This provider averages 95 services per working day
Based on 237.6K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $13.1M in total Medicare payments ranks in the 99th percentile of Psychiatry providers nationally.
Averaging 95 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 82% from 2014 to 2023.
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 | $102.91 | $71.49 | 1.44x | $31.42 | $739.4K | 15.7K | 3.8K |
| 2015 | $90.45 | $56.58 | 1.60x | $33.87 | $898.6K | 17.9K | 4.3K |
| 2016 | $104.14 | $70.84 | 1.47x | $33.30 | $1.3M | 23.5K | 4.8K |
| 2017 | $107.20 | $70.23 | 1.53x | $36.97 | $1.5M | 28.0K | 5.0K |
| 2018 | $103.89 | $71.09 | 1.46x | $32.80 | $1.5M | 27.6K | 5.3K |
| 2019 | $110.55 | $76.05 | 1.45x | $34.50 | $1.5M | 26.6K | 5.1K |
| 2020 | $98.69 | $67.28 | 1.47x | $31.41 | $1.4M | 26.4K | 4.6K |
| 2021 | $128.16 | $70.99 | 1.81x | $57.17 | $1.5M | 25.3K | 4.8K |
| 2022 | $120.09 | $64.11 | 1.87x | $55.98 | $1.4M | 24.3K | 4.3K |
| 2023 | $100.50 | $68.48 | 1.47x | $32.02 | $1.3M | 22.2K | 3.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 101.5K | $5.4M | $53.40 | 1.41x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 83.9K | $4.1M | $48.65 | 1.56x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 15.9K | $1.2M | $76.54 | 1.36x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 4.7K | $649.3K | $137.14 | 1.46x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.2K | $351.9K | $67.91 | 1.55x |
| 99239 | Hospital discharge day management, more than 30 minutes | 4.4K | $344.3K | $78.15 | 1.35x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 6.4K | $188.1K | $29.36 | 1.62x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 3.9K | $166.2K | $43.04 | 1.58x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 4.3K | $124.4K | $28.86 | 1.63x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.1K | $100.3K | $95.54 | 1.42x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 710 | $95.1K | $133.99 | 1.51x |
| 90868 | Transcranial magnetic stimulation treatment (stimulates nerve cells in brain to improve symptoms of depression), subsequent delivery and management, per session | 713 | $94.2K | $132.17 | 4.62x |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.4K | $71.8K | $52.20 | 1.63x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 907 | $54.4K | $59.99 | 1.48x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 319 | $36.6K | $114.66 | 1.42x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 678 | $27.5K | $40.63 | 1.70x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 99 | $9.7K | $97.58 | 1.55x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 337 | $8.7K | $25.89 | 1.69x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 553 | $5.7K | $10.37 | 4.23x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 59 | $5.2K | $87.90 | 1.45x |
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