Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#590 of 11K

T2034

Crisis intervention, per 15 min

Crisis intervention, per 15 min is the #590 most-billed Medicaid procedure code, with $137.0M in payments across 1.0M claims from 2018–2024. The national median cost per claim is $254.45. Costs vary widely — the 90th percentile is $862.19 per claim, 3.4× the median.

Total Paid

$137.0M

0.01% of all spending

Total Claims

1.0M

Providers

241

Avg Cost/Claim

$131

National Cost Distribution

How much do providers bill per claim for T2034? Based on 73 providers billing this code nationally.

Median

$254.45

Average

$643.41

Std Dev

$1,267.32

Max

$9,160.95

Percentile Distribution (Cost per Claim)

p10
$42.66
p25
$58.25
Median
$254.45
p75
$857.42
p90
$862.19
p95
$2,124.96
p99
$6,461.60

50% of providers bill between $58.25 and $857.42 per claim for this code.

90% bill between $42.66 and $862.19.

Top 1% bill above $6,461.60.

About This Procedure

HCPCS code T2034 (Crisis intervention, per 15 min) was billed by 241 providers across 1.0M claims, totaling $137.0M in Medicaid payments from 2018–2024. This code was used for 140K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$254.45

Providers Billing

73

National Spending

$137.0M

Avg/Median Ratio

2.53×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for T2034

#ProviderTotal Paid
1Hammer Residences, Inc.

Wayzata, MN · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

$19.8M
21053696195$8.2M
31609983790$7.4M
41700203726$6.8M
51942217054$6.0M
61780619064$5.8M
71295870699$5.5M
81225133473$4.6M
9Beacon Specialized Living Minnesota Inc.

Mendota Heights, MN · Clinic/Center Adult Day Care

$4.5M
101225254881$3.9M
111528208923$3.5M
12Jersey City Medical Center

Jersey City, NJ · General Acute Care Hospital

$3.5M
131962054791$3.3M
141083037139$3.0M
151275583726$2.9M
161447337134$2.8M
17M857615100$2.8M
181982978425$2.7M
19Options Residential, Inc

Rosemount, MN · Foster Care Agency

$2.5M
20M692417100$2.2M

Showing top 20 of 241 providers billing this code