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#861 of 11K

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)

p10
$34.86
p25
$49.69
Median
$64.10
p75
$119.94
p90
$155.61
p95
$251.94
p99
$602.79

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

#ProviderTotal Paid
1Spero Health Of Kentucky Llc

Danville, KY · Family Medicine Addiction Medicine

$7.0M
2Los Angeles County Department Of Public Health

Alhambra, CA · Public Health or Welfare

$5.3M
31194254219$1.8M
4Brightview Llc

Cincinnati, OH · Internal Medicine Addiction Medicine

$1.7M
5Recover Together Inc.

Greenfield, IN · Clinic/Center Adult Mental Health

$1.2M
61780948885$1.0M
7Addiction Recovery Care Llc

Louisa, KY · Community Based Residential Treatment Facility, Mental Illness

$1.0M
8Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$960K
91346466232$936K
101871973297$907K
111184725210$905K
121437213865$824K
131134173172$809K
141730232182$752K
151093935959$728K
161548245871$714K
171316486954$694K
181619339736$671K
191144437294$657K
20The Recovery Center Llc

Jackson, KY · Counselor Addiction (Substance Use Disorder)

$628K

Showing top 20 of 608 providers billing this code