This provider's $5.0M in total Medicare payments ranks in the 99th percentile of Psychologist, Clinical providers nationally.
Medicare payments to this provider grew 1127% from 2014 to 2023.
77% of their billing comes from a single procedure code (90832 — Psychotherapy, 30 minutes with patient and/or family member).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 845% in 2015
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $175.22 | $74.44 | 2.35x | $100.78 | $40.4K | 592 | 184 |
| 2015 | $137.61 | $83.27 | 1.65x | $54.34 | $381.7K | 6.3K | 886 |
| 2016 | $125.25 | $75.92 | 1.65x | $49.33 | $676.2K | 11.6K | 1.8K |
| 2017 | $125.34 | $73.85 | 1.70x | $51.49 | $581.9K | 10.3K | 1.6K |
| 2018 | $125.09 | $77.18 | 1.62x | $47.91 | $609.6K | 10.5K | 1.9K |
| 2019 | $125.29 | $78.19 | 1.60x | $47.10 | $603.6K | 10.2K | 1.7K |
| 2020 | $125.27 | $79.26 | 1.58x | $46.01 | $583.1K | 10.0K | 1.3K |
| 2021 | $125.07 | $87.55 | 1.43x | $37.52 | $511.4K | 7.8K | 1.2K |
| 2022 | $131.06 | $92.32 | 1.42x | $38.74 | $540.6K | 8.4K | 1.3K |
| 2023 | $139.31 | $83.76 | 1.66x | $55.55 | $495.6K | 7.9K | 1.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes with patient and/or family member | 72.5K | $3.9M | $53.49 | 1.48x |
| 90791 | Psychiatric diagnostic evaluation | 8.9K | $984.2K | $110.57 | 1.59x |
| 90834 | Psychotherapy, 45 minutes with patient and/or family member | 2.3K | $160.4K | $70.26 | 1.91x |
| 90837 | Psychotherapy, 60 minutes with patient and/or family member | 19 | $2.0K | $104.92 | 1.67x |
This provider submits charges 1.51 times higher than what Medicare actually pays.
A markup ratio of 1.51x means for every $100 Medicare pays, this provider initially charges $151. 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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