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#437 of 11K

T2014

Habilitation, prevocational, waiver, per hour

Habilitation, prevocational, waiver, per hour is the #437 most-billed Medicaid procedure code, with $229.9M in payments across 2.7M claims from 2018–2024. The national median cost per claim is $74.75. Costs vary widely — the 90th percentile is $313.81 per claim, 4.2× the median.

Total Paid

$229.9M

0.02% of all spending

Total Claims

2.7M

Providers

133

Avg Cost/Claim

$85

National Cost Distribution

How much do providers bill per claim for T2014? Based on 133 providers billing this code nationally.

Median

$74.75

Average

$145.44

Std Dev

$200.30

Max

$1,745.86

Percentile Distribution (Cost per Claim)

p10
$57.77
p25
$65.73
Median
$74.75
p75
$139.44
p90
$313.81
p95
$425.33
p99
$797.07

50% of providers bill between $65.73 and $139.44 per claim for this code.

90% bill between $57.77 and $313.81.

Top 1% bill above $797.07.

About This Procedure

HCPCS code T2014 (Habilitation, prevocational, waiver, per hour) was billed by 133 providers across 2.7M claims, totaling $229.9M in Medicaid payments from 2018–2024. This code was used for 205K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$74.75

Providers Billing

133

National Spending

$229.9M

Avg/Median Ratio

1.95×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for T2014

#ProviderTotal Paid
1Nv St Dv Mh Ds Desert Dev Center

Las Vegas, NV · Respite Care Respite Care Intellectual and/or Developmental Disabilities Child

$41.6M
2Rha Health Services Nc Llc

Asheville, NC · Day Training Developmentally Disabled Services

$12.2M
31912099623$10.3M
41184839151$9.6M
5Sierra Regional Center

Sparks, NV · Respite Care

$8.5M
61912141227$8.3M
7Universal Mental Health Services Inc.

Lenoir, NC · Community/Behavioral Health

$7.7M
8Disabilities Board Of Charleston County

Charleston, SC · Day Training Developmentally Disabled Services

$6.9M
9Abound Health, Llc

Mint Hill, NC · In Home Supportive Care

$6.7M
101598126443$5.9M
11Burton Center

Greenwood, SC · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities

$5.4M
12Orangeburg Co. Dsn Board

Orangeburg, SC · Public Health or Welfare

$5.3M
13Chimes Metro Inc.

Newark, DE · Psychologist Intellectual & Developmental Disabilities

$5.1M
141972933885$4.1M
151790820041$4.1M
16Tri-development Center Of Aiken County, Inc.

Aiken, SC · Psychologist, Adult Development & Aging

$3.6M
17Chesco Services

Chesterfield, SC · Early Intervention Provider Agency

$3.6M
181164528121$3.4M
19Florence County Disabilities And Special Needs Board

Florence, SC · Early Intervention Provider Agency

$3.4M
201982267605$3.3M

Showing top 20 of 133 providers billing this code