#1416 of 11K

T1014

HCPCS Procedure Code

HCPCS code T1014 is the #1,416 most-billed Medicaid procedure code, with $23.9M in payments across 1.9M claims from 2018–2024. The national median cost per claim is $12.88.

Total Paid

$23.9M

0.00% of all spending

Total Claims

1.9M

Providers

555

Avg Cost/Claim

$13

National Cost Distribution

How much do providers bill per claim for T1014? Based on 485 providers billing this code nationally.

Median

$12.88

Average

$13.04

Std Dev

$11.15

Max

$101.92

Percentile Distribution (Cost per Claim)

p10

$1.15

p25

$4.48

Median

$12.88

p75

$19.44

p90

$20.00

p95

$21.52

p99

$60.69

50% of providers bill between $4.48 and $19.44 per claim for this code.

90% bill between $1.15 and $20.00.

Top 1% bill above $60.69.

About This Procedure

HCPCS code T1014 was billed by 555 providers across 1.9M claims, totaling $23.9M in Medicaid payments from 2018–2024. This code was used for 982K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.88

Providers Billing

485

National Spending

$23.9M

Avg/Median Ratio

1.01×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for T1014

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	California Psychcare, Inc. Van Nuys, CA · Behavior Analyst	$2.2M	$14.33	1.1× median	Above Median
2	1073919171	$2.2M	$11.86	0.9× median	Below Median
3	1336680495	$1.6M	$64.34	5.0× median	Top 1%
4	1598388993	$843K	$20.87	1.6× median	Top 10%
5	1649809526	$796K	$12.88	1.0× median	Above Median
6	1598170821	$619K	$9.08	0.7× median	Below Median
7	1417213612	$598K	$32.75	2.5× median	Top 10%
8	1689310617	$593K	$101.92	7.9× median	Top 1%
9	1215521844	$527K	$17.26	1.3× median	Above Median
10	Arrowhead Regional Medical Center Colton, CA · General Acute Care Hospital	$480K	$3.07	0.2× median	Below Median
11	1356589022	$478K	$10.01	0.8× median	Below Median
12	1326338237	$451K	$6.93	0.5× median	Below Median
13	1467906347	$422K	$19.39	1.5× median	Above Median
14	1588085369	$344K	$19.87	1.5× median	Above 75th
15	1194962829	$322K	$20.15	1.6× median	Top 10%
16	1477624104	$319K	$7.52	0.6× median	Below Median
17	1417406869	$316K	$19.84	1.5× median	Above 75th
18	1164512851	$311K	$11.07	0.9× median	Below Median
19	1700949336	$286K	$15.04	1.2× median	Above Median
20	1609210079	$272K	$19.99	1.6× median	Above 75th

Showing top 20 of 555 providers billing this code

Related Procedures

T1019Personal care services, per 15 min$122.74B T1015Clinic visit/encounter, all-inclusive$49.15B T1017Targeted case management, per 15 min$8.42B T1020Personal care services, per diem$8.21B T1016Case management, each 15 min$5.21B

← All procedures Top providers →