This provider's $8.6M in total Medicare payments ranks in the 99th percentile of Psychiatry providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $172.02 | $78.02 | 2.20x | $94.00 | $681.4K | 9.1K | 2.4K |
| 2015 | $168.33 | $73.28 | 2.30x | $95.05 | $741.9K | 10.8K | 2.9K |
| 2016 | $166.01 | $73.73 | 2.25x | $92.28 | $857.4K | 12.7K | 3.2K |
| 2017 | $166.00 | $70.41 | 2.36x | $95.59 | $901.6K | 13.4K | 3.8K |
| 2018 | $166.00 | $74.32 | 2.23x | $91.68 | $1.0M | 14.2K | 4.8K |
| 2019 | $170.56 | $78.89 | 2.16x | $91.67 | $855.5K | 12.5K | 3.6K |
| 2020 | $144.55 | $78.92 | 1.83x | $65.63 | $865.1K | 13.9K | 3.7K |
| 2021 | $143.33 | $85.40 | 1.68x | $57.93 | $865.2K | 13.0K | 3.7K |
| 2022 | $143.33 | $83.75 | 1.71x | $59.58 | $877.5K | 13.0K | 3.8K |
| 2023 | $143.33 | $84.48 | 1.70x | $58.85 | $924.6K | 13.0K | 4.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 25.7K | $2.1M | $82.69 | 1.81x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 33.3K | $1.9M | $58.41 | 2.05x |
| 90832 | Psychotherapy, 30 minutes with patient and/or family member | 35.8K | $1.9M | $52.04 | 2.31x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 8.8K | $1.3M | $150.25 | 1.38x |
| 90792 | Psychiatric diagnostic evaluation with medical services | 4.8K | $603.5K | $127.05 | 1.98x |
| G0459 | Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy | 12.5K | $416.5K | $33.21 | 3.01x |
| 99238 | Hospital discharge day management, 30 minutes or less | 3.0K | $168.7K | $57.19 | 2.19x |
| 90834 | Psychotherapy, 45 minutes with patient and/or family member | 1.6K | $106.6K | $65.75 | 2.74x |
| 90837 | Psychotherapy, 60 minutes with patient and/or family member | 204 | $20.5K | $100.40 | 1.99x |
This provider submits charges 2 times higher than what Medicare actually pays.
A markup ratio of 2x means for every $100 Medicare pays, this provider initially charges $200. This is lower than the national average.
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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