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#179 of 11K

H0037

Community psychiatric supportive treatment program, per diem

Community psychiatric supportive treatment program, per diem is the #179 most-billed Medicaid procedure code, with $936.3M in payments across 5.1M claims from 2018–2024. The national median cost per claim is $225.50. Costs vary widely — the 90th percentile is $642.34 per claim, 2.8× the median.

Total Paid

$936.3M

0.09% of all spending

Total Claims

5.1M

Providers

276

Avg Cost/Claim

$183

National Cost Distribution

How much do providers bill per claim for H0037? Based on 238 providers billing this code nationally.

Median

$225.50

Average

$467.44

Std Dev

$1,150.35

Max

$14,290.94

Percentile Distribution (Cost per Claim)

p10
$94.77
p25
$118.47
Median
$225.50
p75
$406.95
p90
$642.34
p95
$1,243.09
p99
$3,833.25

50% of providers bill between $118.47 and $406.95 per claim for this code.

90% bill between $94.77 and $642.34.

Top 1% bill above $3,833.25.

About This Procedure

HCPCS code H0037 (Community psychiatric supportive treatment program, per diem) was billed by 276 providers across 5.1M claims, totaling $936.3M in Medicaid payments from 2018–2024. This code was used for 1.1M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$225.50

Providers Billing

238

National Spending

$936.3M

Avg/Median Ratio

2.07×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for H0037

#ProviderTotal Paid
1State Of Missouri

Jefferson City, MO · Psychologist, Rehabilitation

$187.9M
2Youth Villages Inc.

Bartlett, TN · Community/Behavioral Health

$118.8M
3The Providence Center Inc

Providence, RI · Counselor, Mental Health

$86.6M
4Health Connect America Inc

Franklin, TN · Community/Behavioral Health

$75.7M
5Gateway Healthcare Inc

Pawtucket, RI · Day Training, Developmentally Disabled Services

$49.4M
6Centerstone Of Tennessee Inc.

Nashville, TN · Clinic/Center Mental Health (Including Community Mental Health Center)

$31.0M
71033128848$25.8M
81316092125$21.8M
91578199238$20.5M
10Helen Ross Mcnabb Center

Knoxville, TN · Clinic/Center Mental Health (Including Community Mental Health Center)

$18.1M
11Trillium Family Services Inc.

Portland, OR · Residential Treatment Facility Emotionally Disturbed Children

$17.8M
121386671535$17.5M
131093713174$16.3M
14Mercy Life Center Corporation

Pittsburgh, PA · Public Health or Welfare

$15.6M
151437191061$14.4M
161184817033$12.6M
17Mental Health Cooperative Inc

Nashville, TN · Clinic/Center Mental Health (Including Community Mental Health Center)

$11.7M
181831397645$11.2M
191487916136$10.8M
20Resources For Human Development Inc.

Glassport, PA · Community/Behavioral Health

$9.1M

Showing top 20 of 276 providers billing this code