H2013
Psychiatric health facility service, per diem
Psychiatric health facility service, per diem is the #189 most-billed Medicaid procedure code, with $912.9M in payments across 1.2M claims from 2018–2024. The national median cost per claim is $841.93. Costs vary widely — the 90th percentile is $8,969.36 per claim, 10.7× the median.
Total Paid
$912.9M
0.08% of all spending
Total Claims
1.2M
Providers
103
Avg Cost/Claim
$745
National Cost Distribution
How much do providers bill per claim for H2013? Based on 97 providers billing this code nationally.
Median
$841.93
Average
$2,837.33
Std Dev
$5,901.63
Max
$45,091.27
Percentile Distribution (Cost per Claim)
50% of providers bill between $282.02 and $1,850.60 per claim for this code.
90% bill between $154.13 and $8,969.36.
Top 1% bill above $19,604.41.
About This Procedure
HCPCS code H2013 (Psychiatric health facility service, per diem) was billed by 103 providers across 1.2M claims, totaling $912.9M in Medicaid payments from 2018–2024. This code was used for 110K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$841.93
Providers Billing
97
National Spending
$912.9M
Avg/Median Ratio
3.37×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for H2013
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1588744015 | $99.4M |
| 2 | County Of Sacramento Sacramento, CA · Clinic/Center Adult Mental Health | $66.8M |
| 3 | Los Angeles County Department Of Mental Health Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center) | $58.2M |
| 4 | County Of Merced Merced, CA · Psychiatric Hospital | $47.6M |
| 5 | San Joaquin Behavioral Health Services Stockton, CA · Counselor, Addiction (Substance Use Disorder) | $41.5M |
| 6 | County Of Fresno Fresno, CA · Clinic/Center Mental Health (Including Community Mental Health Center) | $38.7M |
| 7 | Alameda County Behavioral Health Care Oakland, CA · Community/Behavioral Health | $29.3M |
| 8 | 1245398676 | $25.3M |
| 9 | Stanislaus County Bhrs Modesto, CA · Community/Behavioral Health | $24.9M |
| 10 | 1659630739 | $23.5M |
| 11 | County Of Kern Bakersfield, CA · Clinic/Center, Adult Mental Health | $22.8M |
| 12 | 1497992390 | $21.8M |
| 13 | 1518178193 | $21.7M |
| 14 | County Of Solano Fairfield, CA · Public Health or Welfare | $21.6M |
| 15 | 1972722155 | $20.1M |
| 16 | 1598810061 | $19.7M |
| 17 | 1598882136 | $18.6M |
| 18 | Kvc Behavioral Healthcare Missouri Inc Kansas City, MO · Community/Behavioral Health | $18.5M |
| 19 | 1265670905 | $17.8M |
| 20 | 1861495327 | $17.5M |
Showing top 20 of 103 providers billing this code