T2020
Day habilitation, waiver; per diem
Day habilitation, waiver; per diem is the #111 most-billed Medicaid procedure code, with $1.81B in payments across 16.1M claims from 2018–2024. The national median cost per claim is $87.34. Costs vary widely — the 90th percentile is $321.08 per claim, 3.7× the median.
Total Paid
$1.81B
0.17% of all spending
Total Claims
16.1M
Providers
1K
Avg Cost/Claim
$113
National Cost Distribution
How much do providers bill per claim for T2020? Based on 1K providers billing this code nationally.
Median
$87.34
Average
$158.90
Std Dev
$223.30
Max
$1,874.28
Percentile Distribution (Cost per Claim)
50% of providers bill between $60.50 and $150.88 per claim for this code.
90% bill between $35.06 and $321.08.
Top 1% bill above $1,117.97.
About This Procedure
HCPCS code T2020 (Day habilitation, waiver; per diem) was billed by 1K providers across 16.1M claims, totaling $1.81B in Medicaid payments from 2018–2024. This code was used for 1.5M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$87.34
Providers Billing
1K
National Spending
$1.81B
Avg/Median Ratio
1.82×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for T2020
| # | Provider | Total Paid |
|---|---|---|
| 1 | Department Of Intellectual And Developmental Disabilities, State Of Tn Nashville, TN · Public Health or Welfare | $144.1M |
| 2 | Nv St Dv Mh Ds Desert Dev Center Las Vegas, NV · Respite Care Respite Care Intellectual and/or Developmental Disabilities Child | $53.7M |
| 3 | Department Of Intellectual And Developmental Disabilities, State Of Tn Nashville, TN · Public Health or Welfare | $53.0M |
| 4 | New Jersey Division Of Developmental Disabilities Hamilton, NJ · Day Training Developmentally Disabled Services | $41.2M |
| 5 | South Dakota Achieve Sioux Falls, SD · Clinic/Center Developmental Disabilities | $31.3M |
| 6 | Black Hills Works Inc Rapid City, SD · Day Training Developmentally Disabled Services | $23.3M |
| 7 | Rha Health Services Nc Llc Asheville, NC · Day Training Developmentally Disabled Services | $22.5M |
| 8 | Easter Seals Delaware & Marylands Eastern Shore Inc New Castle, DE · Psychologist Intellectual & Developmental Disabilities | $19.4M |
| 9 | 1912141227 | $19.3M |
| 10 | Universal Mental Health Services Inc. Lenoir, NC · Community/Behavioral Health | $17.9M |
| 11 | Dakotabilities Sioux Falls, SD · Voluntary or Charitable | $17.8M |
| 12 | Chimes Metro Inc. Newark, DE · Psychologist Intellectual & Developmental Disabilities | $17.4M |
| 13 | Abound Health, Llc Mint Hill, NC · In Home Supportive Care | $17.1M |
| 14 | 1003978297 | $16.6M |
| 15 | 1912099623 | $16.1M |
| 16 | Handicapped Development Center Davenport, IA · Day Training, Developmentally Disabled Services | $15.2M |
| 17 | Trivium Life Services Council Bluffs, IA · Day Training, Developmentally Disabled Services | $15.2M |
| 18 | Link Associates West Des Moines, IA · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities | $14.9M |
| 19 | Dac, Inc Maquoketa, IA · Community/Behavioral Health | $14.1M |
| 20 | Hope Haven Inc Rock Valley, IA · Nursing Facility/Intermediate Care Facility | $13.5M |
Showing top 20 of 1K providers billing this code