the #32 most-billed Medicaid procedure code, with $5.78B in payments across 30.1M claims from 2018–2024. The national median cost per claim is $130.29.

Total Paid

$5.78B

0.53% of all spending

Total Claims

30.1M

Providers

549

Avg Cost/Claim

$192

National Cost Distribution

How much do providers bill per claim for T1040? Based on 537 providers billing this code nationally.

Median

$130.29

Average

$140.19

Std Dev

$86.16

Max

$367.53

Percentile Distribution (Cost per Claim)

p10
$50.87
p25
$68.61
Median
$130.29
p75
$233.90
p90
$241.83
p95
$268.29
p99
$322.35

50% of providers bill between $68.61 and $233.90 per claim for this code.

90% bill between $50.87 and $241.83.

Top 1% bill above $322.35.

About This Procedure

HCPCS code T1040 (Medicaid certified CCBHC services) was billed by 549 providers across 30.1M claims, totaling $5.78B in Medicaid payments from 2018–2024. This code was used for 9.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$130.29

Providers Billing

537

National Spending

$5.78B

Avg/Median Ratio

1.08×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for T1040

#ProviderTotal Paid
1Compass Health Inc.

Clinton, MO · Community/Behavioral Health

$1.27B
2Burrell Inc.

Springfield, MO · Community/Behavioral Health

$752.0M
3Family Counseling Center, Inc

Kennett, MO · Community/Behavioral Health

$283.7M
4Rediscover

Lees Summit, MO · Community/Behavioral Health

$213.1M
5Ozark Center

Joplin, MO · Community/Behavioral Health

$164.5M
6Bjc Behavioral Health

Saint Louis, MO · Community/Behavioral Health

$155.1M
7Mark Twain Association For Mental Health, Inc

Hannibal, MO · Community/Behavioral Health

$152.6M
8Bestself Behavioral Health, Inc.

Buffalo, NY · Social Worker

$150.5M
9Swope Health Services

Kansas City, MO · Community/Behavioral Health

$134.6M
10Preferred Family Healthcare

Kirksville, MO · Community/Behavioral Health

$133.8M
11Places For People Inc

Saint Louis, MO · Community/Behavioral Health

$123.9M
12Bikur Cholim Inc.

Airmont, NY · Community/Behavioral Health

$94.4M
13Community Counseling Center

Cape Girardeau, MO · Clinic/Center, Mental Health (Including Community Mental Health Center)

$91.1M
14Helio Health Inc.

Syracuse, NY · Substance Abuse Rehabilitation Facility

$90.5M
15Cns Healthcare

Novi, MI · Psychiatry & Neurology Psychiatry

$87.5M
161487601837$85.4M
17Macomb County Community Mental Health

Clinton Twp, MI · Clinic/Center Mental Health (Including Community Mental Health Center)

$79.1M
181003359977$75.8M
191497297626$68.6M
20Southeast Kansas Mental Health Center

Humboldt, KS · Pediatrics

$66.2M

Showing top 20 of 549 providers billing this code