Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#57 of 11K

90832

Psychotherapy, 30 minutes

Psychotherapy, 30 minutes is the #57 most-billed Medicaid procedure code, with $3.57B in payments across 65.8M claims from 2018–2024. The national median cost per claim is $41.28. Costs vary widely — the 90th percentile is $85.58 per claim, 2.1× the median.

Total Paid

$3.57B

0.33% of all spending

Total Claims

65.8M

Providers

18K

Avg Cost/Claim

$54

National Cost Distribution

How much do providers bill per claim for 90832? Based on 16K providers billing this code nationally.

Median

$41.28

Average

$48.89

Std Dev

$51.43

Max

$866.25

Percentile Distribution (Cost per Claim)

p10
$8.06
p25
$24.79
Median
$41.28
p75
$55.27
p90
$85.58
p95
$122.67
p99
$224.73

50% of providers bill between $24.79 and $55.27 per claim for this code.

90% bill between $8.06 and $85.58.

Top 1% bill above $224.73.

About This Procedure

HCPCS code 90832 (Psychotherapy, 30 minutes) was billed by 18K providers across 65.8M claims, totaling $3.57B in Medicaid payments from 2018–2024. This code was used for 37.5M unique beneficiaries.

Fraud Risk Context

Psychotherapy codes are frequently involved in mental health billing fraud, particularly when billed without face-to-face contact.

Source: HHS OIG Reports

Risk Assessment

Billing Statistics

Median Cost/Claim

$41.28

Providers Billing

16K

National Spending

$3.57B

Avg/Median Ratio

1.18×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 90832

#ProviderTotal Paid
1New York Psychotherapy And Counseling Center

Jamaica, NY · Community/Behavioral Health

$161.6M
2New Horizon Counseling Center Inc

South Ozone Park, NY · Clinic/Center Mental Health (Including Community Mental Health Center)

$124.4M
3Sun River Health Inc.

Peekskill, NY · Clinic/Center Federally Qualified Health Center (FQHC)

$69.9M
4Ses Operating Corp

New York, NY · Clinic/Center Primary Care

$52.0M
51689755662$50.3M
6Nyu Langone Hospitals

Brooklyn, NY · General Acute Care Hospital

$37.6M
7Alabama Department Of Mental Health And Mental Retardation

Montgomery, AL · Community/Behavioral Health

$32.0M
8Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$26.9M
9Centerstone Of Tennessee Inc.

Nashville, TN · Clinic/Center Mental Health (Including Community Mental Health Center)

$26.9M
10Richmond Medical Center

Staten Island, NY · Psychiatric Unit

$26.2M
11The Board Of Education Of The City Of Chicago

Chicago, IL · Local Education Agency (LEA)

$22.8M
12St. Barnabas Hospital

Bronx, NY · General Acute Care Hospital

$22.4M
131043387152$20.5M
14Nys Office Of Mental Health

Orangeburg, NY · Clinic/Center, Adolescent and Children Mental Health

$20.3M
151992992879$18.2M
161972877017$17.6M
17Bowen Health Inc

Warsaw, IN · Psychiatric Hospital

$17.3M
181558553271$17.1M
19Los Angeles County Department Of Mental Health

Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center)

$16.6M
20Waianae District Comprehensive Health And Hospital Board, Inc

Waianae, HI · Pediatrics

$16.4M

Showing top 20 of 18K providers billing this code