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

#12 of 11K

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)

p10
$46.09
p25
$69.86
Median
$85.66
p75
$102.07
p90
$125.59
p95
$150.33
p99
$300.00

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

#ProviderTotal Paid
1Los Angeles County Department Of Mental Health

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

$368.0M
2Nystrom & Associates, Ltd

New Brighton, MN · Marriage & Family Therapist

$81.3M
3Alabama Department Of Mental Health And Mental Retardation

Montgomery, AL · Community/Behavioral Health

$68.6M
4County Of Riverside

Riverside, CA · Community/Behavioral Health

$64.7M
5Centerstone Of Tennessee Inc.

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

$48.4M
6Northeast Health Services, Llc

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

$46.3M
7Mountain Comprehensive Care Center, Inc.

Prestonsburg, KY · Counselor, Mental Health

$45.3M
8County Of Santa Clara

San Jose, CA · Community/Behavioral Health

$41.1M
9Seven Counties Services, Inc.

Louisville, KY · Counselor

$38.5M
10County Of Fresno

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

$37.7M
11Ohioguidestone

Berea, OH · Community/Behavioral Health

$37.5M
12Valley Behavioral Health Incorporated

Salt Lake City, UT · Psychiatry & Neurology Psychiatry

$36.9M
13Wasatch Behavioral Health Special Service District

Provo, UT · Community/Behavioral Health

$33.9M
141801828496$29.9M
15County Of San Bernardino

San Bernardino, CA · Clinic/Center Rehabilitation Substance Use Disorder

$29.7M
161609875186$29.4M
17City & County Of San Francisco

San Francisco, CA · Community/Behavioral Health

$26.5M
181396196879$26.3M
19County Of Sacramento

Sacramento, CA · Clinic/Center Adult Mental Health

$26.0M
201639438518$24.1M

Showing top 20 of 44K providers billing this code