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#189 of 11K

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)

p10
$154.13
p25
$282.02
Median
$841.93
p75
$1,850.60
p90
$8,969.36
p95
$10,991.80
p99
$19,604.41

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

#ProviderTotal Paid
11588744015$99.4M
2County Of Sacramento

Sacramento, CA · Clinic/Center Adult Mental Health

$66.8M
3Los Angeles County Department Of Mental Health

Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center)

$58.2M
4County Of Merced

Merced, CA · Psychiatric Hospital

$47.6M
5San Joaquin Behavioral Health Services

Stockton, CA · Counselor, Addiction (Substance Use Disorder)

$41.5M
6County Of Fresno

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

$38.7M
7Alameda County Behavioral Health Care

Oakland, CA · Community/Behavioral Health

$29.3M
81245398676$25.3M
9Stanislaus County Bhrs

Modesto, CA · Community/Behavioral Health

$24.9M
101659630739$23.5M
11County Of Kern

Bakersfield, CA · Clinic/Center, Adult Mental Health

$22.8M
121497992390$21.8M
131518178193$21.7M
14County Of Solano

Fairfield, CA · Public Health or Welfare

$21.6M
151972722155$20.1M
161598810061$19.7M
171598882136$18.6M
18Kvc Behavioral Healthcare Missouri Inc

Kansas City, MO · Community/Behavioral Health

$18.5M
191265670905$17.8M
201861495327$17.5M

Showing top 20 of 103 providers billing this code