H2012
Behavioral health day treatment, per hour
Behavioral health day treatment, per hour is the #98 most-billed Medicaid procedure code, with $1.99B in payments across 15.4M claims from 2018–2024. The national median cost per claim is $137.86. Costs vary widely — the 90th percentile is $296.69 per claim, 2.2× the median.
Total Paid
$1.99B
0.18% of all spending
Total Claims
15.4M
Providers
1K
Avg Cost/Claim
$129
National Cost Distribution
How much do providers bill per claim for H2012? Based on 1K providers billing this code nationally.
Median
$137.86
Average
$157.39
Std Dev
$134.59
Max
$2,030.99
Percentile Distribution (Cost per Claim)
50% of providers bill between $74.28 and $188.31 per claim for this code.
90% bill between $36.18 and $296.69.
Top 1% bill above $579.66.
About This Procedure
HCPCS code H2012 (Behavioral health day treatment, per hour) was billed by 1K providers across 15.4M claims, totaling $1.99B in Medicaid payments from 2018–2024. This code was used for 1.7M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$137.86
Providers Billing
1K
National Spending
$1.99B
Avg/Median Ratio
1.14×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for H2012
| # | Provider | Total Paid |
|---|---|---|
| 1 | Fraser Child And Family Center Minneapolis, MN · Clinic/Center, Mental Health (Including Community Mental Health Center) | $58.9M |
| 2 | Alabama Department Of Mental Health And Mental Retardation Montgomery, AL · Community/Behavioral Health | $53.5M |
| 3 | 1053329581 | $49.4M |
| 4 | Los Angeles County Department Of Mental Health Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center) | $37.3M |
| 5 | 1316945090 | $32.2M |
| 6 | 1063428761 | $24.8M |
| 7 | 1073626511 | $24.0M |
| 8 | 1194881433 | $22.8M |
| 9 | 1881627438 | $21.7M |
| 10 | 1154433233 | $21.4M |
| 11 | 1700894730 | $21.2M |
| 12 | 1194996280 | $19.1M |
| 13 | 1831446798 | $16.5M |
| 14 | 1760157127 | $16.3M |
| 15 | 1225009806 | $15.4M |
| 16 | Waypoint Maine Inc. Sanford, ME · Case Management | $14.7M |
| 17 | State Of Missouri Jefferson City, MO · Counselor, Addiction (Substance Use Disorder) | $14.2M |
| 18 | John F Murphy Homes Inc. Auburn, ME · Nursing Facility/Intermediate Care Facility | $14.0M |
| 19 | 1740340132 | $13.7M |
| 20 | 1831420660 | $13.7M |
Showing top 20 of 1K providers billing this code