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#181 of 11K

S9485

Crisis intervention mental health services, per diem

Crisis intervention mental health services, per diem is the #181 most-billed Medicaid procedure code, with $931.1M in payments across 2.4M claims from 2018–2024. The national median cost per claim is $501.33. Costs vary widely — the 90th percentile is $1,130.74 per claim, 2.3× the median.

Total Paid

$931.1M

0.09% of all spending

Total Claims

2.4M

Providers

530

Avg Cost/Claim

$381

National Cost Distribution

How much do providers bill per claim for S9485? Based on 507 providers billing this code nationally.

Median

$501.33

Average

$588.16

Std Dev

$500.94

Max

$4,474.91

Percentile Distribution (Cost per Claim)

p10
$142.11
p25
$244.46
Median
$501.33
p75
$795.69
p90
$1,130.74
p95
$1,479.44
p99
$2,445.34

50% of providers bill between $244.46 and $795.69 per claim for this code.

90% bill between $142.11 and $1,130.74.

Top 1% bill above $2,445.34.

About This Procedure

HCPCS code S9485 (Crisis intervention mental health services, per diem) was billed by 530 providers across 2.4M claims, totaling $931.1M in Medicaid payments from 2018–2024. This code was used for 1.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$501.33

Providers Billing

507

National Spending

$931.1M

Avg/Median Ratio

1.17×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S9485

#ProviderTotal Paid
1Community Healthlink Inc

Worcester, MA · Clinic/Center Mental Health (Including Community Mental Health Center)

$38.5M
2Child & Family Services Inc.

New Bedford, MA · Counselor Mental Health

$28.6M
3Behavioral Health Network Inc

Springfield, MA · Clinic/Center Mental Health (Including Community Mental Health Center)

$25.9M
4Community Bridges Inc.

Mesa, AZ · Community/Behavioral Health

$24.9M
51073619854$23.9M
6Northeast Behavioral Health Corporation

Beverly, MA · Clinic/Center Mental Health (Including Community Mental Health Center)

$22.4M
71538217534$20.6M
81043584584$19.9M
9Clinical & Support Options Inc

Greenfield, MA · Community/Behavioral Health

$19.7M
10County Of Milwaukee

Milwaukee, WI · Community/Behavioral Health

$19.7M
111861902769$19.6M
12Riverside Community Care Inc.

Norwood, MA · Community/Behavioral Health

$18.6M
131881751253$18.1M
141225200314$16.9M
151811051618$16.5M
161497803274$16.2M
171962530857$14.7M
181326391434$14.4M
19Eliot Community Human Services

Lexington, MA · Clinic/Center Mental Health (Including Community Mental Health Center)

$13.9M
201669599304$13.5M

Showing top 20 of 530 providers billing this code