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#2430 of 11K

90849

Multiple-family group psychotherapy

Multiple-family group psychotherapy is the #2,430 most-billed Medicaid procedure code, with $5.8M in payments across 98K claims from 2018–2024. The national median cost per claim is $40.78. Costs vary widely — the 90th percentile is $83.57 per claim, 2.0× the median.

Total Paid

$5.8M

0.00% of all spending

Total Claims

98K

Providers

165

Avg Cost/Claim

$59

National Cost Distribution

How much do providers bill per claim for 90849? Based on 157 providers billing this code nationally.

Median

$40.78

Average

$49.79

Std Dev

$46.29

Max

$449.99

Percentile Distribution (Cost per Claim)

p10
$16.18
p25
$25.56
Median
$40.78
p75
$60.91
p90
$83.57
p95
$97.65
p99
$201.40

50% of providers bill between $25.56 and $60.91 per claim for this code.

90% bill between $16.18 and $83.57.

Top 1% bill above $201.40.

About This Procedure

HCPCS code 90849 (Multiple-family group psychotherapy) was billed by 165 providers across 98K claims, totaling $5.8M in Medicaid payments from 2018–2024. This code was used for 37K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$40.78

Providers Billing

157

National Spending

$5.8M

Avg/Median Ratio

1.22×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 90849

#ProviderTotal Paid
11841693215$1.0M
21750652301$672K
3Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$650K
4Wasatch Behavioral Health Special Service District

Provo, UT · Community/Behavioral Health

$408K
5Weber Human Services

Ogden, UT · Clinic/Center Mental Health (Including Community Mental Health Center)

$366K
61053813535$283K
71407588064$271K
81598764359$150K
91265092514$149K
101245336205$148K
11Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$120K
12Easterseals Morc Health Care, Inc.

Auburn Hills, MI · Psychiatry & Neurology, Psychiatry

$114K
131538679139$96K
141548212640$80K
151992190896$70K
161750661112$69K
17Fraser Child And Family Center

Minneapolis, MN · Clinic/Center, Mental Health (Including Community Mental Health Center)

$66K
18Long Island Jewish Medical Center

New Hyde Park, NY · General Acute Care Hospital

$59K
19Contra Costa County

Martinez, CA · General Acute Care Hospital

$58K
201649329806$56K

Showing top 20 of 165 providers billing this code