T2026
Specialized transportation, waiver, per trip
Specialized transportation, waiver, per trip is the #198 most-billed Medicaid procedure code, with $818.6M in payments across 4.6M claims from 2018–2024. The national median cost per claim is $170.05. Costs vary widely — the 90th percentile is $948.05 per claim, 5.6× the median.
Total Paid
$818.6M
0.07% of all spending
Total Claims
4.6M
Providers
50
Avg Cost/Claim
$177
National Cost Distribution
How much do providers bill per claim for T2026? Based on 49 providers billing this code nationally.
Median
$170.05
Average
$352.24
Std Dev
$372.36
Max
$1,526.57
Percentile Distribution (Cost per Claim)
50% of providers bill between $144.88 and $379.82 per claim for this code.
90% bill between $130.26 and $948.05.
Top 1% bill above $1,460.46.
About This Procedure
HCPCS code T2026 (Specialized transportation, waiver, per trip) was billed by 50 providers across 4.6M claims, totaling $818.6M in Medicaid payments from 2018–2024. This code was used for 242K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$170.05
Providers Billing
49
National Spending
$818.6M
Avg/Median Ratio
2.07×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for T2026
| # | Provider | Total Paid |
|---|---|---|
| 1 | Disability Services Of The Southwest, Inc San Antonio, TX · Day Training, Developmentally Disabled Services | $173.7M |
| 2 | Caregivers Home Health Tx Inc Richardson, TX · Nursing Care | $163.5M |
| 3 | Astrocare Class, Inc. Houston, TX · Home Health | $64.5M |
| 4 | Texas Visiting Nurse Service, Ltd. Harlingen, TX · Emergency Response System Companies | $44.0M |
| 5 | 1346579265 | $38.6M |
| 6 | First Primary Home Care, Inc Harlingen, TX · Hospice Care, Community Based | $36.8M |
| 7 | 1336454461 | $31.7M |
| 8 | 1568591725 | $18.0M |
| 9 | 1730587064 | $17.7M |
| 10 | 1093172520 | $17.5M |
| 11 | 1710178090 | $13.9M |
| 12 | 1366522096 | $13.7M |
| 13 | 1194052670 | $12.7M |
| 14 | 1447692587 | $12.4M |
| 15 | 1518144633 | $10.8M |
| 16 | 1083866321 | $10.7M |
| 17 | 1689821860 | $10.7M |
| 18 | 1295876829 | $9.3M |
| 19 | 1538127022 | $8.3M |
| 20 | 1710353131 | $8.0M |
Showing top 20 of 50 providers billing this code