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#905 of 11K

T2004

Non-emergency transportation, commercial carrier, encounter trip

Non-emergency transportation, commercial carrier, encounter trip is the #905 most-billed Medicaid procedure code, with $60.4M in payments across 3.0M claims from 2018–2024. The national median cost per claim is $8.80. Costs vary widely — the 90th percentile is $108.80 per claim, 12.4× the median.

Total Paid

$60.4M

0.01% of all spending

Total Claims

3.0M

Providers

147

Avg Cost/Claim

$20

National Cost Distribution

How much do providers bill per claim for T2004? Based on 142 providers billing this code nationally.

Median

$8.80

Average

$39.75

Std Dev

$52.58

Max

$341.25

Percentile Distribution (Cost per Claim)

p10
$5.00
p25
$6.84
Median
$8.80
p75
$66.00
p90
$108.80
p95
$128.62
p99
$202.29

50% of providers bill between $6.84 and $66.00 per claim for this code.

90% bill between $5.00 and $108.80.

Top 1% bill above $202.29.

About This Procedure

HCPCS code T2004 (Non-emergency transportation, commercial carrier, encounter trip) was billed by 147 providers across 3.0M claims, totaling $60.4M in Medicaid payments from 2018–2024. This code was used for 682K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.80

Providers Billing

142

National Spending

$60.4M

Avg/Median Ratio

4.52×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for T2004

#ProviderTotal Paid
1Call The Car

Pasadena, CA · Non-emergency Medical Transport (VAN)

$30.8M
2American Logistics Llc.

St. George, UT · Transportation Broker

$7.8M
3Medical Transportation Management Inc.

Lake St Louis, MO · Transportation Broker

$5.0M
41023146115$2.9M
5Developmental Disabilities Center

Lafayette, CO · Day Training Developmentally Disabled Services

$1.9M
6Rocky Mountain Human Services

Denver, CO · Respite Care

$1.2M
71962740241$956K
8Community Care Health Plan, Inc

Brookfield, WI · PACE Provider Organization

$872K
9North Metro Community Services Inc.

Westminster, CO · Day Training Developmentally Disabled Services

$800K
101144362922$645K
11Chimes Metro Inc.

Newark, DE · Psychologist Intellectual & Developmental Disabilities

$563K
12Guardiantrac. Llc

Sturgis, MI · Community/Behavioral Health

$511K
131245457035$442K
141437289097$393K
15Easter Seals Delaware & Marylands Eastern Shore Inc

New Castle, DE · Psychologist Intellectual & Developmental Disabilities

$376K
16Modivcare Solutions, Llc

Denver, CO · Transportation Broker

$326K
171831544410$326K
181356705321$324K
191083730899$212K
201639397334$192K

Showing top 20 of 147 providers billing this code