This provider's $3.3M 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.
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 | $225.03 | $141.25 | 1.59x | $83.78 | $346.6K | 3.1K | 584 |
| 2015 | $199.94 | $124.38 | 1.61x | $75.56 | $390.2K | 3.5K | 708 |
| 2016 | $175.14 | $104.80 | 1.67x | $70.34 | $340.7K | 3.4K | 879 |
| 2017 | $181.30 | $103.73 | 1.75x | $77.57 | $289.6K | 3.0K | 810 |
| 2018 | $192.92 | $115.41 | 1.67x | $77.51 | $359.6K | 3.4K | 848 |
| 2019 | $183.40 | $109.89 | 1.67x | $73.51 | $391.0K | 3.6K | 892 |
| 2020 | $183.33 | $111.96 | 1.64x | $71.37 | $325.6K | 2.9K | 730 |
| 2021 | $183.40 | $119.24 | 1.54x | $64.16 | $304.1K | 2.5K | 642 |
| 2022 | $183.61 | $116.41 | 1.58x | $67.20 | $269.6K | 2.3K | 515 |
| 2023 | $132.97 | $87.22 | 1.52x | $45.75 | $320.6K | 4.3K | 876 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99336 | Established patient assisted living visit, typically 40 minutes | 15.2K | $1.8M | $117.38 | 1.70x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 5.8K | $482.7K | $82.59 | 1.82x |
| 99337 | Established patient assisted living visit, typically 60 minutes | 1.9K | $317.1K | $168.42 | 1.48x |
| 90833 | Psychotherapy, 30 minutes with patient and/or family member | 3.5K | $206.3K | $58.92 | 1.51x |
| 99328 | New patient assisted living visit, typically 75 minutes | 1.1K | $203.4K | $188.14 | 1.59x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.3K | $105.5K | $80.70 | 1.47x |
| 99334 | Established patient assisted living visit, typically 15 minutes | 1.7K | $85.5K | $51.00 | 1.96x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 530 | $57.3K | $108.02 | 1.50x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 155 | $30.1K | $194.37 | 1.54x |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 443 | $22.4K | $50.65 | 1.40x |
| 99327 | New patient assisted living visit, typically 60 minutes | 126 | $19.9K | $158.14 | 1.58x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 203 | $13.6K | $67.22 | 1.79x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 54 | $6.9K | $127.14 | 1.57x |
| 90836 | Psychotherapy, 45 minutes with patient and/or family member | 48 | $3.3K | $68.31 | 1.83x |
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 66 | $2.5K | $37.17 | 1.88x |
This provider submits charges 1.67 times higher than what Medicare actually pays.
A markup ratio of 1.67x means for every $100 Medicare pays, this provider initially charges $167. 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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