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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Los Angeles County Department Of Mental Health Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center) | $570.0M |
| 2 | County Of Santa Clara San Jose, CA · Community/Behavioral Health | $275.5M |
| 3 | Clark County Department Of Family Services Las Vegas, NV · Case Management | $166.6M |
| 4 | County Of Riverside Riverside, CA · Community/Behavioral Health | $144.7M |
| 5 | City & County Of San Francisco San Francisco, CA · Community/Behavioral Health | $133.9M |
| 6 | County Of Sacramento Sacramento, CA · Clinic/Center Adult Mental Health | $121.1M |
| 7 | County Of Fresno Fresno, CA · Clinic/Center Mental Health (Including Community Mental Health Center) | $90.7M |
| 8 | Team Mental Health Services Inc. Detroit, MI · Radiology, Diagnostic Radiology | $78.9M |
| 9 | Community Mental Health Authority Of Clinton Eaton Ingham Counties Lansing, MI · Clinic/Center Mental Health (Including Community Mental Health Center) | $77.5M |
| 10 | County Of Ventura Oxnard, CA · Community/Behavioral Health | $72.3M |
| 11 | Alameda County Behavioral Health Care Oakland, CA · Community/Behavioral Health | $67.2M |
| 12 | Macomb County Community Mental Health Clinton Twp, MI · Clinic/Center Mental Health (Including Community Mental Health Center) | $63.8M |
| 13 | Community Care Health Plan, Inc Brookfield, WI · PACE Provider Organization | $56.9M |
| 14 | County Of San Bernardino San Bernardino, CA · Clinic/Center Rehabilitation Substance Use Disorder | $55.9M |
| 15 | County Of Orange Santa Ana, CA · Clinic/Center Mental Health (Including Community Mental Health Center) | $55.1M |
| 16 | Milwaukee County Department On Aging Care Management Organization Milwaukee, WI · Health Maintenance Organization | $53.2M |
| 17 | Community Mental Health For Central Michigan Mt Pleasant, MI · Psychiatry & Neurology Psychiatry | $51.7M |
| 18 | Smoky Mountain Center For Mh/dd/sas Sylva, NC · Health Maintenance Organization | $51.5M |
| 19 | Contra Costa County Martinez, CA · General Acute Care Hospital | $49.4M |
| 20 | Easterseals Morc Health Care, Inc. Auburn Hills, MI · Psychiatry & Neurology, Psychiatry | $44.3M |
Showing top 20 of 4K providers billing this code