#154 of 11K

T1041

Medicaid CCBHC services, per diem

Medicaid CCBHC services, per diem is the #154 most-billed Medicaid procedure code, with $1.21B in payments across 1.4M claims from 2018–2024. The national median cost per claim is $913.47. Costs vary widely — the 90th percentile is $3,158.59 per claim, 3.5× the median.

Total Paid

$1.21B

0.11% of all spending

Total Claims

1.4M

Providers

161

Avg Cost/Claim

$889

National Cost Distribution

How much do providers bill per claim for T1041? Based on 160 providers billing this code nationally.

Median

$913.47

Average

$1,240.52

Std Dev

$1,013.47

Max

$4,745.93

Percentile Distribution (Cost per Claim)

p10

$444.27

p25

$733.74

Median

$913.47

p75

$1,063.45

p90

$3,158.59

p95

$3,580.37

p99

$4,669.99

50% of providers bill between $733.74 and $1,063.45 per claim for this code.

90% bill between $444.27 and $3,158.59.

Top 1% bill above $4,669.99.

About This Procedure

HCPCS code T1041 (Medicaid CCBHC services, per diem) was billed by 161 providers across 1.4M claims, totaling $1.21B in Medicaid payments from 2018–2024. This code was used for 1.4M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$913.47

Providers Billing

160

National Spending

$1.21B

Avg/Median Ratio

1.36×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for T1041

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1821537093	$80.7M	$720.56	0.8× median	Below Median
2	Family & Children's Services Inc Tulsa, OK · Community/Behavioral Health	$70.7M	$833.57	0.9× median	Below Median
3	1306994181	$60.2M	$633.97	0.7× median	Below Median
4	Catholic Community Services Of Western Washington Tacoma, WA · Clinic/Center Mental Health (Including Community Mental Health Center)	$51.9M	$1,689.89	1.8× median	Above 75th
5	1750398889	$46.6M	$1,059.76	1.2× median	Above Median
6	1982142261	$38.2M	$700.48	0.8× median	Below Median
7	1245445337	$38.2M	$730.41	0.8× median	Below Median
8	1902813033	$37.6M	$1,083.45	1.2× median	Above 75th
9	1023122439	$34.9M	$842.38	0.9× median	Below Median
10	1821120189	$31.2M	$735.05	0.8× median	Below Median
11	1306384516	$29.4M	$915.28	1.0× median	Above Median
12	1912120452	$27.5M	$783.38	0.9× median	Below Median
13	1275142663	$24.1M	$840.43	0.9× median	Below Median
14	1871500900	$24.0M	$1,048.02	1.1× median	Above Median
15	1942749429	$23.5M	$906.44	1.0× median	Below Median
16	1528590205	$23.1M	$944.51	1.0× median	Above Median
17	1497762520	$22.4M	$1,055.90	1.2× median	Above Median
18	1598213977	$21.1M	$1,053.14	1.2× median	Above Median
19	1336203132	$19.8M	$805.68	0.9× median	Below Median
20	1598316358	$17.1M	$810.64	0.9× median	Below Median

Showing top 20 of 161 providers billing this code

Related Procedures

T1040Medicaid certified CCBHC services$5.78B T1031Nursing care, in the home, by LPN, per diem$29.5M T1033$945K T1032$76K T1050$0

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