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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | State Of Missouri Jefferson City, MO · Psychologist, Rehabilitation | $26.0M |
| 2 | 1558843813 | $25.8M |
| 3 | 1912270422 | $22.8M |
| 4 | Community Mental Health Authority Of Clinton Eaton Ingham Counties Lansing, MI · Clinic/Center Mental Health (Including Community Mental Health Center) | $18.4M |
| 5 | Community Intervention Associates Yuma, AZ · Community/Behavioral Health | $12.9M |
| 6 | County Of Orange Santa Ana, CA · Clinic/Center Mental Health (Including Community Mental Health Center) | $11.9M |
| 7 | La Frontera Center Inc. Tucson, AZ · Clinic/Center Mental Health (Including Community Mental Health Center) | $10.9M |
| 8 | 1013476787 | $10.8M |
| 9 | 1760596480 | $10.4M |
| 10 | Macomb Oakland Regional Center Inc. Auburn Hills, MI · Community/Behavioral Health | $10.4M |
| 11 | Bhpn Llc Walnut Creek, CA · Case Management | $10.4M |
| 12 | Team Mental Health Services Inc. Detroit, MI · Radiology, Diagnostic Radiology | $9.9M |
| 13 | Southwest Behavioral Health Services Inc Phoenix, AZ · Community/Behavioral Health | $9.5M |
| 14 | County Of Muskegon Muskegon, MI · Clinic/Center, Mental Health (Including Community Mental Health Center) | $9.0M |
| 15 | 1356397228 | $8.9M |
| 16 | 1205925567 | $8.7M |
| 17 | County Of Santa Clara San Jose, CA · Community/Behavioral Health | $8.4M |
| 18 | Arizona's Children Association Tucson, AZ · Clinic/Center Adolescent and Children Mental Health | $8.2M |
| 19 | 1669897385 | $7.9M |
| 20 | Codac Health Recovery And Wellness Tucson, AZ · Community/Behavioral Health | $7.5M |
Showing top 20 of 5K providers billing this code