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#146 of 11K

H0031

Mental health assessment by non-physician

Mental health assessment by non-physician is the #146 most-billed Medicaid procedure code, with $1.24B in payments across 10.5M claims from 2018–2024. The national median cost per claim is $96.18. Costs vary widely — the 90th percentile is $219.22 per claim, 2.3× the median.

Total Paid

$1.24B

0.11% of all spending

Total Claims

10.5M

Providers

5K

Avg Cost/Claim

$118

National Cost Distribution

How much do providers bill per claim for H0031? Based on 5K providers billing this code nationally.

Median

$96.18

Average

$121.29

Std Dev

$141.72

Max

$4,214.48

Percentile Distribution (Cost per Claim)

p10
$19.33
p25
$42.75
Median
$96.18
p75
$153.72
p90
$219.22
p95
$324.86
p99
$682.79

50% of providers bill between $42.75 and $153.72 per claim for this code.

90% bill between $19.33 and $219.22.

Top 1% bill above $682.79.

About This Procedure

HCPCS code H0031 (Mental health assessment by non-physician) was billed by 5K providers across 10.5M claims, totaling $1.24B in Medicaid payments from 2018–2024. This code was used for 8.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$96.18

Providers Billing

5K

National Spending

$1.24B

Avg/Median Ratio

1.26×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for H0031

#ProviderTotal Paid
1State Of Missouri

Jefferson City, MO · Psychologist, Rehabilitation

$26.0M
21558843813$25.8M
31912270422$22.8M
4Community Mental Health Authority Of Clinton Eaton Ingham Counties

Lansing, MI · Clinic/Center Mental Health (Including Community Mental Health Center)

$18.4M
5Community Intervention Associates

Yuma, AZ · Community/Behavioral Health

$12.9M
6County Of Orange

Santa Ana, CA · Clinic/Center Mental Health (Including Community Mental Health Center)

$11.9M
7La Frontera Center Inc.

Tucson, AZ · Clinic/Center Mental Health (Including Community Mental Health Center)

$10.9M
81013476787$10.8M
91760596480$10.4M
10Macomb Oakland Regional Center Inc.

Auburn Hills, MI · Community/Behavioral Health

$10.4M
11Bhpn Llc

Walnut Creek, CA · Case Management

$10.4M
12Team Mental Health Services Inc.

Detroit, MI · Radiology, Diagnostic Radiology

$9.9M
13Southwest Behavioral Health Services Inc

Phoenix, AZ · Community/Behavioral Health

$9.5M
14County Of Muskegon

Muskegon, MI · Clinic/Center, Mental Health (Including Community Mental Health Center)

$9.0M
151356397228$8.9M
161205925567$8.7M
17County Of Santa Clara

San Jose, CA · Community/Behavioral Health

$8.4M
18Arizona's Children Association

Tucson, AZ · Clinic/Center Adolescent and Children Mental Health

$8.2M
191669897385$7.9M
20Codac Health Recovery And Wellness

Tucson, AZ · Community/Behavioral Health

$7.5M

Showing top 20 of 5K providers billing this code