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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | State Of Missouri Jefferson City, MO · Psychologist, Rehabilitation | $187.9M |
| 2 | Youth Villages Inc. Bartlett, TN · Community/Behavioral Health | $118.8M |
| 3 | The Providence Center Inc Providence, RI · Counselor, Mental Health | $86.6M |
| 4 | Health Connect America Inc Franklin, TN · Community/Behavioral Health | $75.7M |
| 5 | Gateway Healthcare Inc Pawtucket, RI · Day Training, Developmentally Disabled Services | $49.4M |
| 6 | Centerstone Of Tennessee Inc. Nashville, TN · Clinic/Center Mental Health (Including Community Mental Health Center) | $31.0M |
| 7 | 1033128848 | $25.8M |
| 8 | 1316092125 | $21.8M |
| 9 | 1578199238 | $20.5M |
| 10 | Helen Ross Mcnabb Center Knoxville, TN · Clinic/Center Mental Health (Including Community Mental Health Center) | $18.1M |
| 11 | Trillium Family Services Inc. Portland, OR · Residential Treatment Facility Emotionally Disturbed Children | $17.8M |
| 12 | 1386671535 | $17.5M |
| 13 | 1093713174 | $16.3M |
| 14 | Mercy Life Center Corporation Pittsburgh, PA · Public Health or Welfare | $15.6M |
| 15 | 1437191061 | $14.4M |
| 16 | 1184817033 | $12.6M |
| 17 | Mental Health Cooperative Inc Nashville, TN · Clinic/Center Mental Health (Including Community Mental Health Center) | $11.7M |
| 18 | 1831397645 | $11.2M |
| 19 | 1487916136 | $10.8M |
| 20 | Resources For Human Development Inc. Glassport, PA · Community/Behavioral Health | $9.1M |
Showing top 20 of 276 providers billing this code