H0011
Alcohol and/or drug services, acute detoxification, per diem
Alcohol and/or drug services, acute detoxification, per diem is the #150 most-billed Medicaid procedure code, with $1.23B in payments across 3.7M claims from 2018–2024. The national median cost per claim is $317.54. Costs vary widely — the 90th percentile is $947.74 per claim, 3.0× the median.
Total Paid
$1.23B
0.11% of all spending
Total Claims
3.7M
Providers
277
Avg Cost/Claim
$331
National Cost Distribution
How much do providers bill per claim for H0011? Based on 259 providers billing this code nationally.
Median
$317.54
Average
$483.77
Std Dev
$576.67
Max
$3,179.69
Percentile Distribution (Cost per Claim)
50% of providers bill between $213.23 and $411.52 per claim for this code.
90% bill between $135.31 and $947.74.
Top 1% bill above $2,977.64.
About This Procedure
HCPCS code H0011 (Alcohol and/or drug services, acute detoxification, per diem) was billed by 277 providers across 3.7M claims, totaling $1.23B in Medicaid payments from 2018–2024. This code was used for 584K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$317.54
Providers Billing
259
National Spending
$1.23B
Avg/Median Ratio
1.52×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for H0011
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1396086559 | $56.7M |
| 2 | Addiction Recovery Care Llc Louisa, KY · Community Based Residential Treatment Facility, Mental Illness | $55.9M |
| 3 | 1922497130 | $45.9M |
| 4 | 1881065712 | $37.0M |
| 5 | 1083844401 | $30.9M |
| 6 | 1922368166 | $30.7M |
| 7 | 1700290301 | $29.6M |
| 8 | Northeast Behavioral Health Corporation Beverly, MA · Clinic/Center Mental Health (Including Community Mental Health Center) | $29.0M |
| 9 | 1881063287 | $25.2M |
| 10 | 1508235904 | $25.1M |
| 11 | Scioto County Counseling Center, Inc Portsmouth, OH · Counselor, Addiction (Substance Use Disorder) | $24.4M |
| 12 | 1710463435 | $22.4M |
| 13 | Seven Counties Services, Inc. Louisville, KY · Counselor | $21.3M |
| 14 | 1528466877 | $19.6M |
| 15 | 1649631086 | $17.6M |
| 16 | 1801296314 | $17.6M |
| 17 | 1194179150 | $17.5M |
| 18 | 1033608195 | $17.1M |
| 19 | 1669401816 | $16.9M |
| 20 | 1982197182 | $16.6M |
Showing top 20 of 277 providers billing this code