Cost analysis for CPT 90833 — Psychotherapy with evaluation and management visit, 30 minutes
Average Medicare Payment
$46.42
2023 data
Total Payments (2023)
$61.6M
Services (2023)
1.3M
Price Change (2014–2023)
+1.2%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $45.87 | $57.1M | 1.2M | — |
| 2015 | $45.70 | $57.4M | 1.2M | -0.4% |
| 2016 | $45.48 | $58.3M | 1.3M | -0.5% |
| 2017 | $45.12 | $59.1M | 1.3M | -0.8% |
| 2018 | $46.56 | $61.8M | 1.3M | +3.2% |
| 2019 | $48.72 | $65.4M | 1.3M | +4.6% |
| 2020 | $49.49 | $65.9M | 1.3M | +1.6% |
| 2021 | $48.89 | $64.3M | 1.3M | -1.2% |
| 2022 | $47.77 | $62.5M | 1.3M | -2.3% |
| 2023 | $46.42 | $61.6M | 1.3M | -2.8% |
The most expensive state pays 1.7x more than the cheapest for this procedure. AK averages $64.27 vs WY at $38.20.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $64.27 | $81.9K | 1.3K | 15 |
| NY | $54.68 | $7.7M | 140.4K | 615 |
| NJ | $50.64 | $3.7M | 72.4K | 331 |
| WV | $50.42 | $102.6K | 2.0K | 10 |
| CA | $50.26 | $10.6M | 210.2K | 779 |
| VT | $50.00 | $88.1K | 1.8K | 12 |
| CT | $49.98 | $752.6K | 15.1K | 98 |
| NH | $49.70 | $232.2K | 4.7K | 34 |
| MA | $48.50 | $2.8M | 58.1K | 393 |
| PA | $48.48 | $1.5M | 30.9K | 224 |
| FL | $48.21 | $5.6M | 116.4K | 638 |
| DC | $48.04 | $132.6K | 2.8K | 27 |
| RI | $48.00 | $310.5K | 6.5K | 60 |
| PR | $47.50 | $54.2K | 1.1K | 16 |
| IL | $47.44 | $2.8M | 58.7K | 317 |
| MD | $47.21 | $2.4M | 50.3K | 287 |
| AP | $46.94 | $7.8K | 166 | 2 |
| MI | $46.76 | $825.7K | 17.7K | 155 |
| VA | $46.39 | $1.1M | 24.4K | 188 |
| CO | $46.06 | $586.1K | 12.7K | 126 |
| DE | $45.77 | $317.8K | 6.9K | 41 |
| HI | $45.75 | $174.9K | 3.8K | 34 |
| TX | $45.68 | $3.1M | 68.8K | 478 |
| MT | $45.24 | $135.4K | 3.0K | 35 |
| IN | $45.21 | $199.7K | 4.4K | 56 |
| WA | $45.16 | $602.6K | 13.3K | 132 |
| OH | $45.09 | $1.4M | 31.1K | 274 |
| UT | $45.08 | $194.5K | 4.3K | 58 |
| MO | $45.01 | $727.8K | 16.2K | 104 |
| WI | $44.94 | $582.2K | 13.0K | 105 |
| NV | $44.90 | $1.1M | 25.2K | 123 |
| NC | $44.83 | $1.3M | 29.2K | 258 |
| GA | $44.81 | $2.3M | 51.5K | 255 |
| OK | $44.75 | $248.3K | 5.5K | 56 |
| KS | $44.64 | $134.3K | 3.0K | 32 |
| SC | $44.57 | $888.9K | 19.9K | 122 |
| SD | $44.39 | $43.9K | 988 | 13 |
| AZ | $44.36 | $1.4M | 30.5K | 212 |
| ME | $44.13 | $74.2K | 1.7K | 15 |
| AL | $43.96 | $1.1M | 25.3K | 156 |
| LA | $43.77 | $390.4K | 8.9K | 93 |
| KY | $43.58 | $565.3K | 13.0K | 135 |
| OR | $43.28 | $327.3K | 7.6K | 82 |
| IA | $43.13 | $168.0K | 3.9K | 56 |
| AR | $42.68 | $320.0K | 7.5K | 71 |
| TN | $42.51 | $769.8K | 18.1K | 143 |
| ND | $42.16 | $21.4K | 507 | 8 |
| NM | $42.14 | $271.0K | 6.4K | 55 |
| MS | $41.58 | $191.8K | 4.6K | 51 |
| ID | $41.47 | $220.5K | 5.3K | 32 |
| NE | $41.25 | $217.1K | 5.3K | 60 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Hisham Soliman | Psychiatry | CA | $192.7K | 3.9K | $49.27 |
| Idan Sharon | Neurology | NY | $192.1K | 3.2K | $60.40 |
| Mehboob Makhani | Psychiatry | CA | $191.9K | 3.9K | $48.76 |
| Joseph Rojo | Physician Assistant | CA | $159.1K | 3.6K | $44.45 |
| Gadson Johnson | Psychiatry | CA | $158.0K | 3.1K | $51.23 |
| Tatyana Tsipursky | Psychiatry | NY | $157.5K | 2.6K | $59.49 |
| Robert Kahn-Rose | Psychiatry | CA | $154.1K | 2.7K | $56.88 |
| Hugo Gozos | Nurse Practitioner | CA | $144.3K | 3.4K | $42.68 |
| David Goodman | Psychiatry | NY | $143.5K | 2.3K | $61.24 |
| Philip Saltiel | Psychiatry | NY | $142.2K | 2.5K | $55.94 |
| Levon Ter-Bagdasarian | Nurse Practitioner | CA | $135.2K | 3.0K | $44.61 |
| Angie-Kolleen Tan | Nurse Practitioner | CA | $134.8K | 3.1K | $43.45 |
| Matthew Targoff | Psychiatry | FL | $134.4K | 2.6K | $52.37 |
| John Keltner | Psychiatry | CA | $128.6K | 2.3K | $55.62 |
| Kenneth Phun | Psychiatry | CA | $127.9K | 2.3K | $54.94 |
| Eugene Karpus | Psychiatry | CA | $125.4K | 2.4K | $51.72 |
| Artin Alexandrian | Nurse Practitioner | CA | $125.0K | 2.7K | $46.48 |
| Gary Frick | Psychiatry | FL | $122.7K | 2.4K | $51.89 |
| Michael Tolwin | Psychiatry | CA | $121.6K | 2.3K | $51.92 |
| Carlo Bayrakdarian | Psychiatry | NY | $119.9K | 2.0K | $60.65 |
Based on the data, CPT 90833 shows a 1.7x variation in pricing across states — moderate variation by Medicare standards.
Costs have increased 1.2% 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.