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#453 of 11K

T2041

Supports brokerage, self-directed; per 15 min

Supports brokerage, self-directed; per 15 min is the #453 most-billed Medicaid procedure code, with $216.6M in payments across 2.0M claims from 2018–2024. The national median cost per claim is $162.29. Costs vary widely — the 90th percentile is $420.15 per claim, 2.6× the median.

Total Paid

$216.6M

0.02% of all spending

Total Claims

2.0M

Providers

251

Avg Cost/Claim

$106

National Cost Distribution

How much do providers bill per claim for T2041? Based on 239 providers billing this code nationally.

Median

$162.29

Average

$194.54

Std Dev

$137.42

Max

$688.67

Percentile Distribution (Cost per Claim)

p10
$32.23
p25
$91.83
Median
$162.29
p75
$272.87
p90
$420.15
p95
$473.36
p99
$531.17

50% of providers bill between $91.83 and $272.87 per claim for this code.

90% bill between $32.23 and $420.15.

Top 1% bill above $531.17.

About This Procedure

HCPCS code T2041 (Supports brokerage, self-directed; per 15 min) was billed by 251 providers across 2.0M claims, totaling $216.6M in Medicaid payments from 2018–2024. This code was used for 834K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$162.29

Providers Billing

239

National Spending

$216.6M

Avg/Median Ratio

1.20×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for T2041

#ProviderTotal Paid
1County Of Los Angeles

Los Angeles, CA · Respite Care

$32.7M
2Northeast Pennsylvania Center For Independent Living

Scranton, PA · Supports Brokerage

$27.6M
31396811618$14.3M
41427193713$12.4M
51740406669$9.0M
61174875736$5.8M
7New Jersey Division Of Developmental Disabilities

Hamilton, NJ · Day Training Developmentally Disabled Services

$5.8M
8The Fogarty Center

Barrington, RI · Day Training, Developmentally Disabled Services

$5.6M
91659491751$3.2M
101154623338$3.1M
11Guardiantrac. Llc

Sturgis, MI · Community/Behavioral Health

$2.8M
121124766704$2.8M
13Quality Health Care Services

Charlotte, NC · Nurse's Aide

$2.4M
141134607435$2.4M
151063554517$2.4M
161982921227$2.4M
171124794664$2.2M
181124152046$2.1M
191265656458$1.9M
201346413911$1.8M

Showing top 20 of 251 providers billing this code