90836
Psychotherapy, 45 min, add-on to E/M
Psychotherapy, 45 min, add-on to E/M is the #749 most-billed Medicaid procedure code, with $89.1M in payments across 1.4M claims from 2018–2024. The national median cost per claim is $56.18.
Total Paid
$89.1M
0.01% of all spending
Total Claims
1.4M
Providers
2K
Avg Cost/Claim
$66
National Cost Distribution
How much do providers bill per claim for 90836? Based on 2K providers billing this code nationally.
Median
$56.18
Average
$61.07
Std Dev
$39.35
Max
$640.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $36.73 and $81.06 per claim for this code.
90% bill between $17.85 and $101.30.
Top 1% bill above $196.12.
About This Procedure
HCPCS code 90836 (Psychotherapy, 45 min, add-on to E/M) was billed by 2K providers across 1.4M claims, totaling $89.1M in Medicaid payments from 2018–2024. This code was used for 1.0M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$56.18
Providers Billing
2K
National Spending
$89.1M
Avg/Median Ratio
1.09×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 90836
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1992245559 | $2.9M |
| 2 | Nys Office Of Mental Health Orangeburg, NY · Clinic/Center, Adolescent and Children Mental Health | $2.8M |
| 3 | 1215275466 | $2.3M |
| 4 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $2.1M |
| 5 | 1447219662 | $1.8M |
| 6 | 1417373713 | $1.4M |
| 7 | Mount Sinai Hospital New York, NY · Ambulance | $1.1M |
| 8 | 1942775150 | $998K |
| 9 | 1619192028 | $907K |
| 10 | 1760472310 | $846K |
| 11 | 1780098228 | $820K |
| 12 | 1730246968 | $759K |
| 13 | New York Psychotherapy And Counseling Center Jamaica, NY · Community/Behavioral Health | $750K |
| 14 | 1912042862 | $704K |
| 15 | 1639703879 | $686K |
| 16 | 1104463371 | $678K |
| 17 | 1023172921 | $675K |
| 18 | 1154328698 | $664K |
| 19 | 1487107363 | $618K |
| 20 | 1447314356 | $608K |
Showing top 20 of 2K providers billing this code