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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Tennessee Department Of Children's Services Nashville, TN · Public Health or Welfare | $781.0M |
| 2 | Department Of Disability And Aging Tennessee Early Intervention System (Teis) Nashville, TN · Case Management | $117.9M |
| 3 | Camden County Partnership For Children Cherry Hill, NJ · Case Management | $102.6M |
| 4 | State Of Alabama Dept Of Finance Montgomery, AL · Public Health or Welfare | $98.6M |
| 5 | Bergen's Promise Inc. Hackensack, NJ · Case Management | $81.9M |
| 6 | Partnership For Children Of Essex Bloomfield, NJ · Case Management | $81.2M |
| 7 | Coordinated Family Care Edison, NJ · Case Management | $70.5M |
| 8 | National Mentor Healthcare Network Jacksonville, FL · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities | $67.9M |
| 9 | Ocean Partnership For Children Inc. Brick, NJ · Case Manager/Care Coordinator | $66.5M |
| 10 | 1811055957 | $64.5M |
| 11 | Circle Of Care For Families & Children Inc. Wayne, NJ · Case Management | $60.3M |
| 12 | Partners For Kids And Families Inc. Westampton, NJ · Case Management | $58.9M |
| 13 | Cape Atlantic Integrated Network For Kids Mays Landing, NJ · Case Management | $57.8M |
| 14 | Alliance Healthcare Services Memphis, TN · Community/Behavioral Health | $56.8M |
| 15 | Monmouth Cares Inc. West Long Branch, NJ · Case Management | $56.2M |
| 16 | Sunrise Community Inc. Miami, FL · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities | $56.2M |
| 17 | Capitol County Children's Collaborative Hamilton, NJ · Exclusive Provider Organization | $55.8M |
| 18 | Mental Health Cooperative Inc Nashville, TN · Clinic/Center Mental Health (Including Community Mental Health Center) | $55.7M |
| 19 | Cgs Family Partnership Inc. Sewell, NJ · Case Management | $54.4M |
| 20 | Families And Community Together Mountainside, NJ · Case Manager/Care Coordinator | $53.2M |
Showing top 20 of 1K providers billing this code