H2035
Alcohol and/or drug treatment, per hour
Alcohol and/or drug treatment, per hour is the #156 most-billed Medicaid procedure code, with $1.15B in payments across 8.6M claims from 2018–2024. The national median cost per claim is $94.63. Costs vary widely — the 90th percentile is $212.78 per claim, 2.2× the median.
Total Paid
$1.15B
0.10% of all spending
Total Claims
8.6M
Providers
487
Avg Cost/Claim
$134
National Cost Distribution
How much do providers bill per claim for H2035? Based on 478 providers billing this code nationally.
Median
$94.63
Average
$129.33
Std Dev
$102.80
Max
$696.97
Percentile Distribution (Cost per Claim)
50% of providers bill between $74.93 and $164.76 per claim for this code.
90% bill between $50.72 and $212.78.
Top 1% bill above $582.19.
About This Procedure
HCPCS code H2035 (Alcohol and/or drug treatment, per hour) was billed by 487 providers across 8.6M claims, totaling $1.15B in Medicaid payments from 2018–2024. This code was used for 845K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$94.63
Providers Billing
478
National Spending
$1.15B
Avg/Median Ratio
1.37×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for H2035
| # | Provider | Total Paid |
|---|---|---|
| 1 | Nu-way House Inc Minneapolis, MN · Substance Abuse Rehabilitation Facility | $173.8M |
| 2 | 1720154081 | $47.8M |
| 3 | Evergreen Recovery Saint Paul, MN · Counselor, Addiction (Substance Use Disorder) | $41.2M |
| 4 | 1902934565 | $30.0M |
| 5 | 1437419348 | $29.1M |
| 6 | 1316265614 | $23.2M |
| 7 | 1770715294 | $22.5M |
| 8 | 1659764587 | $22.0M |
| 9 | 1487882205 | $20.1M |
| 10 | 1689946840 | $20.0M |
| 11 | 1164665790 | $19.6M |
| 12 | 1194080234 | $18.2M |
| 13 | 1942562541 | $15.4M |
| 14 | 1902183338 | $15.1M |
| 15 | 1053772087 | $14.7M |
| 16 | 1932304714 | $14.6M |
| 17 | 1407976582 | $14.3M |
| 18 | 1447353883 | $13.5M |
| 19 | 1629122924 | $13.4M |
| 20 | 1013994359 | $13.3M |
Showing top 20 of 487 providers billing this code