T2021
Day habilitation, waiver; per 15 min
Day habilitation, waiver; per 15 min is the #15 most-billed Medicaid procedure code, with $8.65B in payments across 55.6M claims from 2018–2024. The national median cost per claim is $150.51. Costs vary widely — the 90th percentile is $808.71 per claim, 5.4× the median.
Total Paid
$8.65B
0.79% of all spending
Total Claims
55.6M
Providers
2K
Avg Cost/Claim
$156
National Cost Distribution
How much do providers bill per claim for T2021? Based on 2K providers billing this code nationally.
Median
$150.51
Average
$313.87
Std Dev
$480.13
Max
$8,722.57
Percentile Distribution (Cost per Claim)
50% of providers bill between $82.78 and $314.52 per claim for this code.
90% bill between $50.01 and $808.71.
Top 1% bill above $2,093.42.
About This Procedure
HCPCS code T2021 (Day habilitation, waiver; per 15 min) was billed by 2K providers across 55.6M claims, totaling $8.65B in Medicaid payments from 2018–2024. This code was used for 5.4M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$150.51
Providers Billing
2K
National Spending
$8.65B
Avg/Median Ratio
2.09×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for T2021
| # | Provider | Total Paid |
|---|---|---|
| 1 | Alabama Department Of Mental Health And Mental Retardation Montgomery, AL · Community/Behavioral Health | $204.6M |
| 2 | Department Of Intellectual And Developmental Disabilities, State Of Tn Nashville, TN · Public Health or Welfare | $194.8M |
| 3 | Department Of Intellectual And Developmental Disabilities, State Of Tn Nashville, TN · Public Health or Welfare | $70.8M |
| 4 | Moore Center Services Inc. Manchester, NH · Early Intervention Provider Agency | $64.9M |
| 5 | Bancroft A New Jersey Nonprofit Corporation Cherry Hill, NJ · Clinic/Center Rehabilitation | $64.8M |
| 6 | Lindley Habilitation Services Inc Greensboro, NC · Community/Behavioral Health | $53.3M |
| 7 | The Devereux Foundation Cherry Hill, NJ · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $52.8M |
| 8 | Community Bridges Concord, NH · Case Management | $51.2M |
| 9 | The Fogarty Center Barrington, RI · Day Training, Developmentally Disabled Services | $50.8M |
| 10 | Region Viii, One Sky Community Services Inc. Portsmouth, NH · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $42.3M |
| 11 | New Jersey Institute For Disabilities Inc Edison, NJ · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $40.6M |
| 12 | 1881081198 | $40.5M |
| 13 | The Arc Of Union County Springfield, NJ · Day Training, Developmentally Disabled Services | $40.1M |
| 14 | 1194846220 | $38.7M |
| 15 | Northern Human Services Conway, NH · Clinic/Center, Developmental Disabilities | $38.4M |
| 16 | Monadnock Developmental Services Keene, NH · Case Management | $38.3M |
| 17 | Abound Health, Llc Mint Hill, NC · In Home Supportive Care | $37.3M |
| 18 | Behavioral Health And Developmental Services Of Strafford County, Inc Dover, NH · Clinic/Center, Developmental Disabilities | $35.6M |
| 19 | Neighborhood Network Inc. Lenexa, KS · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $35.1M |
| 20 | A Caring Heart Case Management, Inc. Wilson, NC · Case Management | $34.7M |
Showing top 20 of 2K providers billing this code