Percentage of Patients with Telehealth Claims for Mental Health Conditions Increased Nationally and in Every Region in April

Diabetes Entered Top Five Telehealth Diagnostic Categories in South in April for First
Time in 2025

NEW YORK, July 15, 2025 /PRNewswire/ -- The percentage of patients with a telehealth claim for a mental health condition increased nationally and in every US census region in April, according to FAIR Health's Monthly Telehealth Regional Tracker. Mental health conditions remained the top diagnostic category for patients with a telehealth claim nationally and in every region. Nationally, patients diagnosed with mental health conditions accounted for 63.0 percent of patients with a telehealth claim in April, up from 61.6 percent in March. The data represent the commercially insured population, excluding Medicare Fee-for-Service, Medicare Advantage and Medicaid.

Diabetes mellitus entered the top five telehealth diagnostic categories in the South in April for the first time in 2025. This diagnostic category entered in fifth position, accounting for 2.0 percent of patients with a telehealth claim; encounter for examination, which ranked in third position in March, fell out of the top five in April. In 2025 thus far, diabetes has not ranked among the top five telehealth diagnostic categories in any other region, though it did rank in fourth place nationally in January.

Utilization
In April 2025, the percentage of patients with a telehealth claim decreased nationally and also in the Midwest and South but increased in the Northeast and West. Nationally, the percentage decreased from 14.3 percent in March to 14.2 percent in April, a 0.8 percent drop. In the Midwest, the drop was 5.7 percent and, in the South, it was 1.2 percent. In the Northeast, the percentage of patients with a telehealth claim increased 2.0 percent, and in the West, it increased 0.7 percent. 

During the same period, telehealth claim lines¹ increased as a percentage of all medical claim lines nationally and in every region except the Midwest. Nationally, the percentage increased 1.1 percent, from 4.96 percent in March to 5.01 percent in April. The regional increases varied from 2.6 percent in the Northeast to 1.4 percent in the South and 0.4 percent in the West. In the Midwest, telehealth claim lines decreased 8.3 percent.

Urban versus Rural
As in March, in April 2025, telehealth utilization was higher in urban than rural areas nationally and in all four regions.² Nationally, 14.3 percent of patients in urban areas had a telehealth claim, compared to 7.4 percent in rural areas. The largest difference occurred in the West, where the percentage of urban patients using telehealth (18.6 percent) was 2.3 times the percentage of rural patients (8.1 percent). The smallest difference was found in the Northeast, where the percentage of patients in urban areas using telehealth (16.5 percent) was 1.4 times the percentage of patients in rural areas using telehealth (11.4 percent).

Age Distribution
As in March, in April 2025, the age groups 19-30 and 31-40 accounted for the largest percentages of patients with a telehealth claim nationally and in every region. On the national level, 23.3 percent of patients in the age group 19-30 had a telehealth claim, and 22.6 percent of patients in the age group 31-40 had a telehealth claim. Nationally and in every region, the age groups 0-9 and 65 and older accounted for the smallest shares (less than 10 percent each) of patients with a telehealth claim.

Procedure Categories
In April 2025, psychotherapy services and procedures, and established patient office or other outpatient services (including those for mental health conditions), were, as in March, the top two procedure categories nationally and in every region. The order of the two varied by region and, at the national level, by month. Nationally and in the Midwest and Northeast, psychotherapy services and procedures ranked first in April; nationally, this procedure category accounted for 47.49 percent of patients with a telehealth claim. While this category also ranked first in March in the Midwest and Northeast, it ranked second nationally in March (at 46.1 percent of patients with a telehealth claim). In the South and West, established patient office or other outpatient services ranked first in April, as it had in March. On the national level, established patient office or other outpatient services ranked second in April, accounting for 47.48 percent of patients with a telehealth claim (down from 48.9 percent in March, when it ranked first).

About the Monthly Telehealth Regional Tracker
Launched in May 2020 as a free service, the Monthly Telehealth Regional Tracker uses FAIR Health data to track how telehealth is evolving from month to month. An interactive map of the four US census regions allows the user to view an infographic on telehealth in a specific month in the nation as a whole or in individual regions. Each year, the infographic introduces varied views into telehealth utilization. In this sixth iteration of the Monthly Telehealth Regional Tracker, each infographic shows month-to-month changes in telehealth utilization, both through telehealth's percentage of medical claim lines and percent of patients with a telehealth claim; that month's top five diagnostic categories; top five procedure categories; age distribution, which captures the percentage of patients within each age group with a telehealth claim; and urban versus rural telehealth usage.

For the Monthly Telehealth Regional Tracker, click here.

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About FAIR Health
FAIR Health is a national, independent nonprofit organization that qualifies as a public charity under section 501(c)(3) of the federal tax code. It is dedicated to bringing transparency to healthcare costs and health insurance information through data products, consumer resources and health systems research support. FAIR Health possesses the nation's largest collection of commercial healthcare claims data, which includes over 51 billion claim records and is growing at a rate of about 4 billion claim records a year. FAIR Health licenses its commercial data and data products—including benchmark modules, data visualizations, custom analytics and market indices—to commercial insurers and self-insurers, employers, providers, hospitals and healthcare systems, government agencies, researchers and others. Certified by the Centers for Medicare & Medicaid Services (CMS) as a national Qualified Entity, FAIR Health also receives data representing the experience of all individuals enrolled in traditional Medicare Parts A, B and D, which accounts for a separate collection of over 51 billion claim records; FAIR Health includes among the commercial claims data in its database, data on Medicare Advantage enrollees. FAIR Health can produce insightful analytic reports and data products based on combined Medicare and commercial claims data for government, providers, payors and other authorized users. FAIR Health's systems for processing and storing protected health information have earned HITRUST CSF certification and achieved AICPA SOC 2 Type 2 compliance by meeting the rigorous data security requirements of these standards. As a testament to the reliability and objectivity of FAIR Health data, the data have been incorporated in statutes and regulations around the country and designated as the official, neutral data source for a variety of state health programs, including workers' compensation and personal injury protection (PIP) programs. FAIR Health data serve as an official reference point in support of certain state balance billing laws that protect consumers against bills for surprise out-of-network and emergency services. FAIR Health also uses its database to power a free consumer website available in English and Spanish, which enables consumers to estimate and plan for their healthcare expenditures and offers a rich educational platform on health insurance. An English/Spanish mobile app offers the same educational platform in a concise format and links to the cost estimation tools. The website has been honored by the White House Summit on Smart Disclosure, the Agency for Healthcare Research and Quality (AHRQ), URAC, the eHealthcare Leadership Awards, appPicker, Employee Benefit News and Kiplinger's Personal Finance. For more information on FAIR Health, visit fairhealth.org.

Contact:
Rachel Kent
Executive Director of Communications and Marketing
FAIR Health
646-396-0795
[email protected]

¹ A claim line is an individual service or procedure listed on an insurance claim.
² Each telehealth service was attributed to a rural/urban designation in a region based on the patient's medical service area, which FAIR Health determines based on the unique geographical pattern of services utilized by the patient.

SOURCE FAIR Health