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#69 of 11K

T2017

Habilitation, residential, waiver; 15 min

Habilitation, residential, waiver; 15 min is the #69 most-billed Medicaid procedure code, with $2.85B in payments across 13.9M claims from 2018–2024. The national median cost per claim is $137.32. Costs vary widely — the 90th percentile is $1,566.26 per claim, 11.4× the median.

Total Paid

$2.85B

0.26% of all spending

Total Claims

13.9M

Providers

428

Avg Cost/Claim

$205

National Cost Distribution

How much do providers bill per claim for T2017? Based on 413 providers billing this code nationally.

Median

$137.32

Average

$635.03

Std Dev

$1,328.70

Max

$7,882.27

Percentile Distribution (Cost per Claim)

p10
$64.76
p25
$81.22
Median
$137.32
p75
$361.79
p90
$1,566.26
p95
$3,997.98
p99
$6,290.49

50% of providers bill between $81.22 and $361.79 per claim for this code.

90% bill between $64.76 and $1,566.26.

Top 1% bill above $6,290.49.

About This Procedure

HCPCS code T2017 (Habilitation, residential, waiver; 15 min) was billed by 428 providers across 13.9M claims, totaling $2.85B in Medicaid payments from 2018–2024. This code was used for 1.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$137.32

Providers Billing

413

National Spending

$2.85B

Avg/Median Ratio

4.62×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for T2017

#ProviderTotal Paid
1Nv St Dv Mh Ds Desert Dev Center

Las Vegas, NV · Respite Care Respite Care Intellectual and/or Developmental Disabilities Child

$453.5M
2Arion Care Solutions Llc

Chandler, AZ · In Home Supportive Care

$224.5M
3Sierra Regional Center

Sparks, NV · Respite Care

$173.8M
4The Fogarty Center

Barrington, RI · Day Training, Developmentally Disabled Services

$147.2M
5Normal Life Of Georgia

Atlanta, GA · Community/Behavioral Health

$84.2M
6Nv St Dv Mh/ds Rural Regional Center

Sparks, NV · Respite Care

$55.8M
71649833286$43.9M
81417186479$41.4M
9Advance Hi-tech Nursing Inc.

San Antonio, TX · Technician Personal Care Attendant

$36.7M
10Rescare Georgia

Atlanta, GA · Community/Behavioral Health

$32.6M
11Aware Inc

Anaconda, MT · Behavior Analyst

$32.3M
121710274402$29.6M
131992820336$29.4M
14Girling Health Care Inc.

Austin, TX · Home Health

$27.2M
151942345178$26.4M
161215158779$25.6M
171215143227$24.6M
181184051773$24.5M
191710015755$23.9M
201043421902$23.9M

Showing top 20 of 428 providers billing this code