Cost analysis for CPT 90832 — Psychotherapy, 30 minutes
Average Medicare Payment
$46.83
2023 data
Total Payments (2023)
$81.4M
Services (2023)
1.6M
Price Change (2014–2023)
+7.7%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $43.49 | $97.6M | 2.1M | — |
| 2015 | $42.65 | $91.9M | 2.1M | -1.9% |
| 2016 | $42.39 | $94.7M | 2.1M | -0.6% |
| 2017 | $41.94 | $97.2M | 2.2M | -1.1% |
| 2018 | $42.76 | $96.9M | 2.2M | +2.0% |
| 2019 | $43.70 | $96.9M | 2.1M | +2.2% |
| 2020 | $44.48 | $91.6M | 1.9M | +1.8% |
| 2021 | $48.61 | $96.3M | 1.9M | +9.3% |
| 2022 | $48.04 | $85.3M | 1.7M | -1.2% |
| 2023 | $46.83 | $81.4M | 1.6M | -2.5% |
The most expensive state pays 1.7x more than the cheapest for this procedure. AK averages $69.31 vs ME at $40.13.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $69.31 | $58.8K | 848 | 7 |
| CA | $57.49 | $12.9M | 225.0K | 374 |
| NY | $53.22 | $12.8M | 240.8K | 755 |
| WV | $51.42 | $343.6K | 6.7K | 30 |
| WA | $51.38 | $234.2K | 4.6K | 79 |
| DE | $51.25 | $153.8K | 3.0K | 24 |
| FL | $49.99 | $5.7M | 114.3K | 313 |
| IL | $49.61 | $3.3M | 66.9K | 283 |
| PR | $49.48 | $80.5K | 1.6K | 10 |
| PA | $49.32 | $3.8M | 77.3K | 357 |
| TX | $49.32 | $6.3M | 128.3K | 352 |
| CO | $49.18 | $275.2K | 5.6K | 58 |
| AZ | $49.02 | $241.6K | 4.9K | 55 |
| DC | $49.02 | $99.4K | 2.0K | 15 |
| WI | $48.24 | $227.2K | 4.7K | 52 |
| NH | $48.20 | $573.7K | 11.9K | 93 |
| MA | $48.15 | $2.5M | 51.5K | 302 |
| NJ | $48.02 | $6.5M | 135.4K | 329 |
| NM | $47.87 | $316.8K | 6.6K | 36 |
| CT | $47.86 | $2.7M | 55.9K | 183 |
| VA | $47.66 | $706.5K | 14.8K | 89 |
| MD | $47.06 | $2.6M | 54.5K | 293 |
| HI | $47.02 | $30.6K | 650 | 9 |
| OR | $46.66 | $292.4K | 6.3K | 90 |
| OH | $46.47 | $1.4M | 29.4K | 209 |
| TN | $46.44 | $1.8M | 38.3K | 109 |
| VT | $45.95 | $147.8K | 3.2K | 24 |
| MO | $45.69 | $529.1K | 11.6K | 75 |
| RI | $45.64 | $370.0K | 8.1K | 27 |
| UT | $45.54 | $101.1K | 2.2K | 25 |
| GA | $45.49 | $1.1M | 24.8K | 106 |
| MT | $45.26 | $53.0K | 1.2K | 14 |
| SC | $45.13 | $287.3K | 6.4K | 52 |
| MI | $45.06 | $2.0M | 44.4K | 225 |
| NC | $44.72 | $2.3M | 52.5K | 190 |
| IN | $44.66 | $3.1M | 69.0K | 153 |
| KS | $44.53 | $490.5K | 11.0K | 55 |
| LA | $44.32 | $260.9K | 5.9K | 42 |
| MN | $43.80 | $392.3K | 9.0K | 149 |
| NV | $43.67 | $286.3K | 6.6K | 14 |
| AL | $43.67 | $390.5K | 8.9K | 55 |
| ND | $42.67 | $34.2K | 801 | 12 |
| KY | $42.43 | $1.4M | 34.1K | 118 |
| NE | $41.84 | $105.1K | 2.5K | 20 |
| IA | $41.72 | $245.5K | 5.9K | 50 |
| SD | $41.31 | $59.5K | 1.4K | 14 |
| OK | $41.28 | $880.8K | 21.3K | 71 |
| AR | $41.23 | $417.9K | 10.1K | 88 |
| MS | $40.73 | $126.1K | 3.1K | 21 |
| WY | $40.28 | $50.3K | 1.3K | 10 |
| ID | $40.26 | $52.3K | 1.3K | 18 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Kelsey Pietro | Psychologist, Clinical | CA | $607.9K | 9.7K | $62.73 |
| Behnam Partovi | Psychologist, Clinical | CA | $481.7K | 8.7K | $55.68 |
| Angineh Abkarian | Psychologist, Clinical | CA | $383.6K | 7.0K | $54.74 |
| Nicole Davis | Psychologist, Clinical | TX | $305.5K | 5.9K | $51.60 |
| Pantea Farhadi | Psychiatry | CA | $262.4K | 4.7K | $55.82 |
| Terry Flores | Licensed Clinical Social Worker | NV | $256.3K | 5.9K | $43.51 |
| Brian Lynn | Psychologist, Clinical | CA | $247.3K | 4.0K | $61.79 |
| Lilit Ayrapetyan | Psychologist, Clinical | CA | $239.8K | 3.8K | $63.08 |
| James Gries | Psychologist, Clinical | NY | $238.1K | 3.8K | $62.73 |
| Ezra Gampel | Psychologist, Clinical | NY | $233.8K | 3.7K | $62.43 |
| Michael Nuccitelli | Psychologist, Clinical | NY | $221.8K | 3.4K | $64.79 |
| Andria Mccarty | Psychologist, Clinical | TX | $220.6K | 4.4K | $50.65 |
| Clara Aparicio | Psychologist, Clinical | CA | $219.9K | 3.5K | $63.00 |
| Ariel Mcsweeney | Psychologist, Clinical | CA | $217.6K | 3.6K | $59.64 |
| Shauna Papenbrook | Psychologist, Clinical | CA | $217.5K | 3.6K | $60.48 |
| Shannon Dobbs | Psychologist, Clinical | CA | $217.4K | 4.0K | $54.78 |
| Joseph Kestenbaum | Psychologist, Clinical | CA | $216.2K | 4.0K | $54.66 |
| Natalie Bertucci | Psychologist, Clinical | NY | $215.3K | 3.3K | $64.43 |
| Alison Schur | Psychologist, Clinical | CA | $210.9K | 3.8K | $55.30 |
| Tatiana Doubnova | Psychologist, Clinical | CA | $208.3K | 3.6K | $57.28 |
Based on the data, CPT 90832 shows a 1.7x variation in pricing across states — moderate variation by Medicare standards.
Costs have increased 7.7% 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.