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#401 of 11K

H0001

Alcohol and/or drug assessment

Alcohol and/or drug assessment is the #401 most-billed Medicaid procedure code, with $267.9M in payments across 3.3M claims from 2018–2024. The national median cost per claim is $94.22. Costs vary widely — the 90th percentile is $193.04 per claim, 2.0× the median.

Total Paid

$267.9M

0.02% of all spending

Total Claims

3.3M

Providers

3K

Avg Cost/Claim

$82

National Cost Distribution

How much do providers bill per claim for H0001? Based on 3K providers billing this code nationally.

Median

$94.22

Average

$100.72

Std Dev

$90.59

Max

$1,117.99

Percentile Distribution (Cost per Claim)

p10
$1.62
p25
$29.08
Median
$94.22
p75
$154.77
p90
$193.04
p95
$217.69
p99
$421.79

50% of providers bill between $29.08 and $154.77 per claim for this code.

90% bill between $1.62 and $193.04.

Top 1% bill above $421.79.

About This Procedure

HCPCS code H0001 (Alcohol and/or drug assessment) was billed by 3K providers across 3.3M claims, totaling $267.9M in Medicaid payments from 2018–2024. This code was used for 2.9M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$94.22

Providers Billing

3K

National Spending

$267.9M

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for H0001

#ProviderTotal Paid
1State Of Missouri

Jefferson City, MO · Counselor, Addiction (Substance Use Disorder)

$9.9M
2Ideal Option, Pllc

Pasco, WA · Preventive Medicine, Addiction Medicine

$6.5M
31043387152$4.9M
41245765734$4.3M
5Los Angeles County Department Of Public Health

Alhambra, CA · Public Health or Welfare

$4.0M
61013343474$3.4M
71689891178$3.1M
81902934565$2.7M
91720154081$2.6M
101699827345$2.5M
11Multicare Health System

Puyallup, WA · Community/Behavioral Health

$2.1M
12Nu-way House Inc

Minneapolis, MN · Substance Abuse Rehabilitation Facility

$1.9M
131801258736$1.8M
141568525418$1.5M
151619196524$1.5M
161437213865$1.4M
171194254219$1.4M
181083102511$1.4M
191417553454$1.3M
201215528161$1.2M

Showing top 20 of 3K providers billing this code