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

#237 of 11K

90833

Psychotherapy, 30 min, add-on to E/M service

Psychotherapy, 30 min, add-on to E/M service is the #237 most-billed Medicaid procedure code, with $614.3M in payments across 14.4M claims from 2018–2024. The national median cost per claim is $38.83.

Total Paid

$614.3M

0.06% of all spending

Total Claims

14.4M

Providers

8K

Avg Cost/Claim

$43

National Cost Distribution

How much do providers bill per claim for 90833? Based on 8K providers billing this code nationally.

Median

$38.83

Average

$41.45

Std Dev

$36.35

Max

$787.16

Percentile Distribution (Cost per Claim)

p10
$9.78
p25
$22.94
Median
$38.83
p75
$53.88
p90
$69.27
p95
$78.53
p99
$132.63

50% of providers bill between $22.94 and $53.88 per claim for this code.

90% bill between $9.78 and $69.27.

Top 1% bill above $132.63.

About This Procedure

HCPCS code 90833 (Psychotherapy, 30 min, add-on to E/M service) was billed by 8K providers across 14.4M claims, totaling $614.3M in Medicaid payments from 2018–2024. This code was used for 11.1M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$38.83

Providers Billing

8K

National Spending

$614.3M

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 90833

#ProviderTotal Paid
1Nystrom & Associates, Ltd

New Brighton, MN · Marriage & Family Therapist

$14.9M
21609300854$6.1M
3County Of San Diego

San Diego, CA · Public Health or Welfare

$5.8M
4Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$5.6M
51780098228$5.6M
6Nys Office Of Mental Health

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

$5.1M
71760928766$4.5M
8Codac Health Recovery And Wellness

Tucson, AZ · Community/Behavioral Health

$3.9M
91174784953$3.8M
101821389941$3.6M
11North Range Behavioral Health

Greeley, CO · Clinic/Center Mental Health (Including Community Mental Health Center)

$3.2M
121477754612$2.5M
131417373713$2.5M
14Northeast Health Services, Llc

Taunton, MA · Clinic/Center, Mental Health (Including Community Mental Health Center)

$2.4M
151366526782$2.4M
161033288923$2.3M
17Seven Counties Services, Inc.

Louisville, KY · Counselor

$2.2M
181548270663$2.1M
191124374822$2.0M
201992210231$2.0M

Showing top 20 of 8K providers billing this code