This provider's $4.1M 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.
Notable: Payments increased 54% in 2019
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 | $125.26 | $82.12 | 1.53x | $43.14 | $348.3K | 5.9K | 2.1K |
| 2015 | $125.94 | $79.99 | 1.57x | $45.95 | $353.9K | 6.3K | 2.3K |
| 2016 | $117.95 | $70.70 | 1.67x | $47.25 | $280.0K | 4.9K | 2.4K |
| 2017 | $128.98 | $76.77 | 1.68x | $52.21 | $295.9K | 5.2K | 2.3K |
| 2018 | $127.50 | $74.50 | 1.71x | $53.00 | $379.4K | 7.2K | 2.7K |
| 2019 | $130.30 | $84.18 | 1.55x | $46.12 | $586.1K | 10.6K | 3.1K |
| 2020 | $116.44 | $82.41 | 1.41x | $34.03 | $557.9K | 8.9K | 3.2K |
| 2021 | $130.51 | $88.67 | 1.47x | $41.84 | $480.8K | 7.6K | 2.6K |
| 2022 | $118.45 | $82.38 | 1.44x | $36.07 | $531.4K | 8.2K | 2.4K |
| 2023 | $126.82 | $82.20 | 1.54x | $44.62 | $324.9K | 5.3K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99334 | Established patient assisted living visit, typically 15 minutes | 19.8K | $945.3K | $47.70 | 1.57x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 9.7K | $743.0K | $76.39 | 1.40x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 12.8K | $714.0K | $55.83 | 1.43x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 12.8K | $445.3K | $34.70 | 1.44x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 2.4K | $329.2K | $134.63 | 1.34x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 2.2K | $134.6K | $60.95 | 1.72x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.5K | $131.5K | $89.70 | 1.45x |
| 99326 | New patient assisted living visit, typically 45 minutes | 1.2K | $131.4K | $110.12 | 1.36x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 1.2K | $127.8K | $104.26 | 1.39x |
| 99336 | Established patient assisted living visit, typically 40 minutes | 891 | $96.6K | $108.37 | 1.36x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.5K | $80.9K | $54.58 | 1.50x |
| G0180 | Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implem | 1.3K | $53.5K | $41.77 | 2.39x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 674 | $50.8K | $75.37 | 1.39x |
| 99325 | New patient assisted living visit, typically 30 minutes | 574 | $35.8K | $62.34 | 2.01x |
| 90792 | Psychiatric diagnostic evaluation with medical services | 275 | $31.0K | $112.71 | 2.63x |
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 587 | $20.8K | $35.35 | 2.48x |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 142 | $14.0K | $98.25 | 1.39x |
| 99337 | Established patient assisted living visit, typically 60 minutes | 89 | $10.6K | $118.89 | 1.27x |
| 99344 | Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 77 | $8.6K | $112.24 | 1.40x |
| 90847 | Family psychotherapy including patient | 85 | $7.1K | $83.51 | 1.80x |
This provider submits charges 1.49 times higher than what Medicare actually pays.
A markup ratio of 1.49x means for every $100 Medicare pays, this provider initially charges $149. This is lower than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data