This provider's $3.5M in total Medicare payments ranks in the 99th percentile of Psychiatry providers nationally.
Medicare payments to this provider grew 391% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 50% in 2017
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 | $230.05 | $83.73 | 2.75x | $146.32 | $128.9K | 1.5K | 1.2K |
| 2015 | $246.27 | $95.12 | 2.59x | $151.15 | $164.2K | 1.9K | 1.2K |
| 2016 | $225.00 | $74.34 | 3.03x | $150.66 | $190.9K | 2.4K | 1.4K |
| 2017 | $203.00 | $74.06 | 2.74x | $128.94 | $286.8K | 3.5K | 2.1K |
| 2018 | $225.89 | $81.77 | 2.76x | $144.12 | $298.3K | 3.6K | 2.3K |
| 2019 | $230.56 | $78.81 | 2.93x | $151.75 | $357.9K | 4.3K | 2.7K |
| 2020 | $228.50 | $86.53 | 2.64x | $141.97 | $342.8K | 3.8K | 2.5K |
| 2021 | $185.76 | $99.09 | 1.87x | $86.67 | $469.2K | 4.7K | 3.1K |
| 2022 | $206.28 | $104.13 | 1.98x | $102.15 | $598.7K | 5.1K | 3.9K |
| 2023 | $201.62 | $103.53 | 1.95x | $98.09 | $633.4K | 5.3K | 4.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 90792 | Psychiatric diagnostic evaluation with medical services | 11.7K | $1.8M | $150.44 | 2.41x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 14.3K | $885.7K | $62.12 | 2.36x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 8.5K | $702.5K | $82.72 | 2.35x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 432 | $50.5K | $117.00 | 2.91x |
| 90833 | Psychotherapy, 30 minutes | 385 | $23.2K | $60.17 | 1.91x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 118 | $14.3K | $121.43 | 1.81x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 142 | $9.2K | $64.98 | 3.69x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 218 | $8.6K | $39.51 | 4.17x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 69 | $6.9K | $99.96 | 2.45x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 76 | $6.7K | $88.48 | 1.65x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 51 | $2.1K | $42.08 | 5.58x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 27 | $1.9K | $68.56 | 1.88x |
| 99334 | Established patient assisted living visit, typically 15 minutes | 13 | $673.40 | $51.80 | 1.90x |
This provider submits charges 2.39 times higher than what Medicare actually pays.
A markup ratio of 2.39x means for every $100 Medicare pays, this provider initially charges $239. This is higher 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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