This provider's $3.4M in total Medicare payments ranks in the 99th percentile of Psychiatry providers nationally.
Medicare payments to this provider grew 52% from 2014 to 2023.
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 | $115.36 | $76.26 | 1.51x | $39.10 | $260.5K | 4.1K | 818 |
| 2015 | $147.89 | $71.20 | 2.08x | $76.69 | $273.6K | 4.3K | 779 |
| 2016 | $154.99 | $78.75 | 1.97x | $76.24 | $343.8K | 5.3K | 1.0K |
| 2017 | $161.33 | $72.86 | 2.21x | $88.47 | $321.6K | 5.0K | 1.1K |
| 2018 | $122.02 | $62.35 | 1.96x | $59.67 | $329.0K | 5.2K | 1.1K |
| 2019 | $131.84 | $77.74 | 1.70x | $54.10 | $320.8K | 4.8K | 1.0K |
| 2020 | $113.35 | $69.79 | 1.62x | $43.56 | $332.4K | 4.7K | 1.5K |
| 2021 | $119.00 | $80.21 | 1.48x | $38.79 | $423.9K | 5.2K | 1.3K |
| 2022 | $125.95 | $83.33 | 1.51x | $42.62 | $392.0K | 5.0K | 967 |
| 2023 | $127.08 | $86.09 | 1.48x | $40.99 | $395.8K | 5.1K | 1.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 30.7K | $2.0M | $64.02 | 1.60x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 8.6K | $677.4K | $79.03 | 1.39x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.2K | $299.3K | $94.68 | 1.73x |
| 90832 | Psychotherapy, 30 minutes with patient and/or family member | 2.7K | $157.5K | $59.38 | 1.68x |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.0K | $137.1K | $134.59 | 1.51x |
| 90834 | Psychotherapy, 45 minutes with patient and/or family member | 1.1K | $82.8K | $75.44 | 1.42x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 322 | $33.5K | $103.96 | 1.56x |
| 90833 | Psychotherapy, 30 minutes with patient and/or family member | 403 | $22.5K | $55.91 | 1.63x |
| 90791 | Psychiatric diagnostic evaluation | 94 | $10.4K | $110.11 | 1.49x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 610 | $8.2K | $13.50 | 1.89x |
| 90853 | Group psychotherapy | 80 | $1.8K | $22.42 | 4.46x |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic | 27 | $336.00 | $12.44 | 4.18x |
| 36415 | Insertion of needle into vein for collection of blood sample | 44 | $132.00 | $3.00 | 5.00x |
This provider submits charges 1.57 times higher than what Medicare actually pays.
A markup ratio of 1.57x means for every $100 Medicare pays, this provider initially charges $157. 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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