This provider's $4.4M in total Medicare payments ranks in the 99th percentile of Psychologist, Clinical providers nationally.
Medicare payments to this provider grew 87% from 2014 to 2023.
94% of their billing comes from a single procedure code (90837 — Psychotherapy, 60 minutes with patient and/or family member).
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 | $190.27 | $95.36 | 2.00x | $94.91 | $313.2K | 3.2K | 509 |
| 2015 | $175.00 | $79.64 | 2.20x | $95.36 | $384.2K | 3.9K | 454 |
| 2016 | $183.33 | $88.87 | 2.06x | $94.46 | $290.1K | 3.1K | 452 |
| 2017 | $183.43 | $85.80 | 2.14x | $97.63 | $381.6K | 4.0K | 577 |
| 2018 | $222.58 | $84.03 | 2.65x | $138.55 | $427.6K | 4.4K | 660 |
| 2019 | $220.94 | $86.77 | 2.55x | $134.17 | $414.7K | 4.1K | 609 |
| 2020 | $181.25 | $92.68 | 1.96x | $88.57 | $532.8K | 4.9K | 396 |
| 2021 | $183.33 | $111.53 | 1.64x | $71.80 | $549.0K | 4.6K | 326 |
| 2022 | $207.57 | $109.18 | 1.90x | $98.39 | $528.9K | 4.6K | 358 |
| 2023 | $212.50 | $117.26 | 1.81x | $95.24 | $585.2K | 5.2K | 407 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 90837 | Psychotherapy, 60 minutes with patient and/or family member | 39.1K | $4.1M | $105.84 | 1.71x |
| 90791 | Psychiatric diagnostic evaluation | 1.8K | $184.3K | $101.38 | 2.23x |
| 90847 | Family psychotherapy including patient | 726 | $59.7K | $82.18 | 2.15x |
| 90846 | Family psychotherapy, 50 minutes | 202 | $16.0K | $79.34 | 2.21x |
| 90832 | Psychotherapy, 30 minutes with patient and/or family member | 135 | $6.8K | $50.11 | 3.47x |
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.
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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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