#3041 of 11K

90840

Psychotherapy for crisis, each additional 30 min

Psychotherapy for crisis, each additional 30 min is the #3,041 most-billed Medicaid procedure code, with $2.7M in payments across 45K claims from 2018–2024. The national median cost per claim is $50.71. Costs vary widely — the 90th percentile is $152.04 per claim, 3.0× the median.

Total Paid

$2.7M

0.00% of all spending

Total Claims

45K

Providers

122

Avg Cost/Claim

$60

National Cost Distribution

How much do providers bill per claim for 90840? Based on 105 providers billing this code nationally.

Median

$50.71

Average

$94.13

Std Dev

$219.69

Max

$2,159.19

Percentile Distribution (Cost per Claim)

p10

$20.20

p25

$32.82

Median

$50.71

p75

$78.43

p90

$152.04

p95

$253.65

p99

$538.17

50% of providers bill between $32.82 and $78.43 per claim for this code.

90% bill between $20.20 and $152.04.

Top 1% bill above $538.17.

About This Procedure

HCPCS code 90840 (Psychotherapy for crisis, each additional 30 min) was billed by 122 providers across 45K claims, totaling $2.7M in Medicaid payments from 2018–2024. This code was used for 32K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$50.71

Providers Billing

105

National Spending

$2.7M

Avg/Median Ratio

1.86×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 90840

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1316119019	$428K	$111.11	2.2× median	Above 75th
2	1699010348	$334K	$115.20	2.3× median	Above 75th
3	Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital	$169K	$39.60	0.8× median	Below Median
4	Fairfax County Virginia Fairfax, VA · Clinic/Center Mental Health (Including Community Mental Health Center)	$137K	$122.22	2.4× median	Above 75th
5	1144516824	$133K	$41.25	0.8× median	Below Median
6	County Of Stanislaus Modesto, CA · Community/Behavioral Health	$119K	$302.22	6.0× median	Top 10%
7	1912066218	$82K	$34.67	0.7× median	Below Median
8	1043874365	$81K	$47.95	0.9× median	Below Median
9	1871059402	$77K	$68.40	1.3× median	Above Median
10	1447596150	$62K	$138.77	2.7× median	Above 75th
11	1700359700	$62K	$128.25	2.5× median	Above 75th
12	1699705079	$60K	$80.80	1.6× median	Above 75th
13	1487209219	$51K	$206.77	4.1× median	Top 10%
14	1205055886	$50K	$540.96	10.7× median	Top 1%
15	1255308136	$48K	$50.58	1.0× median	Below Median
16	1891178661	$47K	$82.99	1.6× median	Above 75th
17	Alameda County Behavioral Health Care Oakland, CA · Community/Behavioral Health	$42K	$471.20	9.3× median	Top 10%
18	1336259118	$39K	$21.79	0.4× median	Below Median
19	1477508406	$37K	$60.02	1.2× median	Above Median
20	1083191738	$35K	$144.90	2.9× median	Above 75th

Showing top 20 of 122 providers billing this code

Related Procedures

90837Psychotherapy, 60 minutes$12.07B 90834Psychotherapy, 45 minutes$8.82B 90832Psychotherapy, 30 minutes$3.57B 90847Family psychotherapy with patient, 50 min$1.09B 90833Psychotherapy, 30 min, add-on to E/M service$614.3M

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