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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | State Of Missouri Jefferson City, MO · Counselor, Addiction (Substance Use Disorder) | $9.9M |
| 2 | Ideal Option, Pllc Pasco, WA · Preventive Medicine, Addiction Medicine | $6.5M |
| 3 | 1043387152 | $4.9M |
| 4 | 1245765734 | $4.3M |
| 5 | Los Angeles County Department Of Public Health Alhambra, CA · Public Health or Welfare | $4.0M |
| 6 | 1013343474 | $3.4M |
| 7 | 1689891178 | $3.1M |
| 8 | 1902934565 | $2.7M |
| 9 | 1720154081 | $2.6M |
| 10 | 1699827345 | $2.5M |
| 11 | Multicare Health System Puyallup, WA · Community/Behavioral Health | $2.1M |
| 12 | Nu-way House Inc Minneapolis, MN · Substance Abuse Rehabilitation Facility | $1.9M |
| 13 | 1801258736 | $1.8M |
| 14 | 1568525418 | $1.5M |
| 15 | 1619196524 | $1.5M |
| 16 | 1437213865 | $1.4M |
| 17 | 1194254219 | $1.4M |
| 18 | 1083102511 | $1.4M |
| 19 | 1417553454 | $1.3M |
| 20 | 1215528161 | $1.2M |
Showing top 20 of 3K providers billing this code