Cost analysis for CPT 96133 — Evaluation of neuropsychological test, each additional hour
Average Medicare Payment
$72.72
2023 data
Total Payments (2023)
$26.5M
Services (2023)
356.1K
Price Change (2019–2023)
-4.1%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2019 | $75.85 | $25.3M | 328.3K | — |
| 2020 | $76.76 | $20.7M | 265.1K | +1.2% |
| 2021 | $77.70 | $24.6M | 310.7K | +1.2% |
| 2022 | $76.12 | $25.4M | 327.4K | -2.0% |
| 2023 | $72.72 | $26.5M | 356.1K | -4.5% |
The most expensive state pays 1.7x more than the cheapest for this procedure. AK averages $105.43 vs ND at $63.15.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $105.43 | $79.6K | 755 | 6 |
| DC | $83.24 | $57.6K | 692 | 6 |
| NJ | $81.78 | $676.3K | 8.3K | 52 |
| MD | $81.27 | $511.3K | 6.3K | 34 |
| NY | $81.20 | $1.1M | 13.9K | 97 |
| HI | $79.78 | $49.6K | 622 | 7 |
| DE | $77.84 | $56.5K | 726 | 3 |
| CT | $77.75 | $330.1K | 4.2K | 36 |
| PR | $76.95 | $16.8K | 218 | 3 |
| OR | $76.77 | $312.5K | 4.1K | 27 |
| VT | $76.76 | $36.8K | 480 | 6 |
| CA | $76.66 | $3.4M | 44.5K | 191 |
| FL | $76.42 | $3.2M | 41.6K | 183 |
| MA | $76.21 | $1.3M | 17.7K | 92 |
| CO | $75.58 | $390.4K | 5.2K | 42 |
| RI | $75.54 | $167.2K | 2.2K | 18 |
| AZ | $75.19 | $1.1M | 15.1K | 68 |
| VA | $75.14 | $842.4K | 11.2K | 50 |
| NV | $74.94 | $248.4K | 3.3K | 16 |
| WY | $74.59 | $23.3K | 312 | 2 |
| WA | $74.33 | $341.0K | 4.6K | 40 |
| PA | $74.03 | $999.1K | 13.5K | 96 |
| IL | $73.94 | $1.5M | 20.7K | 122 |
| TX | $73.70 | $2.4M | 32.8K | 170 |
| NH | $73.65 | $274.2K | 3.7K | 18 |
| NM | $73.19 | $104.9K | 1.4K | 13 |
| MS | $73.02 | $53.7K | 736 | 8 |
| GA | $73.00 | $430.8K | 5.9K | 36 |
| ME | $72.71 | $54.0K | 742 | 9 |
| NE | $72.62 | $113.1K | 1.6K | 10 |
| SC | $72.11 | $294.1K | 4.1K | 17 |
| KS | $72.04 | $297.8K | 4.1K | 18 |
| NC | $71.94 | $762.6K | 10.6K | 65 |
| MN | $71.94 | $327.3K | 4.5K | 52 |
| OK | $71.91 | $249.0K | 3.5K | 17 |
| MO | $70.98 | $251.0K | 3.5K | 28 |
| ID | $70.14 | $73.6K | 1.1K | 11 |
| IN | $70.07 | $261.8K | 3.7K | 39 |
| MI | $69.95 | $777.3K | 11.1K | 88 |
| KY | $69.86 | $153.6K | 2.2K | 22 |
| UT | $68.83 | $99.4K | 1.4K | 12 |
| TN | $68.75 | $437.5K | 6.4K | 34 |
| OH | $68.72 | $543.8K | 7.9K | 68 |
| AL | $68.28 | $111.4K | 1.6K | 15 |
| WI | $67.93 | $379.5K | 5.6K | 63 |
| MT | $67.66 | $99.8K | 1.5K | 10 |
| AR | $66.84 | $442.1K | 6.6K | 19 |
| IA | $65.16 | $248.4K | 3.8K | 28 |
| SD | $64.97 | $98.9K | 1.5K | 10 |
| WV | $64.44 | $54.5K | 846 | 11 |
| LA | $63.21 | $62.6K | 990 | 13 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Dan Johnson | Psychologist, Clinical | AR | $198.5K | 3.1K | $63.80 |
| Fred Theye | Psychologist, Clinical | FL | $153.5K | 2.0K | $78.42 |
| Eileen Messing | Psychologist, Clinical | FL | $122.5K | 1.6K | $78.12 |
| Len Lecci | Psychologist, Clinical | NC | $106.2K | 1.4K | $74.90 |
| Matt Gee | Psychologist, Clinical | CA | $104.7K | 1.6K | $64.84 |
| Kathleen Tingus | Psychologist, Clinical | CA | $104.2K | 1.2K | $85.38 |
| David Thomas | Neurology | PA | $102.4K | 1.3K | $81.09 |
| Julien Guillaumot | Psychologist, Clinical | OR | $101.4K | 1.3K | $80.52 |
| Ronald Field | Psychologist, Clinical | NY | $101.1K | 1.2K | $81.91 |
| Sarah Steele | Psychologist, Clinical | TN | $100.6K | 1.4K | $74.47 |
| Mitchell Clionsky | Psychologist, Clinical | MA | $98.0K | 1.2K | $79.96 |
| Sarah Marshall | Psychologist, Clinical | MA | $95.7K | 1.2K | $80.02 |
| Dano Leli | Psychologist, Clinical | FL | $95.6K | 1.3K | $76.02 |
| Jonathan Pearlson | Psychologist, Clinical | NJ | $94.6K | 1.2K | $78.41 |
| Kathrin Ritter | Psychologist, Clinical | FL | $90.0K | 1.2K | $76.50 |
| Brandi Buchanan | Psychologist, Clinical | TX | $87.5K | 1.3K | $67.72 |
| Timothy Sams | Psychologist, Clinical | CA | $86.8K | 1.1K | $80.52 |
| Steve Shindell | Psychologist, Clinical | GA | $85.6K | 1.1K | $77.54 |
| Matthew Hollimon | Psychologist, Clinical | FL | $82.7K | 1.1K | $76.03 |
| Sarah Pulaski | Psychologist, Clinical | MD | $80.8K | 968 | $83.44 |
Based on the data, CPT 96133 shows a 1.7x variation in pricing across states — moderate variation by Medicare standards.
Costs have decreased 4.1% since 2019. 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.