T2025
Waiver services, NOS; per 15 min
Waiver services, NOS; per 15 min is the #55 most-billed Medicaid procedure code, with $3.63B in payments across 20.5M claims from 2018–2024. The national median cost per claim is $124.39. Costs vary widely — the 90th percentile is $669.75 per claim, 5.4× the median.
Total Paid
$3.63B
0.33% of all spending
Total Claims
20.5M
Providers
690
Avg Cost/Claim
$177
National Cost Distribution
How much do providers bill per claim for T2025? Based on 635 providers billing this code nationally.
Median
$124.39
Average
$303.77
Std Dev
$736.10
Max
$11,840.62
Percentile Distribution (Cost per Claim)
50% of providers bill between $69.73 and $287.57 per claim for this code.
90% bill between $42.38 and $669.75.
Top 1% bill above $2,483.33.
About This Procedure
HCPCS code T2025 (Waiver services, NOS; per 15 min) was billed by 690 providers across 20.5M claims, totaling $3.63B in Medicaid payments from 2018–2024. This code was used for 2.9M unique beneficiaries.
Risk Assessment
This procedure is featured in our investigation: NY Home Care Machine
Read the full analysis for context on billing patterns associated with this code.
Billing Statistics
Median Cost/Claim
$124.39
Providers Billing
635
National Spending
$3.63B
Avg/Median Ratio
2.44×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for T2025
| # | Provider | Total Paid |
|---|---|---|
| 1 | Public Partnerships-colorado Inc. Boston, MA · Supports Brokerage | $864.1M |
| 2 | Public Partnerships Llc Latham, NY · Supports Brokerage | $178.7M |
| 3 | Department Of Intellectual And Developmental Disabilities, State Of Tn Nashville, TN · Public Health or Welfare | $176.0M |
| 4 | Palco, Inc. Maumelle, AR · Supports Brokerage | $160.7M |
| 5 | Mosaic Newark, DE · Community Based Residential Treatment Facility Mental Illness | $113.9M |
| 6 | Chimes Metro Inc. Newark, DE · Psychologist Intellectual & Developmental Disabilities | $113.1M |
| 7 | Keystone Service Systems Inc. Newark, DE · Psychologist Intellectual & Developmental Disabilities | $77.8M |
| 8 | Moore Center Services Inc. Manchester, NH · Early Intervention Provider Agency | $67.9M |
| 9 | Gateways Community Services Nashua, NH · Early Intervention Provider Agency | $65.9M |
| 10 | Acumen Fiscal Agent Llc Mesa, AZ · Community/Behavioral Health | $63.0M |
| 11 | National Mentor Healthcare Llc Millsboro, DE · Psychologist Intellectual & Developmental Disabilities | $58.1M |
| 12 | Community Bridges Concord, NH · Case Management | $54.1M |
| 13 | Community Systems Inc. Newark, DE · Psychologist Intellectual & Developmental Disabilities | $50.9M |
| 14 | 1285777490 | $48.8M |
| 15 | Visiting Nurse Group Inc Philadelphia, PA · Home Health | $34.1M |
| 16 | Resources For Human Development Inc. Newark, DE · Psychologist Intellectual & Developmental Disabilities | $33.9M |
| 17 | Region Viii, One Sky Community Services Inc. Portsmouth, NH · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $33.7M |
| 18 | Kencrest Services Blue Bell, PA · Psychologist, Intellectual & Developmental Disabilities | $33.5M |
| 19 | Community Crossroads, Inc. Atkinson, NH · Day Training, Developmentally Disabled Services | $33.3M |
| 20 | Health Managment Of Kansas, Inc. Coffeyville, KS · Home Health | $32.7M |
Showing top 20 of 690 providers billing this code