H2027
Psychoeducational service, per 15 minutes
Psychoeducational service, per 15 minutes is the #215 most-billed Medicaid procedure code, with $727.0M in payments across 5.6M claims from 2018–2024. The national median cost per claim is $82.72. Costs vary widely — the 90th percentile is $480.81 per claim, 5.8× the median.
Total Paid
$727.0M
0.07% of all spending
Total Claims
5.6M
Providers
1K
Avg Cost/Claim
$129
National Cost Distribution
How much do providers bill per claim for H2027? Based on 1K providers billing this code nationally.
Median
$82.72
Average
$330.78
Std Dev
$1,014.95
Max
$14,214.78
Percentile Distribution (Cost per Claim)
50% of providers bill between $32.00 and $180.92 per claim for this code.
90% bill between $15.88 and $480.81.
Top 1% bill above $5,400.52.
About This Procedure
HCPCS code H2027 (Psychoeducational service, per 15 minutes) was billed by 1K providers across 5.6M claims, totaling $727.0M in Medicaid payments from 2018–2024. This code was used for 1.5M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$82.72
Providers Billing
1K
National Spending
$727.0M
Avg/Median Ratio
4.00×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for H2027
| # | Provider | Total Paid |
|---|---|---|
| 1 | Addiction Recovery Care Llc Louisa, KY · Community Based Residential Treatment Facility, Mental Illness | $74.8M |
| 2 | Addiction Recovery Care Llc Owingsville, KY · Substance Abuse Rehabilitation Facility | $24.5M |
| 3 | 1811043649 | $18.9M |
| 4 | 1396086559 | $13.2M |
| 5 | 1801296314 | $10.7M |
| 6 | 1770641672 | $10.4M |
| 7 | Tusa Integrated Clinic Llc Tempe, AZ · Clinic/Center, Mental Health (Including Community Mental Health Center) | $9.3M |
| 8 | Alabama Department Of Mental Health And Mental Retardation Montgomery, AL · Community/Behavioral Health | $9.2M |
| 9 | Community Hope Wellness Center Llc Phoenix, AZ · Community/Behavioral Health | $9.2M |
| 10 | Beyond4wallz Health And Wellness Center Llc Phoenix, AZ · Community/Behavioral Health | $8.9M |
| 11 | Wasatch Behavioral Health Special Service District Provo, UT · Community/Behavioral Health | $8.9M |
| 12 | 1083867469 | $8.5M |
| 13 | Happy House Behavioral Valley Phoenix, AZ · Clinic/Center, Mental Health (Including Community Mental Health Center) | $8.4M |
| 14 | True Answer Community Wellness Llc Glendale, AZ · Community/Behavioral Health | $8.3M |
| 15 | Sate Of Alabama Dept Of Finance Montgomery, AL · Public Health or Welfare | $8.0M |
| 16 | 1932343787 | $7.7M |
| 17 | Valley Behavioral Health Incorporated Salt Lake City, UT · Psychiatry & Neurology Psychiatry | $7.6M |
| 18 | Motherland Counseling Llc Phoenix, AZ · Community/Behavioral Health | $7.5M |
| 19 | 1437624814 | $7.5M |
| 20 | 1033671565 | $6.8M |
Showing top 20 of 1K providers billing this code