96151
Health behavior reassessment
Health behavior reassessment is the #1,484 most-billed Medicaid procedure code, with $21.7M in payments across 560K claims from 2018–2024. The national median cost per claim is $15.43. Costs vary widely — the 90th percentile is $33.60 per claim, 2.2× the median.
Total Paid
$21.7M
0.00% of all spending
Total Claims
560K
Providers
727
Avg Cost/Claim
$39
National Cost Distribution
How much do providers bill per claim for 96151? Based on 569 providers billing this code nationally.
Median
$15.43
Average
$21.54
Std Dev
$32.55
Max
$228.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.10 and $22.36 per claim for this code.
90% bill between $1.10 and $33.60.
Top 1% bill above $176.43.
About This Procedure
HCPCS code 96151 (Health behavior reassessment) was billed by 727 providers across 560K claims, totaling $21.7M in Medicaid payments from 2018–2024. This code was used for 377K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$15.43
Providers Billing
569
National Spending
$21.7M
Avg/Median Ratio
1.40×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 96151
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1629342746 | $2.9M |
| 2 | Hopebridge, Llc Kokomo, IN · Assistant Behavior Analyst | $2.6M |
| 3 | 1982804290 | $1.9M |
| 4 | 1275833436 | $1.8M |
| 5 | 1730312257 | $1.5M |
| 6 | 1447562434 | $1.3M |
| 7 | 1700325685 | $952K |
| 8 | 1184167652 | $755K |
| 9 | 1427154814 | $590K |
| 10 | 1033541438 | $589K |
| 11 | 1174664742 | $505K |
| 12 | 1568495364 | $372K |
| 13 | 1285804732 | $368K |
| 14 | 1689776718 | $299K |
| 15 | 1225441520 | $254K |
| 16 | 1548566201 | $211K |
| 17 | 1427121375 | $204K |
| 18 | 1881801835 | $157K |
| 19 | 1841389814 | $124K |
| 20 | 1306372354 | $117K |
Showing top 20 of 727 providers billing this code