H0013
HCPCS Procedure Code
HCPCS code H0013 is the #534 most-billed Medicaid procedure code, with $160.6M in payments across 351K claims from 2018–2024. The national median cost per claim is $397.82. Costs vary widely — the 90th percentile is $1,098.67 per claim, 2.8× the median.
Total Paid
$160.6M
0.01% of all spending
Total Claims
351K
Providers
68
Avg Cost/Claim
$457
National Cost Distribution
How much do providers bill per claim for H0013? Based on 68 providers billing this code nationally.
Median
$397.82
Average
$610.30
Std Dev
$405.60
Max
$1,879.99
Percentile Distribution (Cost per Claim)
50% of providers bill between $356.84 and $888.31 per claim for this code.
90% bill between $277.74 and $1,098.67.
Top 1% bill above $1,831.10.
About This Procedure
HCPCS code H0013 was billed by 68 providers across 351K claims, totaling $160.6M in Medicaid payments from 2018–2024. This code was used for 112K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$397.82
Providers Billing
68
National Spending
$160.6M
Avg/Median Ratio
1.53×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for H0013
| # | Provider | Total Paid |
|---|---|---|
| 1 | Pyramid Health Care Inc. Wilkinsburg, PA · Substance Abuse Rehabilitation Facility | $22.8M |
| 2 | White Deer Run Llc Allenwood, PA · Community/Behavioral Health | $17.0M |
| 3 | Malvern Institute For Psychiatric And Alcoholic Studies Inc. Malvern, PA · Special Hospital | $13.6M |
| 4 | 1053317644 | $10.8M |
| 5 | 1881756377 | $6.7M |
| 6 | 1609997154 | $6.0M |
| 7 | 1972082634 | $5.0M |
| 8 | 1477615656 | $4.7M |
| 9 | 1841263407 | $4.4M |
| 10 | Corecare Behavioral Health Management Inc. Philadelphia, PA · Substance Abuse Rehabilitation Facility | $4.1M |
| 11 | 1275987240 | $3.7M |
| 12 | 1780218594 | $3.5M |
| 13 | 1992996730 | $3.4M |
| 14 | 1124450069 | $3.4M |
| 15 | 1699975961 | $3.3M |
| 16 | 1811011513 | $3.1M |
| 17 | 1790761922 | $3.1M |
| 18 | 1265891477 | $3.0M |
| 19 | 1215902168 | $2.6M |
| 20 | 1609250976 | $2.3M |
Showing top 20 of 68 providers billing this code