#541 of 11K

H0017

HCPCS Procedure Code

HCPCS code H0017 is the #541 most-billed Medicaid procedure code, with $157.0M in payments across 133K claims from 2018–2024. The national median cost per claim is $470.95. Costs vary widely — the 90th percentile is $4,583.01 per claim, 9.7× the median.

Total Paid

$157.0M

0.01% of all spending

Total Claims

133K

Providers

Avg Cost/Claim

$1K

National Cost Distribution

How much do providers bill per claim for H0017? Based on 38 providers billing this code nationally.

Median

$470.95

Average

$1,382.48

Std Dev

$2,193.53

Max

$9,515.28

Percentile Distribution (Cost per Claim)

p10

$84.31

p25

$266.48

Median

$470.95

p75

$1,219.58

p90

$4,583.01

p95

$5,975.13

p99

$8,940.06

50% of providers bill between $266.48 and $1,219.58 per claim for this code.

90% bill between $84.31 and $4,583.01.

Top 1% bill above $8,940.06.

About This Procedure

HCPCS code H0017 was billed by 46 providers across 133K claims, totaling $157.0M in Medicaid payments from 2018–2024. This code was used for 23K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$470.95

Providers Billing

National Spending

$157.0M

Avg/Median Ratio

2.94×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for H0017

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Trillium Family Services Inc. Portland, OR · Residential Treatment Facility Emotionally Disturbed Children	$72.9M	$1,844.57	3.9× median	Above 75th
2	1396946505	$27.4M	$4,421.25	9.4× median	Above 75th
3	Health Solutions Pueblo, CO · Clinic/Center Mental Health (Including Community Mental Health Center)	$10.3M	$969.97	2.1× median	Above Median
4	1073648374	$8.9M	$7,960.62	16.9× median	Top 10%
5	North Range Behavioral Health Greeley, CO · Clinic/Center Mental Health (Including Community Mental Health Center)	$5.1M	$520.23	1.1× median	Above Median
6	1447265160	$4.8M	$1,007.75	2.1× median	Above Median
7	1376292029	$4.0M	$502.86	1.1× median	Above Median
8	1104281872	$3.5M	$342.51	0.7× median	Below Median
9	1972668853	$3.1M	$656.49	1.4× median	Above Median
10	1932192598	$3.0M	$867.75	1.8× median	Above Median
11	1609365238	$2.8M	$9,515.28	20.2× median	Top 1%
12	1437634888	$2.6M	$5,624.75	11.9× median	Top 10%
13	1780433151	$1.2M	$1,604.95	3.4× median	Above 75th
14	1366507790	$799K	$272.13	0.6× median	Below Median
15	1437764297	$754K	$89.01	0.2× median	Below Median
16	1417295783	$702K	$1,151.22	2.4× median	Above Median
17	Diversus Health Inc Colorado Springs, CO · Clinic/Center Mental Health (Including Community Mental Health Center)	$698K	$775.46	1.6× median	Above Median
18	1619412046	$660K	$369.70	0.8× median	Below Median
19	1467509141	$629K	$233.07	0.5× median	Below Median
20	1295595882	$545K	$1,242.37	2.6× median	Above 75th

Showing top 20 of 46 providers billing this code

Related Procedures

H0020Alcohol/drug services; methadone administration$6.25B H0019Behavioral health; residential, per diem$5.98B H0018Behavioral health; short-term residential, per diem$4.40B H0015Alcohol and/or drug abuse, intensive outpatient, per hour$3.81B H0010Alcohol and/or drug services, sub-acute detoxification, per diem$1.64B

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