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#107 of 11K

H2011

Crisis intervention service, per 15 minutes

Crisis intervention service, per 15 minutes is the #107 most-billed Medicaid procedure code, with $1.86B in payments across 6.6M claims from 2018–2024. The national median cost per claim is $215.80. Costs vary widely — the 90th percentile is $1,327.46 per claim, 6.2× the median.

Total Paid

$1.86B

0.17% of all spending

Total Claims

6.6M

Providers

2K

Avg Cost/Claim

$282

National Cost Distribution

How much do providers bill per claim for H2011? Based on 2K providers billing this code nationally.

Median

$215.80

Average

$475.17

Std Dev

$702.38

Max

$13,105.60

Percentile Distribution (Cost per Claim)

p10
$51.50
p25
$107.55
Median
$215.80
p75
$486.58
p90
$1,327.46
p95
$1,852.50
p99
$3,348.68

50% of providers bill between $107.55 and $486.58 per claim for this code.

90% bill between $51.50 and $1,327.46.

Top 1% bill above $3,348.68.

About This Procedure

HCPCS code H2011 (Crisis intervention service, per 15 minutes) was billed by 2K providers across 6.6M claims, totaling $1.86B in Medicaid payments from 2018–2024. This code was used for 3.4M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$215.80

Providers Billing

2K

National Spending

$1.86B

Avg/Median Ratio

2.20×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for H2011

#ProviderTotal Paid
11164436598$29.5M
21295902518$22.3M
31356355614$22.2M
4Mainehealth

Portland, ME · Community/Behavioral Health

$22.2M
5Imani Wellness Llc

Coolidge, AZ · Counselor, Mental Health

$21.7M
61063637684$20.2M
71336157767$19.8M
81649287723$19.4M
9County Of Riverside

Riverside, CA · Community/Behavioral Health

$18.9M
10County Of San Bernardino

San Bernardino, CA · Clinic/Center Rehabilitation Substance Use Disorder

$18.7M
111902061658$18.3M
121750395091$17.9M
131154337418$17.1M
141457360463$16.8M
15City & County Of San Francisco

San Francisco, CA · Community/Behavioral Health

$16.2M
161578761714$15.6M
171306812060$14.8M
18County Of Orange

Santa Ana, CA · Clinic/Center Mental Health (Including Community Mental Health Center)

$14.7M
191588865109$14.6M
20Upmc Presbyterian Shadyside

Pittsburgh, PA · Clinic/Center

$14.4M

Showing top 20 of 2K providers billing this code