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#144 of 11K

90853

Group psychotherapy

Group psychotherapy is the #144 most-billed Medicaid procedure code, with $1.28B in payments across 35.6M claims from 2018–2024. The national median cost per claim is $25.02. Costs vary widely — the 90th percentile is $61.82 per claim, 2.5× the median.

Total Paid

$1.28B

0.12% of all spending

Total Claims

35.6M

Providers

8K

Avg Cost/Claim

$36

National Cost Distribution

How much do providers bill per claim for 90853? Based on 7K providers billing this code nationally.

Median

$25.02

Average

$35.31

Std Dev

$49.95

Max

$801.21

Percentile Distribution (Cost per Claim)

p10
$7.90
p25
$15.21
Median
$25.02
p75
$40.11
p90
$61.82
p95
$87.06
p99
$234.01

50% of providers bill between $15.21 and $40.11 per claim for this code.

90% bill between $7.90 and $61.82.

Top 1% bill above $234.01.

About This Procedure

HCPCS code 90853 (Group psychotherapy) was billed by 8K providers across 35.6M claims, totaling $1.28B in Medicaid payments from 2018–2024. This code was used for 10.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$25.02

Providers Billing

7K

National Spending

$1.28B

Avg/Median Ratio

1.41×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 90853

#ProviderTotal Paid
1I.m.e.m. Clinical Associates Llc

Lakewood, NJ · Specialist

$27.5M
2Trinitas Regional Medical Center

Elizabeth, NJ · General Acute Care Hospital

$22.4M
3Recover Together Inc.

Greenfield, IN · Clinic/Center Adult Mental Health

$18.2M
41003823915$18.1M
51467407395$10.3M
61710545645$9.8M
71063522530$9.6M
8Saint Peter's University Hospital

New Brunswick, NJ · General Acute Care Hospital

$9.4M
91700177409$8.9M
101699827345$8.8M
111285646455$7.9M
12Valley Behavioral Health Incorporated

Salt Lake City, UT · Psychiatry & Neurology Psychiatry

$7.7M
131306870910$6.8M
14Wasatch Behavioral Health Special Service District

Provo, UT · Community/Behavioral Health

$6.3M
151457324196$6.2M
161578565347$6.1M
171992210231$6.0M
18Spero Health Of Kentucky Llc

Danville, KY · Family Medicine Addiction Medicine

$5.9M
191174648232$5.7M
201588066716$5.5M

Showing top 20 of 8K providers billing this code