This provider averages 65 services per working day
Based on 163.2K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.8M in total Medicare payments ranks in the 99th percentile of Psychiatry providers nationally.
Averaging 65 services per working day raises questions about billing patterns.
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 | $131.58 | $83.39 | 1.58x | $48.19 | $1.0M | 19.2K | 4.5K |
| 2015 | $125.63 | $77.22 | 1.63x | $48.41 | $986.7K | 19.6K | 4.7K |
| 2016 | $128.85 | $79.20 | 1.63x | $49.65 | $947.1K | 20.1K | 4.8K |
| 2017 | $132.57 | $80.85 | 1.64x | $51.72 | $885.5K | 17.9K | 4.3K |
| 2018 | $138.77 | $87.71 | 1.58x | $51.06 | $663.4K | 15.2K | 3.1K |
| 2019 | $138.83 | $85.81 | 1.62x | $53.02 | $717.1K | 17.1K | 3.0K |
| 2020 | $142.17 | $90.80 | 1.57x | $51.37 | $670.6K | 15.3K | 2.5K |
| 2021 | $143.14 | $91.31 | 1.57x | $51.83 | $610.8K | 13.3K | 2.7K |
| 2022 | $152.20 | $91.98 | 1.65x | $60.22 | $546.6K | 11.4K | 2.7K |
| 2023 | $134.49 | $78.25 | 1.72x | $56.24 | $748.3K | 13.9K | 3.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 105.9K | $3.5M | $33.10 | 1.95x |
| 90833 | Psychotherapy, 30 minutes with patient and/or family member | 26.6K | $1.4M | $52.57 | 1.55x |
| 90792 | Psychiatric diagnostic evaluation with medical services | 7.1K | $874.1K | $122.36 | 1.64x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 12.9K | $778.5K | $60.37 | 1.67x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 3.7K | $614.1K | $164.16 | 1.52x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 4.6K | $401.3K | $86.51 | 1.46x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.6K | $175.7K | $112.92 | 1.77x |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | 263 | $20.5K | $77.99 | 1.29x |
| 99238 | Hospital discharge day management, 30 minutes or less | 45 | $3.0K | $66.32 | 1.55x |
| 90836 | Psychotherapy, 45 minutes with patient and/or family member | 35 | $2.4K | $68.50 | 1.46x |
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 62 | $2.3K | $37.72 | 1.99x |
| 90785 | Interactive complexity | 190 | $2.2K | $11.68 | 1.71x |
| 99356 | Prolonged inpatient or observation hospital service first hour | 26 | $2.0K | $77.16 | 1.56x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 12 | $1.6K | $131.25 | 1.52x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 15 | $964.20 | $64.28 | 2.33x |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 15 | $921.60 | $61.44 | 1.46x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 20 | $736.68 | $36.83 | 1.36x |
This provider submits charges 1.75 times higher than what Medicare actually pays.
A markup ratio of 1.75x means for every $100 Medicare pays, this provider initially charges $175. 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.
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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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