H0045
Respite care services, not in the home, per diem
Respite care services, not in the home, per diem is the #634 most-billed Medicaid procedure code, with $119.3M in payments across 1.0M claims from 2018–2024. The national median cost per claim is $119.19. Costs vary widely — the 90th percentile is $491.14 per claim, 4.1× the median.
Total Paid
$119.3M
0.01% of all spending
Total Claims
1.0M
Providers
163
Avg Cost/Claim
$118
National Cost Distribution
How much do providers bill per claim for H0045? Based on 153 providers billing this code nationally.
Median
$119.19
Average
$302.28
Std Dev
$613.53
Max
$4,819.58
Percentile Distribution (Cost per Claim)
50% of providers bill between $82.97 and $262.13 per claim for this code.
90% bill between $61.08 and $491.14.
Top 1% bill above $3,285.30.
About This Procedure
HCPCS code H0045 (Respite care services, not in the home, per diem) was billed by 163 providers across 1.0M claims, totaling $119.3M in Medicaid payments from 2018–2024. This code was used for 148K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$119.19
Providers Billing
153
National Spending
$119.3M
Avg/Median Ratio
2.54×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for H0045
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1881751865 | $8.1M |
| 2 | 1770637407 | $6.1M |
| 3 | 1790801819 | $5.6M |
| 4 | 1316276975 | $5.2M |
| 5 | 1497378764 | $4.6M |
| 6 | 1174954572 | $4.1M |
| 7 | 1992949796 | $3.6M |
| 8 | 1871647503 | $2.9M |
| 9 | 1669785614 | $2.9M |
| 10 | 1477646081 | $2.9M |
| 11 | Abound Health, Llc Mint Hill, NC · In Home Supportive Care | $2.8M |
| 12 | 1013061746 | $2.8M |
| 13 | 1275677940 | $2.8M |
| 14 | Abound Health Llc Mint Hill, NC · Community/Behavioral Health | $2.4M |
| 15 | 1942855887 | $2.4M |
| 16 | 1821194531 | $2.3M |
| 17 | 1912137050 | $2.2M |
| 18 | 1558877407 | $2.2M |
| 19 | 1346382975 | $1.9M |
| 20 | 1164569802 | $1.7M |
Showing top 20 of 163 providers billing this code