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#17 of 11K

T1017

Targeted case management, per 15 min

Targeted case management, per 15 min is the #17 most-billed Medicaid procedure code, with $8.42B in payments across 75.1M claims from 2018–2024. The national median cost per claim is $69.56. Costs vary widely — the 90th percentile is $260.88 per claim, 3.8× the median.

Total Paid

$8.42B

0.77% of all spending

Total Claims

75.1M

Providers

4K

Avg Cost/Claim

$112

National Cost Distribution

How much do providers bill per claim for T1017? Based on 4K providers billing this code nationally.

Median

$69.56

Average

$108.31

Std Dev

$105.10

Max

$1,315.74

Percentile Distribution (Cost per Claim)

p10
$20.96
p25
$36.33
Median
$69.56
p75
$145.56
p90
$260.88
p95
$319.89
p99
$460.36

50% of providers bill between $36.33 and $145.56 per claim for this code.

90% bill between $20.96 and $260.88.

Top 1% bill above $460.36.

About This Procedure

HCPCS code T1017 (Targeted case management, per 15 min) was billed by 4K providers across 75.1M claims, totaling $8.42B in Medicaid payments from 2018–2024. This code was used for 30.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$69.56

Providers Billing

4K

National Spending

$8.42B

Avg/Median Ratio

1.56×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for T1017

#ProviderTotal Paid
1Los Angeles County Department Of Mental Health

Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center)

$570.0M
2County Of Santa Clara

San Jose, CA · Community/Behavioral Health

$275.5M
3Clark County Department Of Family Services

Las Vegas, NV · Case Management

$166.6M
4County Of Riverside

Riverside, CA · Community/Behavioral Health

$144.7M
5City & County Of San Francisco

San Francisco, CA · Community/Behavioral Health

$133.9M
6County Of Sacramento

Sacramento, CA · Clinic/Center Adult Mental Health

$121.1M
7County Of Fresno

Fresno, CA · Clinic/Center Mental Health (Including Community Mental Health Center)

$90.7M
8Team Mental Health Services Inc.

Detroit, MI · Radiology, Diagnostic Radiology

$78.9M
9Community Mental Health Authority Of Clinton Eaton Ingham Counties

Lansing, MI · Clinic/Center Mental Health (Including Community Mental Health Center)

$77.5M
10County Of Ventura

Oxnard, CA · Community/Behavioral Health

$72.3M
11Alameda County Behavioral Health Care

Oakland, CA · Community/Behavioral Health

$67.2M
12Macomb County Community Mental Health

Clinton Twp, MI · Clinic/Center Mental Health (Including Community Mental Health Center)

$63.8M
13Community Care Health Plan, Inc

Brookfield, WI · PACE Provider Organization

$56.9M
14County Of San Bernardino

San Bernardino, CA · Clinic/Center Rehabilitation Substance Use Disorder

$55.9M
15County Of Orange

Santa Ana, CA · Clinic/Center Mental Health (Including Community Mental Health Center)

$55.1M
16Milwaukee County Department On Aging Care Management Organization

Milwaukee, WI · Health Maintenance Organization

$53.2M
17Community Mental Health For Central Michigan

Mt Pleasant, MI · Psychiatry & Neurology Psychiatry

$51.7M
18Smoky Mountain Center For Mh/dd/sas

Sylva, NC · Health Maintenance Organization

$51.5M
19Contra Costa County

Martinez, CA · General Acute Care Hospital

$49.4M
20Easterseals Morc Health Care, Inc.

Auburn Hills, MI · Psychiatry & Neurology, Psychiatry

$44.3M

Showing top 20 of 4K providers billing this code