This provider averages 90 services per working day
Based on 225.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $10.2M in total Medicare payments ranks in the 99th percentile of Psychiatry providers nationally.
Averaging 90 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 | $177.76 | $74.13 | 2.40x | $103.63 | $955.7K | 21.3K | 7.9K |
| 2015 | $209.84 | $73.74 | 2.85x | $136.10 | $853.2K | 18.9K | 6.6K |
| 2016 | $193.11 | $70.30 | 2.75x | $122.81 | $999.3K | 22.3K | 7.1K |
| 2017 | $170.25 | $65.07 | 2.62x | $105.18 | $992.0K | 23.5K | 7.4K |
| 2018 | $164.93 | $65.80 | 2.51x | $99.13 | $954.6K | 21.8K | 8.2K |
| 2019 | $172.35 | $71.73 | 2.40x | $100.62 | $1.1M | 20.5K | 7.6K |
| 2020 | $184.71 | $67.26 | 2.75x | $117.45 | $1.0M | 21.4K | 6.9K |
| 2021 | $194.85 | $78.75 | 2.47x | $116.10 | $1.0M | 21.6K | 7.2K |
| 2022 | $194.85 | $75.13 | 2.59x | $119.72 | $1.2M | 26.2K | 8.4K |
| 2023 | $176.93 | $68.71 | 2.58x | $108.22 | $1.2M | 27.8K | 9.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 39.4K | $2.1M | $54.08 | 2.51x |
| 90792 | Psychiatric diagnostic evaluation with medical services | 14.4K | $1.8M | $122.86 | 2.55x |
| 96138 | Psychological or neuropsychological test administration and scoring by technician, first 30 minutes | 38.2K | $1.2M | $31.21 | 2.54x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 34.1K | $1.2M | $34.34 | 2.57x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 15.0K | $1.1M | $72.21 | 2.54x |
| 96102 | Psychological testing with interpretation and report by technician per hour | 46.4K | $924.0K | $19.91 | 3.20x |
| 96139 | Psychological or neuropsychological test administration and scoring by technician, additional 30 minutes | 19.4K | $614.4K | $31.68 | 2.21x |
| 90791 | Psychiatric diagnostic evaluation | 2.8K | $279.3K | $99.52 | 2.61x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 3.1K | $227.1K | $72.18 | 2.61x |
| 99334 | Established patient assisted living visit, typically 15 minutes | 3.6K | $170.7K | $47.64 | 2.58x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 1.6K | $165.8K | $104.78 | 2.39x |
| 99336 | Established patient assisted living visit, typically 40 minutes | 1.5K | $156.6K | $102.61 | 2.68x |
| 96101 | Psychological testing with interpretation and report by psychologist or physician per hour | 1.6K | $97.8K | $60.54 | 3.36x |
| 99304 | Initial nursing facility visit, typically 25 minutes per day | 1.0K | $74.7K | $73.23 | 2.42x |
| 99347 | Established patient home visit, typically 15 minutes | 2.1K | $73.4K | $35.51 | 3.10x |
| 99348 | Established patient home visit, typically 25 minutes | 603 | $37.1K | $61.51 | 2.73x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 240 | $27.3K | $113.85 | 2.40x |
| 99349 | Established patient home visit, typically 40 minutes | 254 | $24.8K | $97.63 | 2.61x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 23 | $3.1K | $136.05 | 2.25x |
This provider submits charges 2.59 times higher than what Medicare actually pays.
A markup ratio of 2.59x means for every $100 Medicare pays, this provider initially charges $259. This is higher 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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