90792
Psychiatric diagnostic evaluation with medical services
Psychiatric diagnostic evaluation with medical services is the #161 most-billed Medicaid procedure code, with $1.09B in payments across 8.4M claims from 2018–2024. The national median cost per claim is $108.91. Costs vary widely — the 90th percentile is $233.36 per claim, 2.1× the median.
Total Paid
$1.09B
0.10% of all spending
Total Claims
8.4M
Providers
10K
Avg Cost/Claim
$130
National Cost Distribution
How much do providers bill per claim for 90792? Based on 10K providers billing this code nationally.
Median
$108.91
Average
$127.26
Std Dev
$104.05
Max
$2,255.04
Percentile Distribution (Cost per Claim)
50% of providers bill between $66.42 and $157.35 per claim for this code.
90% bill between $26.78 and $233.36.
Top 1% bill above $486.30.
About This Procedure
HCPCS code 90792 (Psychiatric diagnostic evaluation with medical services) was billed by 10K providers across 8.4M claims, totaling $1.09B in Medicaid payments from 2018–2024. This code was used for 7.5M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$108.91
Providers Billing
10K
National Spending
$1.09B
Avg/Median Ratio
1.17×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 90792
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1447206420 | $14.5M |
| 2 | 1578641924 | $8.8M |
| 3 | Team Mental Health Services Inc. Detroit, MI · Radiology, Diagnostic Radiology | $7.8M |
| 4 | Macomb County Community Mental Health Clinton Twp, MI · Clinic/Center Mental Health (Including Community Mental Health Center) | $7.8M |
| 5 | 1649217761 | $7.0M |
| 6 | Upmc Presbyterian Shadyside Pittsburgh, PA · Clinic/Center | $6.6M |
| 7 | 1831338961 | $6.1M |
| 8 | 1609300854 | $6.0M |
| 9 | Community Mental Health For Central Michigan Mt Pleasant, MI · Psychiatry & Neurology Psychiatry | $4.4M |
| 10 | Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA · Oral & Maxillofacial Surgery | $4.4M |
| 11 | 1013476787 | $4.4M |
| 12 | Easterseals Morc Health Care, Inc. Auburn Hills, MI · Psychiatry & Neurology, Psychiatry | $4.1M |
| 13 | Bowen Health Inc Warsaw, IN · Psychiatric Hospital | $4.0M |
| 14 | Community Mental Health Authority Of Clinton Eaton Ingham Counties Lansing, MI · Clinic/Center Mental Health (Including Community Mental Health Center) | $3.9M |
| 15 | County Of Kern Bakersfield, CA · Clinic/Center, Adult Mental Health | $3.9M |
| 16 | County Of San Bernardino San Bernardino, CA · Clinic/Center Rehabilitation Substance Use Disorder | $3.7M |
| 17 | 1356397228 | $3.7M |
| 18 | 1508814625 | $3.6M |
| 19 | Genesee Health System Flint, MI · Community/Behavioral Health | $3.6M |
| 20 | 1760596480 | $3.5M |
Showing top 20 of 10K providers billing this code