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#251 of 11K

T2040

Financial management, self-directed; per month

Financial management, self-directed; per month is the #251 most-billed Medicaid procedure code, with $570.2M in payments across 7.5M claims from 2018–2024. The national median cost per claim is $108.97. Costs vary widely — the 90th percentile is $366.93 per claim, 3.4× the median.

Total Paid

$570.2M

0.05% of all spending

Total Claims

7.5M

Providers

226

Avg Cost/Claim

$76

National Cost Distribution

How much do providers bill per claim for T2040? Based on 214 providers billing this code nationally.

Median

$108.97

Average

$155.52

Std Dev

$135.86

Max

$700.00

Percentile Distribution (Cost per Claim)

p10
$24.15
p25
$63.58
Median
$108.97
p75
$202.34
p90
$366.93
p95
$454.87
p99
$475.00

50% of providers bill between $63.58 and $202.34 per claim for this code.

90% bill between $24.15 and $366.93.

Top 1% bill above $475.00.

About This Procedure

HCPCS code T2040 (Financial management, self-directed; per month) was billed by 226 providers across 7.5M claims, totaling $570.2M in Medicaid payments from 2018–2024. This code was used for 4.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$108.97

Providers Billing

214

National Spending

$570.2M

Avg/Median Ratio

1.43×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for T2040

#ProviderTotal Paid
1Public Partnerships Llc

Latham, NY · Supports Brokerage

$46.2M
2Guardiantrac. Llc

Sturgis, MI · Community/Behavioral Health

$37.6M
3Advance Hi-tech Nursing Inc.

San Antonio, TX · Technician Personal Care Attendant

$25.8M
4Easter Seals Delaware & Marylands Eastern Shore Inc

New Castle, DE · Psychologist Intellectual & Developmental Disabilities

$24.6M
5Public Partnerships-colorado Inc.

Boston, MA · Supports Brokerage

$23.4M
6Consumer Directed Services In Texas Inc.

San Antonio, TX · Supports Brokerage

$21.8M
7Helpers, Llc

Lenexa, KS · Community/Behavioral Health

$15.3M
8Acumen Fiscal Agent Llc

Mesa, AZ · Community/Behavioral Health

$14.8M
9Health Managment Of Kansas, Inc.

Coffeyville, KS · Home Health

$13.9M
10In-home Attendant Services Ltd.

Houston, TX · Technician Personal Care Attendant

$13.3M
11Seven Counties Services Inc.

Louisville, KY · Clinic/Center Developmental Disabilities

$12.6M
12Eak Good Neighbor Properties

Mount Vernon, TX · Day Training, Developmentally Disabled Services

$11.4M
13Life Patterns

Topeka, KS · Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child

$10.8M
141912023227$10.4M
15Resource Center For Independent Living, Inc

Osage City, KS · Home Health

$10.2M
16Alamo Consumer Direct, Llc

Austin, TX · Supports Brokerage

$9.5M
171104958370$8.7M
18Jevs Human Services

Wilmington, DE · Psychologist Adult Development & Aging

$8.5M
19Independent Living Resource Center

Wichita, KS · Case Management

$8.5M
20Southeast Kansas Independent Living Resource Center Inc

Parsons, KS · Case Manager/Care Coordinator

$8.4M

Showing top 20 of 226 providers billing this code