Behavioral Health Integration (BHI)
Medicare billing codes, adoption data & revenue calculator
BHI allows primary care providers to bill for behavioral health services including depression screening, care management, and psychiatric consultation. With national adoption under 3%, BHI is the most underutilized Medicare revenue program.
Eligibility Criteria
- Patient has a behavioral health condition (depression, anxiety, substance use, etc.)
- Systematic assessment using validated tools (PHQ-9, GAD-7, etc.)
- Care plan developed and documented
- Minimum 20 minutes of clinical staff time per calendar month (for 99484)
Top States for BHI Adoption
| Rank | State | Adoption Rate | BHI Billers | Total Providers |
|---|---|---|---|---|
| #1 | Pennsylvania | 0.3% | 197 | 58K |
| #2 | Kentucky | 0.2% | 36 | 18K |
| #3 | Nevada | 0.2% | 14 | 9K |
| #4 | Delaware | 0.2% | 7 | 5K |
| #5 | Maryland | 0.1% | 28 | 24K |
| #6 | Oregon | 0.1% | 15 | 14K |
| #7 | Arizona | 0.1% | 24 | 24K |
| #8 | California | 0.1% | 91 | 93K |
| #9 | Wyoming | 0.1% | 2 | 2K |
| #10 | New Jersey | 0.1% | 32 | 37K |
Top Specialties for BHI Adoption
| Rank | Specialty | Adoption Rate | BHI Billers | Total Providers |
|---|---|---|---|---|
| #1 | Addiction Medicine | 1.8% | 4 | 218 |
| #2 | Pain Management | 1.4% | 39 | 3K |
| #3 | Interventional Pain Management | 0.9% | 14 | 1K |
| #4 | Osteopathic Manipulative Medicine | 0.5% | 3 | 628 |
| #5 | Psychologist, Clinical | 0.4% | 43 | 11K |
| #6 | General Practice | 0.2% | 8 | 3K |
| #7 | Physical Medicine and Rehabilitation | 0.2% | 19 | 8K |
| #8 | Nurse Practitioner | 0.2% | 353 | 175K |
| #9 | Psychiatry | 0.2% | 33 | 18K |
| #10 | Geriatric Medicine | 0.2% | 3 | 2K |
Explore BHI by State
View BHI adoption and revenue data for top-adopting states
Data: CMS Medicare Physician & Other Practitioners, 2024Last updated: January 2026
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