H2030
Mental health clubhouse services, per 15 minutes
Mental health clubhouse services, per 15 minutes is the #388 most-billed Medicaid procedure code, with $281.1M in payments across 3.6M claims from 2018–2024. The national median cost per claim is $73.58. Costs vary widely — the 90th percentile is $164.23 per claim, 2.2× the median.
Total Paid
$281.1M
0.03% of all spending
Total Claims
3.6M
Providers
150
Avg Cost/Claim
$79
National Cost Distribution
How much do providers bill per claim for H2030? Based on 144 providers billing this code nationally.
Median
$73.58
Average
$87.67
Std Dev
$54.33
Max
$309.46
Percentile Distribution (Cost per Claim)
50% of providers bill between $55.92 and $101.72 per claim for this code.
90% bill between $38.61 and $164.23.
Top 1% bill above $248.87.
About This Procedure
HCPCS code H2030 (Mental health clubhouse services, per 15 minutes) was billed by 150 providers across 3.6M claims, totaling $281.1M in Medicaid payments from 2018–2024. This code was used for 325K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$73.58
Providers Billing
144
National Spending
$281.1M
Avg/Median Ratio
1.19×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for H2030
| # | Provider | Total Paid |
|---|---|---|
| 1 | Kennebec Valley Mental Health Center Waterville, ME · Clinic/Center Mental Health (Including Community Mental Health Center) | $28.0M |
| 2 | 1154433233 | $14.3M |
| 3 | 1700894730 | $10.3M |
| 4 | 1063428761 | $8.6M |
| 5 | 1265426084 | $8.1M |
| 6 | Cns Healthcare Novi, MI · Psychiatry & Neurology Psychiatry | $7.9M |
| 7 | Macomb County Community Mental Health Clinton Twp, MI · Clinic/Center Mental Health (Including Community Mental Health Center) | $7.2M |
| 8 | 1669451944 | $7.2M |
| 9 | Community Mental Health For Central Michigan Mt Pleasant, MI · Psychiatry & Neurology Psychiatry | $6.7M |
| 10 | 1043534191 | $6.6M |
| 11 | 1932422078 | $6.5M |
| 12 | 1982610572 | $6.3M |
| 13 | 1073626511 | $6.3M |
| 14 | 1275585929 | $6.2M |
| 15 | 1972613628 | $5.9M |
| 16 | Community Mental Health Authority Of Clinton Eaton Ingham Counties Lansing, MI · Clinic/Center Mental Health (Including Community Mental Health Center) | $5.7M |
| 17 | 1710074448 | $5.6M |
| 18 | Northern Lakes Community Mental Health Authority Traverse City, MI · Occupational Therapist | $5.4M |
| 19 | 1548358245 | $5.1M |
| 20 | County Of Muskegon Muskegon, MI · Clinic/Center, Mental Health (Including Community Mental Health Center) | $4.8M |
Showing top 20 of 150 providers billing this code