This provider's $4.3M in total Medicare payments ranks in the 99th percentile of Psychiatry providers nationally.
Medicare payments to this provider grew 4962% from 2014 to 2023.
86% of their billing comes from a single procedure code (90868 — Transcranial magnetic stimulation treatment (stimulates nerve cells in brain to improve symptoms of depression), per session).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 826% in 2018
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 | $56.28 | $31.83 | 1.77x | $24.45 | $7.6K | 238 | 60 |
| 2015 | $54.61 | $25.68 | 2.13x | $28.93 | $6.2K | 205 | 89 |
| 2016 | $53.09 | $29.87 | 1.78x | $23.22 | $8.3K | 279 | 78 |
| 2017 | $256.64 | $64.11 | 4.00x | $192.53 | $17.7K | 329 | 172 |
| 2018 | $261.12 | $60.67 | 4.30x | $200.45 | $163.6K | 2.2K | 629 |
| 2019 | $421.59 | $86.06 | 4.90x | $335.53 | $139.9K | 1.1K | 233 |
| 2020 | $600.56 | $125.75 | 4.78x | $474.81 | $303.8K | 2.0K | 297 |
| 2021 | $607.81 | $141.91 | 4.28x | $465.90 | $1.4M | 8.6K | 1.0K |
| 2022 | $594.19 | $127.72 | 4.65x | $466.47 | $1.9M | 11.8K | 1.5K |
| 2023 | $558.57 | $120.09 | 4.65x | $438.48 | $383.5K | 2.7K | 505 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 90868 | Transcranial magnetic stimulation treatment (stimulates nerve cells in brain to improve symptoms of depression), per session | 22.5K | $3.7M | $165.04 | 3.64x |
| 90837 | Psychotherapy, 60 minutes | 1.4K | $130.4K | $94.50 | 3.20x |
| 90867 | Transcranial magnetic stimulation treatment (stimulates nerve cells in brain to improve symptoms of depression) | 720 | $125.9K | $174.83 | 4.30x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.4K | $123.1K | $50.89 | 3.75x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 745 | $65.3K | $87.66 | 4.26x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 280 | $37.6K | $134.26 | 5.90x |
| 90834 | Psychotherapy, 45 minutes | 495 | $30.0K | $60.66 | 3.30x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 300 | $27.4K | $91.34 | 7.13x |
| 90869 | Transcranial magnetic stimulation treatment (stimulates nerve cells in brain to improve symptoms of depression) | 111 | $18.0K | $162.36 | 4.00x |
| 90792 | Psychiatric diagnostic evaluation with medical services | 120 | $14.0K | $116.92 | 5.30x |
| 90791 | Psychiatric diagnostic evaluation | 73 | $9.2K | $126.38 | 5.14x |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 125 | $6.5K | $52.32 | 5.73x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 35 | $3.6K | $103.18 | 4.29x |
| 90853 | Group psychotherapy | 93 | $1.7K | $18.64 | 5.36x |
| 90832 | Psychotherapy, 30 minutes | 26 | $1.2K | $45.52 | 2.75x |
This provider submits charges 3.71 times higher than what Medicare actually pays.
A markup ratio of 3.71x means for every $100 Medicare pays, this provider initially charges $371. 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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