This provider's $3.8M in total Medicare payments ranks in the 99th percentile of Psychologist, Clinical providers nationally.
Medicare payments to this provider grew 85% from 2014 to 2023.
81% 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.
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 | $196.12 | $76.94 | 2.55x | $119.18 | $303.8K | 4.6K | 1.8K |
| 2015 | $222.74 | $78.33 | 2.84x | $144.41 | $275.7K | 4.7K | 1.2K |
| 2016 | $224.94 | $77.84 | 2.89x | $147.10 | $293.4K | 5.1K | 1.0K |
| 2017 | $223.46 | $77.52 | 2.88x | $145.94 | $316.8K | 5.6K | 938 |
| 2018 | $223.56 | $79.36 | 2.82x | $144.20 | $359.6K | 6.4K | 995 |
| 2019 | $226.16 | $81.93 | 2.76x | $144.23 | $345.5K | 6.0K | 1.0K |
| 2020 | $192.51 | $85.14 | 2.26x | $107.37 | $358.5K | 6.2K | 785 |
| 2021 | $166.13 | $84.94 | 1.96x | $81.19 | $498.9K | 7.6K | 1.1K |
| 2022 | $203.10 | $99.30 | 2.05x | $103.80 | $517.8K | 8.2K | 1.1K |
| 2023 | $228.22 | $96.50 | 2.36x | $131.72 | $561.2K | 9.3K | 1.1K |
This provider submits charges 2.62 times higher than what Medicare actually pays.
A markup ratio of 2.62x means for every $100 Medicare pays, this provider initially charges $262. 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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