96137
Psychological/neuropsychological testing, each additional 30 min
Psychological/neuropsychological testing, each additional 30 min is the #806 most-billed Medicaid procedure code, with $77.1M in payments across 578K claims from 2018–2024. The national median cost per claim is $92.96. Costs vary widely — the 90th percentile is $288.08 per claim, 3.1× the median.
Total Paid
$77.1M
0.01% of all spending
Total Claims
578K
Providers
1K
Avg Cost/Claim
$133
National Cost Distribution
How much do providers bill per claim for 96137? Based on 1K providers billing this code nationally.
Median
$92.96
Average
$136.59
Std Dev
$152.48
Max
$1,698.48
Percentile Distribution (Cost per Claim)
50% of providers bill between $42.12 and $177.51 per claim for this code.
90% bill between $22.17 and $288.08.
Top 1% bill above $722.57.
About This Procedure
HCPCS code 96137 (Psychological/neuropsychological testing, each additional 30 min) was billed by 1K providers across 578K claims, totaling $77.1M in Medicaid payments from 2018–2024. This code was used for 484K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$92.96
Providers Billing
1K
National Spending
$77.1M
Avg/Median Ratio
1.47×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 96137
| # | Provider | Total Paid |
|---|---|---|
| 1 | Children's Specialized Hospital New Brunswick, NJ · Pediatrics | $3.8M |
| 2 | 1982074969 | $2.9M |
| 3 | 1396807350 | $2.0M |
| 4 | Collaborative Autism Management Programs Inc. Ontario, CA · Behavior Analyst | $1.8M |
| 5 | 1861528390 | $1.6M |
| 6 | 1861907255 | $1.4M |
| 7 | 1710162888 | $1.3M |
| 8 | 1174901128 | $1.2M |
| 9 | Nystrom & Associates, Ltd New Brighton, MN · Marriage & Family Therapist | $1.0M |
| 10 | 1669734604 | $921K |
| 11 | 1467899666 | $844K |
| 12 | 1073557963 | $821K |
| 13 | 1942377379 | $786K |
| 14 | 1881087369 | $731K |
| 15 | 1639387681 | $725K |
| 16 | 1487047007 | $716K |
| 17 | 1104463371 | $682K |
| 18 | 1487916433 | $648K |
| 19 | Fraser Child And Family Center Minneapolis, MN · Clinic/Center, Mental Health (Including Community Mental Health Center) | $640K |
| 20 | 1528145844 | $597K |
Showing top 20 of 1K providers billing this code