T2015
Habilitation, prevocational, waiver, per diem
Habilitation, prevocational, waiver, per diem is the #414 most-billed Medicaid procedure code, with $252.1M in payments across 1.9M claims from 2018–2024. The national median cost per claim is $88.27. Costs vary widely — the 90th percentile is $843.67 per claim, 9.6× the median.
Total Paid
$252.1M
0.02% of all spending
Total Claims
1.9M
Providers
348
Avg Cost/Claim
$130
National Cost Distribution
How much do providers bill per claim for T2015? Based on 316 providers billing this code nationally.
Median
$88.27
Average
$298.97
Std Dev
$587.36
Max
$6,296.77
Percentile Distribution (Cost per Claim)
50% of providers bill between $50.28 and $319.70 per claim for this code.
90% bill between $34.58 and $843.67.
Top 1% bill above $2,003.18.
About This Procedure
HCPCS code T2015 (Habilitation, prevocational, waiver, per diem) was billed by 348 providers across 1.9M claims, totaling $252.1M in Medicaid payments from 2018–2024. This code was used for 301K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$88.27
Providers Billing
316
National Spending
$252.1M
Avg/Median Ratio
3.39×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for T2015
| # | Provider | Total Paid |
|---|---|---|
| 1 | Community Assistance Resources & Extended Services Inc New York, NY · Case Management | $47.5M |
| 2 | Disability Services Of The Southwest, Inc San Antonio, TX · Day Training, Developmentally Disabled Services | $9.1M |
| 3 | Caregivers Home Health Tx Inc Richardson, TX · Nursing Care | $9.0M |
| 4 | Alabama Department Of Mental Health And Mental Retardation Montgomery, AL · Community/Behavioral Health | $6.1M |
| 5 | Living Innovations Support Services Llc Dover, NH · Day Training Developmentally Disabled Services | $5.8M |
| 6 | 1740656628 | $5.7M |
| 7 | Human Care Services For Families And Children Inc Brooklyn, NY · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities | $4.9M |
| 8 | Astrocare Class, Inc. Houston, TX · Home Health | $4.8M |
| 9 | 1982610572 | $4.8M |
| 10 | 1972959179 | $4.5M |
| 11 | Hamaspik Of Kings County Inc. Brooklyn, NY · Case Management | $3.8M |
| 12 | 1295179489 | $3.5M |
| 13 | 1326454687 | $3.3M |
| 14 | 1538563747 | $3.2M |
| 15 | 1407220601 | $3.1M |
| 16 | 1558484394 | $3.0M |
| 17 | 1306178694 | $2.9M |
| 18 | 1083953095 | $2.7M |
| 19 | 1164931952 | $2.7M |
| 20 | Perspectives Corporation North Kingstown, RI · Day Training Developmentally Disabled Services | $2.5M |
Showing top 20 of 348 providers billing this code