T2019
Habilitation, prevocational, waiver; per 15 min
Habilitation, prevocational, waiver; per 15 min is the #245 most-billed Medicaid procedure code, with $588.2M in payments across 5.3M claims from 2018–2024. The national median cost per claim is $88.91. Costs vary widely — the 90th percentile is $428.53 per claim, 4.8× the median.
Total Paid
$588.2M
0.05% of all spending
Total Claims
5.3M
Providers
607
Avg Cost/Claim
$112
National Cost Distribution
How much do providers bill per claim for T2019? Based on 600 providers billing this code nationally.
Median
$88.91
Average
$180.74
Std Dev
$279.61
Max
$2,559.43
Percentile Distribution (Cost per Claim)
50% of providers bill between $53.33 and $170.93 per claim for this code.
90% bill between $32.96 and $428.53.
Top 1% bill above $1,380.92.
About This Procedure
HCPCS code T2019 (Habilitation, prevocational, waiver; per 15 min) was billed by 607 providers across 5.3M claims, totaling $588.2M in Medicaid payments from 2018–2024. This code was used for 688K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$88.91
Providers Billing
600
National Spending
$588.2M
Avg/Median Ratio
2.03×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for T2019
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1851762223 | $25.1M |
| 2 | Guardiantrac. Llc Sturgis, MI · Community/Behavioral Health | $23.2M |
| 3 | 1649577453 | $17.6M |
| 4 | Department Of Intellectual And Developmental Disabilities, State Of Tn Nashville, TN · Public Health or Welfare | $16.8M |
| 5 | Marc Community Resources, Inc Mesa, AZ · Preferred Provider Organization | $12.3M |
| 6 | 1235738824 | $10.3M |
| 7 | 1518315613 | $9.8M |
| 8 | 1184109308 | $9.4M |
| 9 | 1982053518 | $9.0M |
| 10 | 1558410688 | $8.6M |
| 11 | 1437289097 | $7.8M |
| 12 | Commonwealth Of Massachusetts-dds New Bedford, MA · Case Management | $7.4M |
| 13 | Bancroft A New Jersey Nonprofit Corporation Cherry Hill, NJ · Clinic/Center Rehabilitation | $6.8M |
| 14 | Department Of Developmental Services Holyoke, MA · Case Management | $6.3M |
| 15 | Alabama Department Of Mental Health And Mental Retardation Montgomery, AL · Community/Behavioral Health | $6.1M |
| 16 | 1508154790 | $5.8M |
| 17 | Easter Seals Blake Foundation Tucson, AZ · Case Management | $5.7M |
| 18 | 1558868653 | $5.7M |
| 19 | The Tungland Company, Llc Phoenix, AZ · Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $5.6M |
| 20 | 1215051388 | $5.6M |
Showing top 20 of 607 providers billing this code