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#195 of 11K

T2012

Habilitation, educational; per 15 min

Habilitation, educational; per 15 min is the #195 most-billed Medicaid procedure code, with $874.0M in payments across 4.8M claims from 2018–2024. The national median cost per claim is $177.54.

Total Paid

$874.0M

0.08% of all spending

Total Claims

4.8M

Providers

130

Avg Cost/Claim

$180

National Cost Distribution

How much do providers bill per claim for T2012? Based on 129 providers billing this code nationally.

Median

$177.54

Average

$181.95

Std Dev

$58.53

Max

$676.40

Percentile Distribution (Cost per Claim)

p10
$130.66
p25
$157.76
Median
$177.54
p75
$200.73
p90
$217.90
p95
$253.54
p99
$283.31

50% of providers bill between $157.76 and $200.73 per claim for this code.

90% bill between $130.66 and $217.90.

Top 1% bill above $283.31.

About This Procedure

HCPCS code T2012 (Habilitation, educational; per 15 min) was billed by 130 providers across 4.8M claims, totaling $874.0M in Medicaid payments from 2018–2024. This code was used for 177K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$177.54

Providers Billing

129

National Spending

$874.0M

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for T2012

#ProviderTotal Paid
1Department Of Intellectual And Developmental Disabilities, State Of Tn

Nashville, TN · Public Health or Welfare

$135.2M
2Abound Health, Llc

Mint Hill, NC · In Home Supportive Care

$55.8M
3Abound Health Llc

Mint Hill, NC · Community/Behavioral Health

$44.9M
4Lindley Habilitation Services Inc

Greensboro, NC · Community/Behavioral Health

$35.5M
5Universal Mental Health Services Inc.

Lenoir, NC · Community/Behavioral Health

$26.4M
6A Caring Heart Case Management, Inc.

Wilson, NC · Case Management

$25.2M
7Acumen Fiscal Agent Llc

Mesa, AZ · Community/Behavioral Health

$23.1M
81720187420$21.8M
91851539126$21.0M
101982921227$19.8M
111922125244$17.7M
12Department Of Intellectual And Developmental Disabilities, State Of Tn

Nashville, TN · Public Health or Welfare

$15.8M
131669541538$15.6M
141063798031$15.1M
151821100942$14.6M
161396811618$14.1M
171922298942$12.7M
181881751865$11.2M
191477939916$10.5M
201619245552$10.5M

Showing top 20 of 130 providers billing this code