90853
Group psychotherapy
Group psychotherapy is the #144 most-billed Medicaid procedure code, with $1.28B in payments across 35.6M claims from 2018–2024. The national median cost per claim is $25.02. Costs vary widely — the 90th percentile is $61.82 per claim, 2.5× the median.
Total Paid
$1.28B
0.12% of all spending
Total Claims
35.6M
Providers
8K
Avg Cost/Claim
$36
National Cost Distribution
How much do providers bill per claim for 90853? Based on 7K providers billing this code nationally.
Median
$25.02
Average
$35.31
Std Dev
$49.95
Max
$801.21
Percentile Distribution (Cost per Claim)
50% of providers bill between $15.21 and $40.11 per claim for this code.
90% bill between $7.90 and $61.82.
Top 1% bill above $234.01.
About This Procedure
HCPCS code 90853 (Group psychotherapy) was billed by 8K providers across 35.6M claims, totaling $1.28B in Medicaid payments from 2018–2024. This code was used for 10.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$25.02
Providers Billing
7K
National Spending
$1.28B
Avg/Median Ratio
1.41×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 90853
| # | Provider | Total Paid |
|---|---|---|
| 1 | I.m.e.m. Clinical Associates Llc Lakewood, NJ · Specialist | $27.5M |
| 2 | Trinitas Regional Medical Center Elizabeth, NJ · General Acute Care Hospital | $22.4M |
| 3 | Recover Together Inc. Greenfield, IN · Clinic/Center Adult Mental Health | $18.2M |
| 4 | 1003823915 | $18.1M |
| 5 | 1467407395 | $10.3M |
| 6 | 1710545645 | $9.8M |
| 7 | 1063522530 | $9.6M |
| 8 | Saint Peter's University Hospital New Brunswick, NJ · General Acute Care Hospital | $9.4M |
| 9 | 1700177409 | $8.9M |
| 10 | 1699827345 | $8.8M |
| 11 | 1285646455 | $7.9M |
| 12 | Valley Behavioral Health Incorporated Salt Lake City, UT · Psychiatry & Neurology Psychiatry | $7.7M |
| 13 | 1306870910 | $6.8M |
| 14 | Wasatch Behavioral Health Special Service District Provo, UT · Community/Behavioral Health | $6.3M |
| 15 | 1457324196 | $6.2M |
| 16 | 1578565347 | $6.1M |
| 17 | 1992210231 | $6.0M |
| 18 | Spero Health Of Kentucky Llc Danville, KY · Family Medicine Addiction Medicine | $5.9M |
| 19 | 1174648232 | $5.7M |
| 20 | 1588066716 | $5.5M |
Showing top 20 of 8K providers billing this code