T1007
Alcohol/drug services, treatment plan review
Alcohol/drug services, treatment plan review is the #861 most-billed Medicaid procedure code, with $66.2M in payments across 867K claims from 2018–2024. The national median cost per claim is $64.10. Costs vary widely — the 90th percentile is $155.61 per claim, 2.4× the median.
Total Paid
$66.2M
0.01% of all spending
Total Claims
867K
Providers
608
Avg Cost/Claim
$76
National Cost Distribution
How much do providers bill per claim for T1007? Based on 582 providers billing this code nationally.
Median
$64.10
Average
$98.41
Std Dev
$106.00
Max
$876.79
Percentile Distribution (Cost per Claim)
50% of providers bill between $49.69 and $119.94 per claim for this code.
90% bill between $34.86 and $155.61.
Top 1% bill above $602.79.
About This Procedure
HCPCS code T1007 (Alcohol/drug services, treatment plan review) was billed by 608 providers across 867K claims, totaling $66.2M in Medicaid payments from 2018–2024. This code was used for 684K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$64.10
Providers Billing
582
National Spending
$66.2M
Avg/Median Ratio
1.54×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for T1007
| # | Provider | Total Paid |
|---|---|---|
| 1 | Spero Health Of Kentucky Llc Danville, KY · Family Medicine Addiction Medicine | $7.0M |
| 2 | Los Angeles County Department Of Public Health Alhambra, CA · Public Health or Welfare | $5.3M |
| 3 | 1194254219 | $1.8M |
| 4 | Brightview Llc Cincinnati, OH · Internal Medicine Addiction Medicine | $1.7M |
| 5 | Recover Together Inc. Greenfield, IN · Clinic/Center Adult Mental Health | $1.2M |
| 6 | 1780948885 | $1.0M |
| 7 | Addiction Recovery Care Llc Louisa, KY · Community Based Residential Treatment Facility, Mental Illness | $1.0M |
| 8 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $960K |
| 9 | 1346466232 | $936K |
| 10 | 1871973297 | $907K |
| 11 | 1184725210 | $905K |
| 12 | 1437213865 | $824K |
| 13 | 1134173172 | $809K |
| 14 | 1730232182 | $752K |
| 15 | 1093935959 | $728K |
| 16 | 1548245871 | $714K |
| 17 | 1316486954 | $694K |
| 18 | 1619339736 | $671K |
| 19 | 1144437294 | $657K |
| 20 | The Recovery Center Llc Jackson, KY · Counselor Addiction (Substance Use Disorder) | $628K |
Showing top 20 of 608 providers billing this code