This provider's $4.2M 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 | $94.71 | $63.20 | 1.50x | $31.51 | $413.4K | 6.5K | 1.2K |
| 2015 | $97.33 | $66.11 | 1.47x | $31.22 | $342.7K | 6.5K | 1.6K |
| 2016 | $94.39 | $63.13 | 1.50x | $31.26 | $342.8K | 7.1K | 1.6K |
| 2017 | $154.68 | $88.02 | 1.76x | $66.66 | $397.4K | 6.3K | 1.2K |
| 2018 | $243.03 | $100.89 | 2.41x | $142.14 | $423.4K | 5.1K | 943 |
| 2019 | $262.55 | $110.80 | 2.37x | $151.75 | $477.2K | 5.7K | 905 |
| 2020 | $267.00 | $105.61 | 2.53x | $161.39 | $419.3K | 5.3K | 831 |
| 2021 | $386.96 | $108.31 | 3.57x | $278.65 | $533.9K | 5.9K | 1.1K |
| 2022 | $510.58 | $109.27 | 4.67x | $401.31 | $490.9K | 5.6K | 999 |
| 2023 | $614.45 | $112.15 | 5.48x | $502.30 | $385.3K | 4.4K | 670 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 34.3K | $2.1M | $60.34 | 1.54x |
| 90868 | Transcranial magnetic stimulation treatment (stimulates nerve cells in brain to improve symptoms of depression), per session | 7.0K | $1.1M | $158.52 | 4.63x |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.4K | $287.2K | $118.64 | 1.53x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 8.0K | $266.3K | $33.25 | 1.57x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.9K | $163.6K | $85.79 | 1.93x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.5K | $105.1K | $41.82 | 2.11x |
| 99493 | Subsequent psychiatric collaborative care management, first 60 minutes in subsequent month of behavioral health care manager activities | 781 | $59.0K | $75.56 | 1.32x |
| 90867 | Transcranial magnetic stimulation treatment (stimulates nerve cells in brain to improve symptoms of depression) | 201 | $33.8K | $168.13 | 6.91x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 371 | $24.2K | $65.23 | 2.06x |
| 90869 | Transcranial magnetic stimulation treatment (stimulates nerve cells in brain to improve symptoms of depression) | 142 | $22.7K | $159.51 | 6.76x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 195 | $21.6K | $110.52 | 2.44x |
| 99483 | Assessment of and care planning for patient with impaired thought processing, typically 50 minutes | 108 | $15.7K | $145.47 | 1.32x |
| 99223 | Initial hospital inpatient care per day, typically 70 minutes | 87 | $13.9K | $159.96 | 3.39x |
| G0505 | Cognition and functional assessment using standardized instruments with development of recorded care plan for the patient with cognitive impairment, history obtained from patient and/or caregiver, in office or other outpatient setting or home or domiciliar | 67 | $9.2K | $137.20 | 1.28x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 69 | $8.0K | $116.11 | 2.70x |
| 99492 | Initial psychiatric collaborative care management, first 70 minutes in the first calendar month | 89 | $7.0K | $78.61 | 1.59x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 59 | $4.4K | $75.07 | 1.57x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 73 | $3.9K | $53.02 | 1.66x |
| 90791 | Psychiatric diagnostic evaluation | 12 | $1.6K | $130.62 | 1.61x |
| 99304 | Initial nursing facility visit, typically 25 minutes per day | 14 | $1.0K | $73.30 | 1.84x |
This provider submits charges 2.46 times higher than what Medicare actually pays.
A markup ratio of 2.46x means for every $100 Medicare pays, this provider initially charges $246. This is higher 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