#2814 of 11K

T2013TF

HCPCS Procedure Code

HCPCS code T2013TF is the #2,814 most-billed Medicaid procedure code, with $3.5M in payments across 20K claims from 2018–2024. The national median cost per claim is $168.77.

Total Paid

$3.5M

0.00% of all spending

Total Claims

20K

Providers

Avg Cost/Claim

$172

National Cost Distribution

How much do providers bill per claim for T2013TF? Based on 45 providers billing this code nationally.

Median

$168.77

Average

$166.26

Std Dev

$25.25

Max

$212.68

Percentile Distribution (Cost per Claim)

p10

$136.58

p25

$149.71

Median

$168.77

p75

$183.28

p90

$196.16

p95

$202.16

p99

$212.01

50% of providers bill between $149.71 and $183.28 per claim for this code.

90% bill between $136.58 and $196.16.

Top 1% bill above $212.01.

About This Procedure

HCPCS code T2013TF was billed by 45 providers across 20K claims, totaling $3.5M in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$168.77

Providers Billing

National Spending

$3.5M

Avg/Median Ratio

0.99×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for T2013TF

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Guardiantrac. Llc Sturgis, MI · Community/Behavioral Health	$1.2M	$181.21	1.1× median	Above Median
2	1346399870	$225K	$190.92	1.1× median	Above 75th
3	1619025905	$202K	$183.28	1.1× median	Above Median
4	1073881900	$112K	$167.42	1.0× median	Below Median
5	Acumen Fiscal Agent Llc Mesa, AZ · Community/Behavioral Health	$111K	$154.84	0.9× median	Below Median
6	Lindley Habilitation Services Inc Greensboro, NC · Community/Behavioral Health	$111K	$179.88	1.1× median	Above Median
7	1922298942	$107K	$148.41	0.9× median	Below Median
8	1821100942	$95K	$189.88	1.1× median	Above 75th
9	1063798031	$95K	$156.60	0.9× median	Below Median
10	1922125244	$91K	$152.68	0.9× median	Below Median
11	1356480602	$89K	$136.67	0.8× median	Below Median
12	Abound Health, Llc Mint Hill, NC · In Home Supportive Care	$84K	$131.53	0.8× median	Below Median
13	Universal Mental Health Services Inc. Lenoir, NC · Community/Behavioral Health	$72K	$164.20	1.0× median	Below Median
14	1760543094	$71K	$177.13	1.0× median	Above Median
15	1598844565	$60K	$211.15	1.3× median	Top 10%
16	1235249285	$57K	$212.68	1.3× median	Top 1%
17	1790027316	$52K	$167.42	1.0× median	Below Median
18	1891896270	$45K	$187.79	1.1× median	Above 75th
19	Homecare Management Corporation Spindale, NC · Community/Behavioral Health	$45K	$184.98	1.1× median	Above 75th
20	1437284494	$44K	$170.90	1.0× median	Above Median

Showing top 20 of 45 providers billing this code

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