90837
Psychotherapy, 60 minutes
Psychotherapy, 60 minutes is the #12 most-billed Medicaid procedure code, with $12.07B in payments across 127.2M claims from 2018–2024. The national median cost per claim is $85.66.
Total Paid
$12.07B
1.10% of all spending
Total Claims
127.2M
Providers
44K
Avg Cost/Claim
$95
National Cost Distribution
How much do providers bill per claim for 90837? Based on 43K providers billing this code nationally.
Median
$85.66
Average
$89.17
Std Dev
$48.80
Max
$912.24
Percentile Distribution (Cost per Claim)
50% of providers bill between $69.86 and $102.07 per claim for this code.
90% bill between $46.09 and $125.59.
Top 1% bill above $300.00.
About This Procedure
HCPCS code 90837 (Psychotherapy, 60 minutes) was billed by 44K providers across 127.2M claims, totaling $12.07B in Medicaid payments from 2018–2024. This code was used for 56.9M 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
$85.66
Providers Billing
43K
National Spending
$12.07B
Avg/Median Ratio
1.04×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 90837
| # | Provider | Total Paid |
|---|---|---|
| 1 | Los Angeles County Department Of Mental Health Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center) | $368.0M |
| 2 | Nystrom & Associates, Ltd New Brighton, MN · Marriage & Family Therapist | $81.3M |
| 3 | Alabama Department Of Mental Health And Mental Retardation Montgomery, AL · Community/Behavioral Health | $68.6M |
| 4 | County Of Riverside Riverside, CA · Community/Behavioral Health | $64.7M |
| 5 | Centerstone Of Tennessee Inc. Nashville, TN · Clinic/Center Mental Health (Including Community Mental Health Center) | $48.4M |
| 6 | Northeast Health Services, Llc Taunton, MA · Clinic/Center, Mental Health (Including Community Mental Health Center) | $46.3M |
| 7 | Mountain Comprehensive Care Center, Inc. Prestonsburg, KY · Counselor, Mental Health | $45.3M |
| 8 | County Of Santa Clara San Jose, CA · Community/Behavioral Health | $41.1M |
| 9 | Seven Counties Services, Inc. Louisville, KY · Counselor | $38.5M |
| 10 | County Of Fresno Fresno, CA · Clinic/Center Mental Health (Including Community Mental Health Center) | $37.7M |
| 11 | Ohioguidestone Berea, OH · Community/Behavioral Health | $37.5M |
| 12 | Valley Behavioral Health Incorporated Salt Lake City, UT · Psychiatry & Neurology Psychiatry | $36.9M |
| 13 | Wasatch Behavioral Health Special Service District Provo, UT · Community/Behavioral Health | $33.9M |
| 14 | 1801828496 | $29.9M |
| 15 | County Of San Bernardino San Bernardino, CA · Clinic/Center Rehabilitation Substance Use Disorder | $29.7M |
| 16 | 1609875186 | $29.4M |
| 17 | City & County Of San Francisco San Francisco, CA · Community/Behavioral Health | $26.5M |
| 18 | 1396196879 | $26.3M |
| 19 | County Of Sacramento Sacramento, CA · Clinic/Center Adult Mental Health | $26.0M |
| 20 | 1639438518 | $24.1M |
Showing top 20 of 44K providers billing this code