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

#80 of 11K

H0032

Mental health service plan development

Mental health service plan development is the #80 most-billed Medicaid procedure code, with $2.44B in payments across 20.0M claims from 2018–2024. The national median cost per claim is $80.64. Costs vary widely — the 90th percentile is $194.22 per claim, 2.4× the median.

Total Paid

$2.44B

0.22% of all spending

Total Claims

20.0M

Providers

5K

Avg Cost/Claim

$122

National Cost Distribution

How much do providers bill per claim for H0032? Based on 5K providers billing this code nationally.

Median

$80.64

Average

$104.35

Std Dev

$92.17

Max

$1,634.31

Percentile Distribution (Cost per Claim)

p10
$35.83
p25
$57.08
Median
$80.64
p75
$125.34
p90
$194.22
p95
$261.63
p99
$419.93

50% of providers bill between $57.08 and $125.34 per claim for this code.

90% bill between $35.83 and $194.22.

Top 1% bill above $419.93.

About This Procedure

HCPCS code H0032 (Mental health service plan development) was billed by 5K providers across 20.0M claims, totaling $2.44B in Medicaid payments from 2018–2024. This code was used for 11.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$80.64

Providers Billing

5K

National Spending

$2.44B

Avg/Median Ratio

1.29×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for H0032

#ProviderTotal Paid
1Los Angeles County Department Of Mental Health

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

$499.3M
2Bhpn Llc

Walnut Creek, CA · Case Management

$72.7M
3Alameda County Behavioral Health Care

Oakland, CA · Community/Behavioral Health

$49.9M
4County Of Sacramento

Sacramento, CA · Clinic/Center Adult Mental Health

$29.8M
5City & County Of San Francisco

San Francisco, CA · Community/Behavioral Health

$29.2M
6County Of San Bernardino

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

$25.0M
7California Psychcare, Inc.

Van Nuys, CA · Behavior Analyst

$23.8M
8Collaborative Autism Management Programs Inc.

Ontario, CA · Behavior Analyst

$22.5M
9County Of Santa Clara

San Jose, CA · Community/Behavioral Health

$22.3M
10County Of Ventura

Oxnard, CA · Community/Behavioral Health

$21.2M
111679627863$19.7M
12Contra Costa County

Martinez, CA · General Acute Care Hospital

$18.6M
13Howard J. Chudler & Associates Inc

Covina, CA · Community/Behavioral Health

$17.3M
14Alabama Department Of Mental Health And Mental Retardation

Montgomery, AL · Community/Behavioral Health

$15.8M
151053341859$14.2M
161942603162$12.5M
17Macomb Oakland Regional Center Inc.

Auburn Hills, MI · Community/Behavioral Health

$11.2M
181780958025$11.0M
19Genesee Health System

Flint, MI · Community/Behavioral Health

$11.0M
20County Of Fresno

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

$10.3M

Showing top 20 of 5K providers billing this code