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#35 of 11K

T2023

Community transition, waiver; per service

Community transition, waiver; per service is the #35 most-billed Medicaid procedure code, with $5.21B in payments across 12.6M claims from 2018–2024. The national median cost per claim is $300.13. Costs vary widely — the 90th percentile is $722.97 per claim, 2.4× the median.

Total Paid

$5.21B

0.48% of all spending

Total Claims

12.6M

Providers

1K

Avg Cost/Claim

$414

National Cost Distribution

How much do providers bill per claim for T2023? Based on 1K providers billing this code nationally.

Median

$300.13

Average

$470.59

Std Dev

$726.71

Max

$7,242.89

Percentile Distribution (Cost per Claim)

p10
$150.76
p25
$231.92
Median
$300.13
p75
$394.68
p90
$722.97
p95
$1,137.36
p99
$4,424.80

50% of providers bill between $231.92 and $394.68 per claim for this code.

90% bill between $150.76 and $722.97.

Top 1% bill above $4,424.80.

About This Procedure

HCPCS code T2023 (Community transition, waiver; per service) was billed by 1K providers across 12.6M claims, totaling $5.21B in Medicaid payments from 2018–2024. This code was used for 11.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$300.13

Providers Billing

1K

National Spending

$5.21B

Avg/Median Ratio

1.57×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for T2023

#ProviderTotal Paid
1Tennessee Department Of Children's Services

Nashville, TN · Public Health or Welfare

$781.0M
2Department Of Disability And Aging Tennessee Early Intervention System (Teis)

Nashville, TN · Case Management

$117.9M
3Camden County Partnership For Children

Cherry Hill, NJ · Case Management

$102.6M
4State Of Alabama Dept Of Finance

Montgomery, AL · Public Health or Welfare

$98.6M
5Bergen's Promise Inc.

Hackensack, NJ · Case Management

$81.9M
6Partnership For Children Of Essex

Bloomfield, NJ · Case Management

$81.2M
7Coordinated Family Care

Edison, NJ · Case Management

$70.5M
8National Mentor Healthcare Network

Jacksonville, FL · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities

$67.9M
9Ocean Partnership For Children Inc.

Brick, NJ · Case Manager/Care Coordinator

$66.5M
101811055957$64.5M
11Circle Of Care For Families & Children Inc.

Wayne, NJ · Case Management

$60.3M
12Partners For Kids And Families Inc.

Westampton, NJ · Case Management

$58.9M
13Cape Atlantic Integrated Network For Kids

Mays Landing, NJ · Case Management

$57.8M
14Alliance Healthcare Services

Memphis, TN · Community/Behavioral Health

$56.8M
15Monmouth Cares Inc.

West Long Branch, NJ · Case Management

$56.2M
16Sunrise Community Inc.

Miami, FL · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities

$56.2M
17Capitol County Children's Collaborative

Hamilton, NJ · Exclusive Provider Organization

$55.8M
18Mental Health Cooperative Inc

Nashville, TN · Clinic/Center Mental Health (Including Community Mental Health Center)

$55.7M
19Cgs Family Partnership Inc.

Sewell, NJ · Case Management

$54.4M
20Families And Community Together

Mountainside, NJ · Case Manager/Care Coordinator

$53.2M

Showing top 20 of 1K providers billing this code