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#43 of 11K

H0036

Community psychiatric supportive treatment, per 15 min

Community psychiatric supportive treatment, per 15 min is the #43 most-billed Medicaid procedure code, with $4.54B in payments across 56.5M claims from 2018–2024. The national median cost per claim is $76.05. Costs vary widely — the 90th percentile is $230.53 per claim, 3.0× the median.

Total Paid

$4.54B

0.42% of all spending

Total Claims

56.5M

Providers

3K

Avg Cost/Claim

$80

National Cost Distribution

How much do providers bill per claim for H0036? Based on 2K providers billing this code nationally.

Median

$76.05

Average

$117.36

Std Dev

$185.83

Max

$3,861.63

Percentile Distribution (Cost per Claim)

p10
$30.67
p25
$50.19
Median
$76.05
p75
$149.21
p90
$230.53
p95
$282.38
p99
$507.76

50% of providers bill between $50.19 and $149.21 per claim for this code.

90% bill between $30.67 and $230.53.

Top 1% bill above $507.76.

About This Procedure

HCPCS code H0036 (Community psychiatric supportive treatment, per 15 min) was billed by 3K providers across 56.5M claims, totaling $4.54B in Medicaid payments from 2018–2024. This code was used for 13.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$76.05

Providers Billing

2K

National Spending

$4.54B

Avg/Median Ratio

1.54×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for H0036

#ProviderTotal Paid
1State Of Missouri

Jefferson City, MO · Psychologist, Rehabilitation

$206.6M
2Mbi Health Services Llc

Washington, DC · Case Management

$137.9M
3Sate Of Alabama Dept Of Finance

Montgomery, AL · Public Health or Welfare

$137.3M
4Alabama Department Of Mental Health And Mental Retardation

Montgomery, AL · Community/Behavioral Health

$131.1M
5Youth Villages Inc.

Bartlett, TN · Community/Behavioral Health

$74.7M
6Preventive Measure Of Washington Dc, Llc

Washington, DC · Community/Behavioral Health

$74.3M
7Alabama Department Of Youth Services

Mount Meigs, AL · Community/Behavioral Health

$63.4M
81366939225$61.8M
91437628914$50.0M
101578199238$42.2M
111255857405$39.9M
12Community Mental Health Authority Of Clinton Eaton Ingham Counties

Lansing, MI · Clinic/Center Mental Health (Including Community Mental Health Center)

$39.5M
131467837104$39.3M
141033685953$37.2M
151184865776$35.3M
161144516824$34.8M
17Easterseals Morc Health Care, Inc.

Auburn Hills, MI · Psychiatry & Neurology, Psychiatry

$34.7M
181356795975$34.0M
191447716733$33.5M
201083146013$31.5M

Showing top 20 of 3K providers billing this code