Cost analysis for CPT 90836 — Psychotherapy with evaluation and management visit, 45 minutes
Average Medicare Payment
$63.51
2023 data
Total Payments (2023)
$20.1M
Services (2023)
301.5K
Price Change (2014–2023)
+3.5%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $61.35 | $29.4M | 466.6K | — |
| 2015 | $60.88 | $29.8M | 476.2K | -0.8% |
| 2016 | $60.39 | $28.9M | 466.2K | -0.8% |
| 2017 | $59.65 | $27.2M | 445.5K | -1.2% |
| 2018 | $61.54 | $27.2M | 430.7K | +3.2% |
| 2019 | $65.36 | $28.3M | 418.6K | +6.2% |
| 2020 | $67.45 | $26.6M | 377.4K | +3.2% |
| 2021 | $66.49 | $24.3M | 349.8K | -1.4% |
| 2022 | $65.08 | $21.7M | 318.9K | -2.1% |
| 2023 | $63.51 | $20.1M | 301.5K | -2.4% |
The most expensive state pays 1.5x more than the cheapest for this procedure. AK averages $79.30 vs AR at $51.77.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $79.30 | $12.9K | 163 | 3 |
| NY | $71.89 | $5.9M | 81.4K | 325 |
| CA | $68.86 | $3.1M | 45.0K | 242 |
| DC | $68.62 | $132.2K | 1.9K | 11 |
| PA | $67.74 | $922.0K | 13.6K | 70 |
| NJ | $67.67 | $1.4M | 20.0K | 106 |
| CT | $66.38 | $366.7K | 5.5K | 34 |
| MD | $65.55 | $1.0M | 15.7K | 84 |
| IL | $65.41 | $546.0K | 8.3K | 62 |
| MA | $65.16 | $1.6M | 25.2K | 156 |
| VA | $64.92 | $223.4K | 3.4K | 28 |
| WA | $64.80 | $283.7K | 4.4K | 35 |
| MI | $64.21 | $246.2K | 3.8K | 39 |
| FL | $63.49 | $747.6K | 11.8K | 117 |
| ME | $63.45 | $91.7K | 1.4K | 10 |
| MO | $63.40 | $146.7K | 2.3K | 14 |
| VT | $62.95 | $20.1K | 320 | 6 |
| OH | $62.74 | $229.8K | 3.7K | 32 |
| RI | $62.58 | $132.0K | 2.1K | 20 |
| GA | $62.21 | $196.3K | 3.2K | 33 |
| TX | $61.64 | $413.4K | 6.7K | 75 |
| IN | $61.62 | $59.7K | 969 | 8 |
| HI | $61.39 | $149.0K | 2.4K | 16 |
| WI | $60.98 | $62.9K | 1.0K | 15 |
| CO | $60.91 | $149.6K | 2.5K | 29 |
| UT | $60.79 | $45.5K | 748 | 7 |
| NH | $60.34 | $79.8K | 1.3K | 12 |
| NC | $60.07 | $247.3K | 4.1K | 46 |
| AZ | $59.93 | $480.0K | 8.0K | 43 |
| OR | $59.85 | $137.8K | 2.3K | 25 |
| LA | $59.23 | $49.5K | 835 | 17 |
| MT | $58.68 | $15.6K | 265 | 6 |
| SC | $58.53 | $145.7K | 2.5K | 36 |
| DE | $58.06 | $45.6K | 785 | 13 |
| KY | $58.01 | $30.9K | 533 | 13 |
| TN | $57.68 | $139.1K | 2.4K | 30 |
| NM | $57.49 | $60.7K | 1.1K | 12 |
| MN | $57.45 | $78.5K | 1.4K | 20 |
| MS | $57.05 | $28.8K | 505 | 9 |
| ND | $56.76 | $9.8K | 173 | 5 |
| AL | $56.57 | $55.0K | 972 | 19 |
| NV | $56.52 | $154.7K | 2.7K | 15 |
| ID | $56.44 | $31.3K | 554 | 7 |
| KS | $56.38 | $48.7K | 863 | 10 |
| OK | $55.88 | $52.7K | 943 | 13 |
| SD | $52.91 | $9.2K | 174 | 2 |
| NE | $52.78 | $21.0K | 398 | 8 |
| IA | $51.87 | $14.9K | 287 | 8 |
| AR | $51.77 | $34.3K | 663 | 11 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Latif Ziyar | Psychiatry | CA | $177.1K | 2.7K | $66.72 |
| Raul Rodriguez-Sora | Psychiatry | AZ | $168.3K | 2.7K | $61.63 |
| Priyadarshan Bajpayi | Psychiatry | NY | $163.4K | 2.4K | $69.25 |
| Alice Maher | Psychiatry | NY | $130.3K | 1.7K | $74.80 |
| Ulrich Berg | Psychiatry | CA | $122.9K | 1.6K | $75.98 |
| Alan Manevitz | Psychiatry | NY | $106.0K | 1.5K | $71.88 |
| Laura Amram | Psychiatry | NY | $96.8K | 1.3K | $72.08 |
| Frank Abenante | Psychiatry | NJ | $87.3K | 1.2K | $72.13 |
| David Weng | Psychiatry | NY | $87.2K | 1.1K | $76.02 |
| Ceri Hadda | Psychiatry | NY | $85.6K | 1.1K | $75.69 |
| David Schiebel | Psychiatry | NY | $84.5K | 1.1K | $76.31 |
| Livia Beck | Psychiatry | NY | $83.1K | 1.1K | $77.70 |
| Anthony Schnurer | Psychiatry | CA | $81.8K | 1.3K | $61.75 |
| Laurel Lipshutz | Psychiatry | PA | $80.7K | 1.1K | $71.38 |
| Kurt Stuebben | Psychiatry | NJ | $80.3K | 1.1K | $72.90 |
| Sushma Jani | Psychiatry | MD | $78.3K | 1.2K | $64.83 |
| Rodney Collins | Psychiatry | CA | $77.8K | 1.2K | $64.64 |
| Mahinderjit Singh | Psychiatry | NY | $77.0K | 1.0K | $75.98 |
| Santha Kurien | Psychiatry | CT | $76.6K | 1.1K | $68.66 |
| Jose Seligson | Psychiatry | NY | $73.3K | 948 | $77.27 |
Based on the data, CPT 90836 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.
Costs have increased 3.5% 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.