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#1175 of 11K

T2018

HCPCS Procedure Code

HCPCS code T2018 is the #1,175 most-billed Medicaid procedure code, with $35.5M in payments across 411K claims from 2018–2024. The national median cost per claim is $117.28. Costs vary widely — the 90th percentile is $320.78 per claim, 2.7× the median.

Total Paid

$35.5M

0.00% of all spending

Total Claims

411K

Providers

56

Avg Cost/Claim

$87

National Cost Distribution

How much do providers bill per claim for T2018? Based on 55 providers billing this code nationally.

Median

$117.28

Average

$185.65

Std Dev

$207.81

Max

$1,423.93

Percentile Distribution (Cost per Claim)

p10
$74.64
p25
$89.51
Median
$117.28
p75
$212.51
p90
$320.78
p95
$434.72
p99
$1,039.33

50% of providers bill between $89.51 and $212.51 per claim for this code.

90% bill between $74.64 and $320.78.

Top 1% bill above $1,039.33.

About This Procedure

HCPCS code T2018 was billed by 56 providers across 411K claims, totaling $35.5M in Medicaid payments from 2018–2024. This code was used for 97K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$117.28

Providers Billing

55

National Spending

$35.5M

Avg/Median Ratio

1.58×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for T2018

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

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

$15.9M
2Guardiantrac. Llc

Sturgis, MI · Community/Behavioral Health

$6.3M
3Black Hills Works Inc

Rapid City, SD · Day Training Developmentally Disabled Services

$1.9M
41922133792$1.2M
5Volunteers Of America Dakotas

Sioux Falls, SD · Residential Treatment Facility Intellectual and/or Developmental Disabilities

$890K
6New Jersey Division Of Developmental Disabilities

Hamilton, NJ · Day Training Developmentally Disabled Services

$884K
71124174651$745K
81205993664$700K
91932254760$694K
10Huron Area Center For Independence

Huron, SD · Clinic/Center Developmental Disabilities

$598K
11Hope Haven Inc

Rock Valley, IA · Nursing Facility/Intermediate Care Facility

$581K
121710028527$421K
131124586037$383K
14South Dakota Achieve

Sioux Falls, SD · Clinic/Center Developmental Disabilities

$363K
151023149267$360K
161114002573$331K
171578600417$329K
181134244510$320K
191720074644$253K
20Trivium Life Services

Council Bluffs, IA · Day Training, Developmentally Disabled Services

$222K

Showing top 20 of 56 providers billing this code