H0038
Self-help/peer services, per 15 minutes
Self-help/peer services, per 15 minutes is the #62 most-billed Medicaid procedure code, with $3.12B in payments across 30.4M claims from 2018–2024. The national median cost per claim is $55.04. Costs vary widely — the 90th percentile is $192.65 per claim, 3.5× the median.
Total Paid
$3.12B
0.29% of all spending
Total Claims
30.4M
Providers
4K
Avg Cost/Claim
$103
National Cost Distribution
How much do providers bill per claim for H0038? Based on 4K providers billing this code nationally.
Median
$55.04
Average
$114.99
Std Dev
$302.40
Max
$8,874.80
Percentile Distribution (Cost per Claim)
50% of providers bill between $27.03 and $106.92 per claim for this code.
90% bill between $12.60 and $192.65.
Top 1% bill above $1,219.00.
About This Procedure
HCPCS code H0038 (Self-help/peer services, per 15 minutes) was billed by 4K providers across 30.4M claims, totaling $3.12B in Medicaid payments from 2018–2024. This code was used for 6.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$55.04
Providers Billing
4K
National Spending
$3.12B
Avg/Median Ratio
2.09×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for H0038
| # | Provider | Total Paid |
|---|---|---|
| 1 | A Physicians Home Care Colorado Springs, CO · In Home Supportive Care | $234.4M |
| 2 | Personal Assistance Services Of Colorado Llc Lakewood, CO · In Home Supportive Care | $135.1M |
| 3 | A Circle Of Care Colorado Llc. Colorado Springs, CO · In Home Supportive Care | $101.7M |
| 4 | Premier Healthcare Services Llc Grand Junction, CO · In Home Supportive Care | $79.8M |
| 5 | Peoplecare Of Western Colorado Llc Delta, CO · In Home Supportive Care | $43.7M |
| 6 | 1306164975 | $40.6M |
| 7 | 1578013017 | $40.6M |
| 8 | Colorado Springs Independence Center Colorado Springs, CO · Home Health | $39.8M |
| 9 | 1114325347 | $36.2M |
| 10 | County Of Riverside Riverside, CA · Community/Behavioral Health | $30.5M |
| 11 | 1427574433 | $29.3M |
| 12 | Evergreen Home Healthcare Llc Westminster, CO · In Home Supportive Care | $28.2M |
| 13 | 1356919286 | $27.9M |
| 14 | Estrella Home Health Care Inc. Denver, CO · Home Health | $27.8M |
| 15 | Addiction Recovery Care Llc Louisa, KY · Community Based Residential Treatment Facility, Mental Illness | $27.3M |
| 16 | 1740541952 | $22.9M |
| 17 | Peoplecare Of Southern Colorado Llc Pueblo, CO · In Home Supportive Care | $20.5M |
| 18 | 1124646328 | $19.6M |
| 19 | 1588113286 | $18.2M |
| 20 | 1437575024 | $17.9M |
Showing top 20 of 4K providers billing this code