H0035
Mental health partial hospitalization, treatment, per hour
Mental health partial hospitalization, treatment, per hour is the #110 most-billed Medicaid procedure code, with $1.81B in payments across 14.1M claims from 2018–2024. The national median cost per claim is $148.53. Costs vary widely — the 90th percentile is $332.64 per claim, 2.2× the median.
Total Paid
$1.81B
0.17% of all spending
Total Claims
14.1M
Providers
794
Avg Cost/Claim
$128
National Cost Distribution
How much do providers bill per claim for H0035? Based on 782 providers billing this code nationally.
Median
$148.53
Average
$186.55
Std Dev
$191.82
Max
$3,541.75
Percentile Distribution (Cost per Claim)
50% of providers bill between $88.56 and $225.55 per claim for this code.
90% bill between $71.79 and $332.64.
Top 1% bill above $872.87.
About This Procedure
HCPCS code H0035 (Mental health partial hospitalization, treatment, per hour) was billed by 794 providers across 14.1M claims, totaling $1.81B in Medicaid payments from 2018–2024. This code was used for 1.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$148.53
Providers Billing
782
National Spending
$1.81B
Avg/Median Ratio
1.26×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for H0035
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1942217054 | $69.9M |
| 2 | 1891871489 | $44.3M |
| 3 | 1518009588 | $33.2M |
| 4 | 1093891335 | $31.7M |
| 5 | Addiction Recovery Care Llc Louisa, KY · Community Based Residential Treatment Facility, Mental Illness | $27.5M |
| 6 | Virtua - West Jersey Health System Inc. Voorhees, NJ · General Acute Care Hospital | $26.8M |
| 7 | 1568512010 | $22.3M |
| 8 | 1568638559 | $21.8M |
| 9 | Jersey City Medical Center Jersey City, NJ · General Acute Care Hospital | $21.0M |
| 10 | 1447614698 | $18.6M |
| 11 | Alabama Department Of Mental Health And Mental Retardation Montgomery, AL · Community/Behavioral Health | $18.2M |
| 12 | Health Connect America Inc Franklin, TN · Community/Behavioral Health | $18.1M |
| 13 | 1811053101 | $18.0M |
| 14 | 1871658757 | $16.1M |
| 15 | 1619289634 | $16.1M |
| 16 | Moonlight Mountain Recovery, Inc Pocatello, ID · Clinic/Center, Mental Health (Including Community Mental Health Center) | $16.0M |
| 17 | 1598992182 | $15.1M |
| 18 | 1609995141 | $14.5M |
| 19 | 1215182928 | $14.0M |
| 20 | Inspira Medical Centers Inc. Vineland, NJ · General Acute Care Hospital | $12.7M |
Showing top 20 of 794 providers billing this code