T2031
Waiver services, not otherwise specified
Waiver services, not otherwise specified is the #42 most-billed Medicaid procedure code, with $4.65B in payments across 14.3M claims from 2018–2024. The national median cost per claim is $853.15. Costs vary widely — the 90th percentile is $2,456.84 per claim, 2.9× the median.
Total Paid
$4.65B
0.43% of all spending
Total Claims
14.3M
Providers
2K
Avg Cost/Claim
$326
National Cost Distribution
How much do providers bill per claim for T2031? Based on 2K providers billing this code nationally.
Median
$853.15
Average
$1,092.21
Std Dev
$978.07
Max
$8,436.35
Percentile Distribution (Cost per Claim)
50% of providers bill between $234.94 and $1,648.27 per claim for this code.
90% bill between $107.63 and $2,456.84.
Top 1% bill above $3,857.00.
About This Procedure
HCPCS code T2031 (Waiver services, not otherwise specified) was billed by 2K providers across 14.3M claims, totaling $4.65B in Medicaid payments from 2018–2024. This code was used for 1.8M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$853.15
Providers Billing
2K
National Spending
$4.65B
Avg/Median Ratio
1.28×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for T2031
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1134773047 | $40.4M |
| 2 | 1649669193 | $39.1M |
| 3 | 1093254435 | $31.8M |
| 4 | 1881767069 | $30.3M |
| 5 | 1932370343 | $29.6M |
| 6 | 1578075750 | $26.2M |
| 7 | 1790819423 | $26.1M |
| 8 | 1295139632 | $24.9M |
| 9 | 1952738445 | $23.3M |
| 10 | 1114101102 | $22.0M |
| 11 | 1215211305 | $21.6M |
| 12 | 1407266836 | $21.4M |
| 13 | 1851803431 | $21.1M |
| 14 | 1134487556 | $21.0M |
| 15 | 1154592467 | $20.6M |
| 16 | 1003952037 | $20.4M |
| 17 | 1306433644 | $20.2M |
| 18 | 1265945885 | $20.1M |
| 19 | 1134268030 | $19.0M |
| 20 | 1326436270 | $18.9M |
Showing top 20 of 2K providers billing this code