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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 90836
  4. Cost Analysis

How Much Does Psychotherapy with evaluation and management visit, 45 minutes Cost on Medicare?

Cost analysis for CPT 90836 — Psychotherapy with evaluation and management visit, 45 minutes

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Average Medicare Payment

$63.51

2023 data

Total Payments (2023)

$20.1M

Services (2023)

301.5K

Price Change (2014–2023)

+3.5%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$61.35$29.4M466.6K—
2015$60.88$29.8M476.2K-0.8%
2016$60.39$28.9M466.2K-0.8%
2017$59.65$27.2M445.5K-1.2%
2018$61.54$27.2M430.7K+3.2%
2019$65.36$28.3M418.6K+6.2%
2020$67.45$26.6M377.4K+3.2%
2021$66.49$24.3M349.8K-1.4%
2022$65.08$21.7M318.9K-2.1%
2023$63.51$20.1M301.5K-2.4%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.5x more than the cheapest for this procedure. AK averages $79.30 vs AR at $51.77.

StateAvg PaymentTotal PaymentsServicesProviders
AK$79.30$12.9K1633
NY$71.89$5.9M81.4K325
CA$68.86$3.1M45.0K242
DC$68.62$132.2K1.9K11
PA$67.74$922.0K13.6K70
NJ$67.67$1.4M20.0K106
CT$66.38$366.7K5.5K34
MD$65.55$1.0M15.7K84
IL$65.41$546.0K8.3K62
MA$65.16$1.6M25.2K156
VA$64.92$223.4K3.4K28
WA$64.80$283.7K4.4K35
MI$64.21$246.2K3.8K39
FL$63.49$747.6K11.8K117
ME$63.45$91.7K1.4K10
MO$63.40$146.7K2.3K14
VT$62.95$20.1K3206
OH$62.74$229.8K3.7K32
RI$62.58$132.0K2.1K20
GA$62.21$196.3K3.2K33
TX$61.64$413.4K6.7K75
IN$61.62$59.7K9698
HI$61.39$149.0K2.4K16
WI$60.98$62.9K1.0K15
CO$60.91$149.6K2.5K29
UT$60.79$45.5K7487
NH$60.34$79.8K1.3K12
NC$60.07$247.3K4.1K46
AZ$59.93$480.0K8.0K43
OR$59.85$137.8K2.3K25
LA$59.23$49.5K83517
MT$58.68$15.6K2656
SC$58.53$145.7K2.5K36
DE$58.06$45.6K78513
KY$58.01$30.9K53313
TN$57.68$139.1K2.4K30
NM$57.49$60.7K1.1K12
MN$57.45$78.5K1.4K20
MS$57.05$28.8K5059
ND$56.76$9.8K1735
AL$56.57$55.0K97219
NV$56.52$154.7K2.7K15
ID$56.44$31.3K5547
KS$56.38$48.7K86310
OK$55.88$52.7K94313
SD$52.91$9.2K1742
NE$52.78$21.0K3988
IA$51.87$14.9K2878
AR$51.77$34.3K66311

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Latif ZiyarPsychiatryCA$177.1K2.7K$66.72
Raul Rodriguez-SoraPsychiatryAZ$168.3K2.7K$61.63
Priyadarshan BajpayiPsychiatryNY$163.4K2.4K$69.25
Alice MaherPsychiatryNY$130.3K1.7K$74.80
Ulrich BergPsychiatryCA$122.9K1.6K$75.98
Alan ManevitzPsychiatryNY$106.0K1.5K$71.88
Laura AmramPsychiatryNY$96.8K1.3K$72.08
Frank AbenantePsychiatryNJ$87.3K1.2K$72.13
David WengPsychiatryNY$87.2K1.1K$76.02
Ceri HaddaPsychiatryNY$85.6K1.1K$75.69
David SchiebelPsychiatryNY$84.5K1.1K$76.31
Livia BeckPsychiatryNY$83.1K1.1K$77.70
Anthony SchnurerPsychiatryCA$81.8K1.3K$61.75
Laurel LipshutzPsychiatryPA$80.7K1.1K$71.38
Kurt StuebbenPsychiatryNJ$80.3K1.1K$72.90
Sushma JaniPsychiatryMD$78.3K1.2K$64.83
Rodney CollinsPsychiatryCA$77.8K1.2K$64.64
Mahinderjit SinghPsychiatryNY$77.0K1.0K$75.98
Santha KurienPsychiatryCT$76.6K1.1K$68.66
Jose SeligsonPsychiatryNY$73.3K948$77.27

🤔 Is Psychotherapy with evaluation and management visit, 45 minutes Overpriced?

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.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.