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#989 of 11K

T1012

Alcohol/drug services, skills development

Alcohol/drug services, skills development is the #989 most-billed Medicaid procedure code, with $50.6M in payments across 821K claims from 2018–2024. The national median cost per claim is $40.78. Costs vary widely — the 90th percentile is $152.22 per claim, 3.7× the median.

Total Paid

$50.6M

0.00% of all spending

Total Claims

821K

Providers

176

Avg Cost/Claim

$62

National Cost Distribution

How much do providers bill per claim for T1012? Based on 165 providers billing this code nationally.

Median

$40.78

Average

$75.48

Std Dev

$114.18

Max

$847.03

Percentile Distribution (Cost per Claim)

p10
$13.73
p25
$26.73
Median
$40.78
p75
$63.83
p90
$152.22
p95
$317.46
p99
$524.88

50% of providers bill between $26.73 and $63.83 per claim for this code.

90% bill between $13.73 and $152.22.

Top 1% bill above $524.88.

About This Procedure

HCPCS code T1012 (Alcohol/drug services, skills development) was billed by 176 providers across 821K claims, totaling $50.6M in Medicaid payments from 2018–2024. This code was used for 199K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$40.78

Providers Billing

165

National Spending

$50.6M

Avg/Median Ratio

1.85×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for T1012

#ProviderTotal Paid
11861898934$12.3M
21851457451$2.8M
31477963056$2.7M
41386777555$2.6M
51821435991$2.1M
61023482825$1.9M
71366659906$1.7M
81770852436$1.6M
91275646309$1.6M
101619360013$1.5M
111760890263$1.5M
121578850251$1.5M
131174895684$1.1M
141255783254$993K
151992126452$822K
161629330691$721K
171144631110$694K
18Recover Together Inc.

Greenfield, IN · Clinic/Center Adult Mental Health

$660K
191477091247$586K
201144469461$582K

Showing top 20 of 176 providers billing this code