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#176 of 11K

T2048

Behavioral health; long-term residential, per diem

Behavioral health; long-term residential, per diem is the #176 most-billed Medicaid procedure code, with $958.7M in payments across 969K claims from 2018–2024. The national median cost per claim is $1,437.23. Costs vary widely — the 90th percentile is $8,124.85 per claim, 5.7× the median.

Total Paid

$958.7M

0.09% of all spending

Total Claims

969K

Providers

144

Avg Cost/Claim

$990

National Cost Distribution

How much do providers bill per claim for T2048? Based on 136 providers billing this code nationally.

Median

$1,437.23

Average

$3,198.90

Std Dev

$3,749.86

Max

$16,369.74

Percentile Distribution (Cost per Claim)

p10
$230.39
p25
$384.99
Median
$1,437.23
p75
$5,699.51
p90
$8,124.85
p95
$9,626.28
p99
$15,694.38

50% of providers bill between $384.99 and $5,699.51 per claim for this code.

90% bill between $230.39 and $8,124.85.

Top 1% bill above $15,694.38.

About This Procedure

HCPCS code T2048 (Behavioral health; long-term residential, per diem) was billed by 144 providers across 969K claims, totaling $958.7M in Medicaid payments from 2018–2024. This code was used for 113K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,437.23

Providers Billing

136

National Spending

$958.7M

Avg/Median Ratio

2.23×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for T2048

#ProviderTotal Paid
1Youth Villages Inc.

Bartlett, TN · Community/Behavioral Health

$183.2M
2Childrens Home Society Of South Dakota

Sioux Falls, SD · Residential Treatment Facility Emotionally Disturbed Children

$62.7M
31528183381$46.0M
41558319863$36.5M
51013058718$35.3M
61790013241$31.3M
71245304096$28.5M
81053526673$28.1M
91275580003$27.3M
101003942095$26.6M
111225042542$25.3M
121487187704$20.5M
131356527402$16.9M
141366628414$15.7M
151275508558$15.3M
161801822440$14.5M
171063574499$14.1M
181649243759$14.0M
19Wayne Halfway House Inc.

Waynesboro, TN · Psychiatric Residential Treatment Facility

$13.6M
201982774246$13.5M

Showing top 20 of 144 providers billing this code