This provider's $4.4M in total Medicare payments ranks in the 99th percentile of Psychiatry providers nationally.
Medicare payments to this provider grew 896% from 2014 to 2023.
75% of their billing comes from a single procedure code (G2083 — Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of greater than 56 mg esketamine nasal self-administration,).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 689% in 2020
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 | $112.56 | $75.04 | 1.50x | $37.52 | $99.7K | 1.3K | 334 |
| 2015 | $105.67 | $72.29 | 1.46x | $33.38 | $128.3K | 1.6K | 312 |
| 2016 | $112.80 | $70.43 | 1.60x | $42.37 | $124.7K | 1.4K | 229 |
| 2017 | $109.52 | $70.00 | 1.56x | $39.52 | $78.5K | 975 | 225 |
| 2018 | $102.24 | $66.35 | 1.54x | $35.89 | $93.3K | 1.2K | 261 |
| 2019 | $102.17 | $69.43 | 1.47x | $32.74 | $101.2K | 1.2K | 265 |
| 2020 | $333.39 | $208.00 | 1.60x | $125.39 | $799.1K | 2.7K | 296 |
| 2021 | $391.04 | $203.48 | 1.92x | $187.56 | $955.9K | 2.0K | 288 |
| 2022 | $322.36 | $209.81 | 1.54x | $112.55 | $1.0M | 2.2K | 350 |
| 2023 | $326.72 | $210.53 | 1.55x | $116.19 | $992.7K | 2.2K | 341 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G2083 | Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of greater than 56 mg esketamine nasal self-administration, | 3.6K | $3.3M | $920.65 | 1.41x |
| 90837 | Psychotherapy, 60 minutes with patient and/or family member | 5.7K | $575.8K | $100.65 | 1.46x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.3K | $179.8K | $77.46 | 1.69x |
| 90833 | Psychotherapy, 30 minutes with patient and/or family member | 1.9K | $93.7K | $48.73 | 1.52x |
| 90868 | Transcranial magnetic stimulation treatment (stimulates nerve cells in brain to improve symptoms of depression), subsequent delivery and management, per session | 382 | $45.7K | $119.54 | 8.06x |
| 99354 | Prolonged office or other outpatient service first hour | 391 | $42.1K | $107.68 | 1.93x |
| 90834 | Psychotherapy, 45 minutes with patient and/or family member | 595 | $40.0K | $67.30 | 1.74x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 722 | $37.2K | $51.51 | 1.64x |
| 99355 | Prolonged office or other outpatient service each 30 minutes beyond first hour | 388 | $31.8K | $81.86 | 1.93x |
| G2082 | Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of up to 56 mg of esketamine nasal self-administration, incl | 32 | $19.0K | $595.17 | 1.68x |
| 90791 | Psychiatric diagnostic evaluation | 167 | $16.0K | $95.86 | 1.72x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 366 | $13.7K | $37.41 | 2.00x |
| 90836 | Psychotherapy, 45 minutes | 195 | $12.9K | $66.04 | 1.43x |
| 90792 | Psychiatric diagnostic evaluation with medical services | 85 | $11.5K | $134.94 | 1.53x |
This provider submits charges 1.52 times higher than what Medicare actually pays.
A markup ratio of 1.52x means for every $100 Medicare pays, this provider initially charges $152. 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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