Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#16 of 11K

H2017

Psychosocial rehabilitation services, per 15 min

Psychosocial rehabilitation services, per 15 min is the #16 most-billed Medicaid procedure code, with $8.54B in payments across 78.7M claims from 2018–2024. The national median cost per claim is $91.63. Costs vary widely — the 90th percentile is $236.03 per claim, 2.6× the median.

Total Paid

$8.54B

0.78% of all spending

Total Claims

78.7M

Providers

4K

Avg Cost/Claim

$109

National Cost Distribution

How much do providers bill per claim for H2017? Based on 4K providers billing this code nationally.

Median

$91.63

Average

$134.45

Std Dev

$296.62

Max

$8,488.08

Percentile Distribution (Cost per Claim)

p10
$30.43
p25
$55.39
Median
$91.63
p75
$135.36
p90
$236.03
p95
$338.94
p99
$786.03

50% of providers bill between $55.39 and $135.36 per claim for this code.

90% bill between $30.43 and $236.03.

Top 1% bill above $786.03.

About This Procedure

HCPCS code H2017 (Psychosocial rehabilitation services, per 15 min) was billed by 4K providers across 78.7M claims, totaling $8.54B in Medicaid payments from 2018–2024. This code was used for 13.9M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$91.63

Providers Billing

4K

National Spending

$8.54B

Avg/Median Ratio

1.47×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for H2017

#ProviderTotal Paid
1Los Angeles County Department Of Mental Health

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

$870.7M
2County Of Milwaukee

Milwaukee, WI · Community/Behavioral Health

$202.8M
3Dane County Department Of Human Services

Madison, WI · Community/Behavioral Health

$165.6M
4County Of Riverside

Riverside, CA · Community/Behavioral Health

$160.9M
5County Of Sacramento

Sacramento, CA · Clinic/Center Adult Mental Health

$154.9M
6Alameda County Behavioral Health Care

Oakland, CA · Community/Behavioral Health

$139.7M
7County Of San Bernardino

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

$122.8M
8City & County Of San Francisco

San Francisco, CA · Community/Behavioral Health

$120.1M
9County Of Kern

Bakersfield, CA · Clinic/Center, Adult Mental Health

$100.8M
10County Of Santa Clara

San Jose, CA · Community/Behavioral Health

$100.5M
11County Of Fresno

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

$94.3M
12County Of Santa Cruz

Santa Cruz, CA · Clinic/Center

$75.1M
13Contra Costa County

Martinez, CA · General Acute Care Hospital

$74.6M
141952423808$71.4M
15Western Region Recovery & Wellness Consortia

Chippewa Falls, WI · Community/Behavioral Health

$65.2M
16County Of La Crosse

La Crosse, WI · Community/Behavioral Health

$60.8M
17Kenosha County Department Of Human Services

Kenosha, WI · Community/Behavioral Health

$58.1M
18County Of Tulare

Visalia, CA · Clinic/Center Public Health State or Local

$48.1M
19Alabama Department Of Mental Health And Mental Retardation

Montgomery, AL · Community/Behavioral Health

$47.1M
20County Of Sauk

Baraboo, WI · Community/Behavioral Health

$46.9M

Showing top 20 of 4K providers billing this code