Cost analysis for CPT 90791 — Psychiatric diagnostic evaluation
Average Medicare Payment
$107.75
2023 data
Total Payments (2023)
$59.9M
Services (2023)
519.1K
Price Change (2014–2023)
+22.3%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $88.08 | $68.8M | 735.8K | — |
| 2015 | $85.45 | $65.3M | 718.5K | -3.0% |
| 2016 | $84.95 | $66.1M | 730.4K | -0.6% |
| 2017 | $83.98 | $65.5M | 731.2K | -1.1% |
| 2018 | $85.79 | $67.7M | 741.6K | +2.2% |
| 2019 | $88.11 | $67.8M | 723.7K | +2.7% |
| 2020 | $89.59 | $51.1M | 532.1K | +1.7% |
| 2021 | $113.85 | $66.2M | 543.4K | +27.1% |
| 2022 | $110.10 | $62.0M | 523.5K | -3.3% |
| 2023 | $107.75 | $59.9M | 519.1K | -2.1% |
The most expensive state pays 1.6x more than the cheapest for this procedure. AK averages $144.77 vs ME at $87.87.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $144.77 | $45.3K | 313 | 15 |
| NY | $130.51 | $5.4M | 41.7K | 731 |
| CA | $127.10 | $7.0M | 55.0K | 836 |
| PR | $123.99 | $109.6K | 884 | 6 |
| DE | $123.38 | $364.8K | 3.0K | 55 |
| NJ | $121.63 | $4.6M | 38.2K | 510 |
| FL | $117.54 | $5.7M | 48.8K | 931 |
| MD | $116.02 | $1.9M | 16.2K | 317 |
| IL | $115.46 | $2.4M | 21.0K | 570 |
| PA | $114.90 | $3.2M | 27.7K | 546 |
| CT | $114.51 | $1.3M | 11.2K | 242 |
| TX | $114.08 | $5.2M | 45.3K | 641 |
| AZ | $113.50 | $1.2M | 10.9K | 191 |
| MA | $113.25 | $2.0M | 17.7K | 468 |
| WA | $113.18 | $511.6K | 4.5K | 156 |
| MI | $112.49 | $1.9M | 17.2K | 422 |
| CO | $112.30 | $534.7K | 4.8K | 160 |
| NH | $111.89 | $205.6K | 1.8K | 67 |
| OK | $111.79 | $543.2K | 4.9K | 99 |
| TN | $110.33 | $1.0M | 9.3K | 174 |
| KS | $110.24 | $437.6K | 4.0K | 106 |
| VA | $109.24 | $1.0M | 9.3K | 272 |
| HI | $109.24 | $43.5K | 398 | 15 |
| OR | $109.23 | $421.0K | 3.9K | 141 |
| NM | $108.44 | $186.3K | 1.7K | 64 |
| MO | $108.27 | $580.5K | 5.4K | 149 |
| WV | $108.08 | $210.4K | 1.9K | 53 |
| WI | $107.74 | $474.3K | 4.4K | 187 |
| NV | $107.47 | $331.9K | 3.1K | 65 |
| SC | $107.38 | $677.2K | 6.3K | 169 |
| RI | $107.21 | $291.6K | 2.7K | 80 |
| IN | $107.12 | $1.3M | 12.5K | 272 |
| OH | $107.00 | $1.5M | 14.0K | 434 |
| GA | $105.70 | $1.2M | 10.9K | 236 |
| AL | $105.51 | $308.5K | 2.9K | 69 |
| MN | $105.50 | $869.6K | 8.2K | 345 |
| DC | $105.06 | $93.0K | 885 | 29 |
| ND | $104.42 | $106.9K | 1.0K | 40 |
| WY | $104.38 | $65.3K | 626 | 22 |
| UT | $104.14 | $236.8K | 2.3K | 71 |
| LA | $104.12 | $238.3K | 2.3K | 91 |
| SD | $104.04 | $116.2K | 1.1K | 39 |
| MS | $102.87 | $219.0K | 2.1K | 50 |
| NE | $102.69 | $144.4K | 1.4K | 54 |
| AR | $102.51 | $456.6K | 4.5K | 104 |
| KY | $102.19 | $525.2K | 5.1K | 117 |
| NC | $102.05 | $1.8M | 17.9K | 480 |
| MT | $99.71 | $69.6K | 698 | 27 |
| VT | $97.92 | $68.1K | 695 | 26 |
| IA | $97.51 | $301.3K | 3.1K | 118 |
| ID | $96.32 | $141.1K | 1.5K | 57 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Radha Bhatia | Psychologist, Clinical | NJ | $417.5K | 3.0K | $137.66 |
| Norman Hendricksen | Psychologist, Clinical | CA | $320.4K | 2.3K | $137.24 |
| Kalima Charway | Psychologist, Clinical | TX | $200.9K | 1.5K | $136.75 |
| Steven Marrinson | Psychologist, Clinical | AZ | $166.5K | 1.5K | $111.13 |
| Robert Klukoff | Psychologist, Clinical | FL | $146.1K | 1.2K | $117.67 |
| Kevin Franke | Psychologist, Clinical | IL | $143.0K | 1.0K | $139.79 |
| Stuart Nathan | Psychologist, Clinical | TX | $140.3K | 1.2K | $119.19 |
| Louanne Parker | Psychologist, Clinical | TX | $135.5K | 994 | $136.27 |
| Joy Geyman | Psychologist, Clinical | CA | $130.8K | 1.0K | $127.86 |
| Donna Scherz | Psychologist, Clinical | NJ | $129.2K | 1.0K | $126.41 |
| Scott Herman | Psychologist, Clinical | PA | $121.2K | 961 | $126.15 |
| Eunae Kim | Psychologist, Clinical | NY | $119.0K | 922 | $129.07 |
| Jill Backfield-Weiss | Psychologist, Clinical | NY | $116.5K | 794 | $146.73 |
| Qingqing Xia | Psychologist, Clinical | TX | $114.6K | 866 | $132.33 |
| Yaakov Siegel | Psychologist, Clinical | FL | $110.6K | 865 | $127.86 |
| Tara Brandwein | Psychologist, Clinical | NJ | $110.3K | 855 | $128.95 |
| Angineh Abkarian | Psychologist, Clinical | CA | $109.7K | 886 | $123.77 |
| Geetanjali Sharma | Psychologist, Clinical | TX | $108.3K | 944 | $114.76 |
| Shauna Papenbrook | Psychologist, Clinical | CA | $105.3K | 781 | $134.80 |
| Poonam Dubal | Psychologist, Clinical | TX | $104.8K | 774 | $135.45 |
Based on the data, CPT 90791 shows a 1.6x variation in pricing across states — moderate variation by Medicare standards.
Costs have increased 22.3% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.