This provider's $3.5M in total Medicare payments ranks in the 99th percentile of Geriatric 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 | $124.55 | $88.03 | 1.41x | $36.52 | $358.9K | 5.3K | 2.0K |
| 2015 | $126.11 | $89.55 | 1.41x | $36.56 | $344.5K | 5.1K | 1.8K |
| 2016 | $135.67 | $97.19 | 1.40x | $38.48 | $339.3K | 5.0K | 1.8K |
| 2017 | $126.16 | $91.38 | 1.38x | $34.78 | $346.5K | 5.0K | 2.0K |
| 2018 | $120.86 | $89.58 | 1.35x | $31.28 | $347.4K | 5.1K | 2.1K |
| 2019 | $124.93 | $94.92 | 1.32x | $30.01 | $320.9K | 4.6K | 1.9K |
| 2020 | $135.23 | $103.05 | 1.31x | $32.18 | $354.8K | 4.7K | 1.8K |
| 2021 | $131.42 | $101.25 | 1.30x | $30.17 | $374.1K | 4.6K | 1.9K |
| 2022 | $129.84 | $99.98 | 1.30x | $29.86 | $348.4K | 4.3K | 1.8K |
| 2023 | $136.28 | $101.90 | 1.34x | $34.38 | $359.1K | 4.0K | 1.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99334 | Established patient assisted living visit, typically 15 minutes | 14.3K | $711.4K | $49.61 | 1.39x |
| 90792 | Psychiatric diagnostic evaluation with medical services | 4.2K | $570.8K | $137.21 | 1.33x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 6.6K | $529.2K | $79.89 | 1.40x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 6.8K | $400.1K | $58.78 | 1.35x |
| 90836 | Psychotherapy, 45 minutes with patient and/or family member | 4.9K | $352.7K | $72.14 | 1.38x |
| 90833 | Psychotherapy, 30 minutes with patient and/or family member | 4.0K | $231.9K | $57.99 | 1.32x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 2.6K | $211.9K | $80.22 | 1.40x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 1.0K | $149.4K | $143.48 | 1.32x |
| 99327 | New patient assisted living visit, typically 60 minutes | 731 | $115.7K | $158.30 | 1.32x |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 921 | $96.6K | $104.89 | 1.36x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 1.4K | $85.7K | $63.22 | 1.35x |
| 99336 | Established patient assisted living visit, typically 40 minutes | 198 | $23.0K | $116.26 | 1.31x |
| 99337 | Established patient assisted living visit, typically 60 minutes | 31 | $4.9K | $159.04 | 1.30x |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 30 | $4.6K | $154.48 | 1.34x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 23 | $2.8K | $120.65 | 1.27x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 24 | $2.0K | $83.65 | 1.49x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 21 | $1.1K | $53.41 | 1.59x |
This provider submits charges 1.37 times higher than what Medicare actually pays.
A markup ratio of 1.37x means for every $100 Medicare pays, this provider initially charges $137. 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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