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#749 of 11K

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)

p10
$17.85
p25
$36.73
Median
$56.18
p75
$81.06
p90
$101.30
p95
$122.18
p99
$196.12

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

#ProviderTotal Paid
11992245559$2.9M
2Nys Office Of Mental Health

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

$2.8M
31215275466$2.3M
4Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$2.1M
51447219662$1.8M
61417373713$1.4M
7Mount Sinai Hospital

New York, NY · Ambulance

$1.1M
81942775150$998K
91619192028$907K
101760472310$846K
111780098228$820K
121730246968$759K
13New York Psychotherapy And Counseling Center

Jamaica, NY · Community/Behavioral Health

$750K
141912042862$704K
151639703879$686K
161104463371$678K
171023172921$675K
181154328698$664K
191487107363$618K
201447314356$608K

Showing top 20 of 2K providers billing this code