90791
Psychiatric diagnostic evaluation
Psychiatric diagnostic evaluation is the #102 most-billed Medicaid procedure code, with $1.94B in payments across 16.1M claims from 2018–2024. The national median cost per claim is $99.21.
Total Paid
$1.94B
0.18% of all spending
Total Claims
16.1M
Providers
22K
Avg Cost/Claim
$120
National Cost Distribution
How much do providers bill per claim for 90791? Based on 20K providers billing this code nationally.
Median
$99.21
Average
$105.02
Std Dev
$76.39
Max
$4,511.66
Percentile Distribution (Cost per Claim)
50% of providers bill between $70.16 and $126.49 per claim for this code.
90% bill between $35.93 and $164.28.
Top 1% bill above $333.27.
About This Procedure
HCPCS code 90791 (Psychiatric diagnostic evaluation) was billed by 22K providers across 16.1M claims, totaling $1.94B in Medicaid payments from 2018–2024. This code was used for 14.1M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$99.21
Providers Billing
20K
National Spending
$1.94B
Avg/Median Ratio
1.06×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 90791
| # | Provider | Total Paid |
|---|---|---|
| 1 | Sate Of Alabama Dept Of Finance Montgomery, AL · Public Health or Welfare | $40.5M |
| 2 | Alabama Department Of Mental Health And Mental Retardation Montgomery, AL · Community/Behavioral Health | $21.2M |
| 3 | University Of Rochester Rochester, NY · General Acute Care Hospital | $20.2M |
| 4 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $19.5M |
| 5 | 1437197985 | $16.2M |
| 6 | New York City Health And Hospitals Corporation New York, NY · Internal Medicine | $15.8M |
| 7 | New York Psychotherapy And Counseling Center Jamaica, NY · Community/Behavioral Health | $13.2M |
| 8 | Richmond Medical Center Staten Island, NY · Psychiatric Unit | $13.2M |
| 9 | 1972523348 | $13.1M |
| 10 | 1174129563 | $12.4M |
| 11 | Valley Behavioral Health Incorporated Salt Lake City, UT · Psychiatry & Neurology Psychiatry | $12.3M |
| 12 | Bronxcare Health System Bronx, NY · General Acute Care Hospital | $10.9M |
| 13 | 1508815333 | $10.9M |
| 14 | Bowen Health Inc Warsaw, IN · Psychiatric Hospital | $10.7M |
| 15 | Centerstone Of Tennessee Inc. Nashville, TN · Clinic/Center Mental Health (Including Community Mental Health Center) | $10.0M |
| 16 | New York City Health And Hospitals Corporation Brooklyn, NY · Internal Medicine | $9.6M |
| 17 | Beth Israel Medical Center Brooklyn, NY · Psychiatric Unit | $9.6M |
| 18 | The Brookdale Hospital Medical Center Brooklyn, NY · General Acute Care Hospital | $9.4M |
| 19 | St Lukes Roosevelt Hospital Center New York, NY · Case Management | $8.9M |
| 20 | Community Mental Health For Central Michigan Mt Pleasant, MI · Psychiatry & Neurology Psychiatry | $8.5M |
Showing top 20 of 22K providers billing this code