This provider's $3.5M in total Medicare payments ranks in the 99th percentile of Psychiatry providers nationally.
Medicare payments to this provider grew 3467% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 136% in 2015
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 | $121.97 | $82.91 | 1.47x | $39.06 | $22.5K | 279 | 110 |
| 2015 | $125.83 | $82.61 | 1.52x | $43.22 | $53.1K | 583 | 150 |
| 2016 | $186.29 | $104.83 | 1.78x | $81.46 | $73.9K | 720 | 102 |
| 2017 | $185.73 | $103.92 | 1.79x | $81.81 | $147.9K | 1.4K | 122 |
| 2018 | $167.03 | $109.55 | 1.52x | $57.48 | $304.5K | 2.8K | 93 |
| 2019 | $178.56 | $92.25 | 1.94x | $86.31 | $414.2K | 3.7K | 117 |
| 2020 | $163.87 | $93.18 | 1.76x | $70.69 | $360.8K | 3.3K | 111 |
| 2021 | $164.53 | $99.55 | 1.65x | $64.98 | $524.3K | 4.3K | 149 |
| 2022 | $144.04 | $93.11 | 1.55x | $50.93 | $838.8K | 7.3K | 206 |
| 2023 | $165.59 | $104.09 | 1.59x | $61.50 | $802.1K | 6.8K | 138 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 14.4K | $1.9M | $134.22 | 1.36x |
| 90838 | Psychotherapy, 60 minutes with patient and/or family member | 14.3K | $1.4M | $97.39 | 1.57x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.2K | $127.2K | $105.48 | 1.62x |
| 90836 | Psychotherapy, 45 minutes with patient and/or family member | 928 | $67.6K | $72.88 | 1.84x |
| 90833 | Psychotherapy, 30 minutes with patient and/or family member | 267 | $12.3K | $46.14 | 1.93x |
| 90792 | Psychiatric diagnostic evaluation with medical services | 79 | $8.4K | $106.85 | 1.74x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 102 | $7.7K | $75.85 | 1.59x |
This provider submits charges 1.47 times higher than what Medicare actually pays.
A markup ratio of 1.47x means for every $100 Medicare pays, this provider initially charges $147. 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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