This provider's $3.4M in total Medicare payments ranks in the 99th percentile of Psychiatry providers nationally.
Medicare payments to this provider grew 1977% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1343% in 2023
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 | $174.54 | $79.92 | 2.18x | $94.62 | $104.8K | 1.3K | 1.1K |
| 2015 | $206.25 | $83.50 | 2.47x | $122.75 | $141.0K | 1.7K | 1.3K |
| 2016 | $206.36 | $81.38 | 2.54x | $124.98 | $107.0K | 1.2K | 943 |
| 2017 | $225.00 | $94.73 | 2.38x | $130.27 | $113.1K | 1.3K | 777 |
| 2018 | $218.28 | $102.80 | 2.12x | $115.48 | $160.7K | 1.7K | 1.3K |
| 2019 | $200.00 | $101.09 | 1.98x | $98.91 | $139.8K | 1.5K | 865 |
| 2020 | $200.00 | $89.57 | 2.23x | $110.43 | $133.6K | 1.6K | 760 |
| 2021 | $200.00 | $106.79 | 1.87x | $93.21 | $125.1K | 1.5K | 624 |
| 2022 | $174.52 | $91.05 | 1.92x | $83.47 | $150.8K | 1.8K | 803 |
| 2023 | $260.09 | $123.65 | 2.10x | $136.44 | $2.2M | 16.7K | 2.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 90868 | Treatment using magnetic field to stimulate nerve cells in brain, subsequent delivery and management | 10.9K | $1.5M | $137.94 | 1.81x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 8.9K | $657.1K | $74.21 | 2.77x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 2.6K | $356.9K | $134.94 | 1.64x |
| 90837 | Psychotherapy, 1 hour | 2.5K | $297.8K | $118.94 | 1.65x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 965 | $101.2K | $104.85 | 2.30x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 835 | $89.2K | $106.86 | 2.62x |
| 90867 | Treatment using magnetic field to stimulate nerve cells in brain, initial delivery and management | 344 | $75.8K | $220.40 | 1.81x |
| 90792 | Psychiatric diagnostic evaluation with medical services | 453 | $66.3K | $146.28 | 1.66x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 822 | $44.6K | $54.25 | 2.85x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 312 | $35.5K | $113.65 | 2.17x |
| 99318 | Nursing facility annual assessment, typically 30 minutes | 419 | $30.0K | $71.54 | 2.50x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 472 | $28.3K | $59.90 | 2.87x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 159 | $13.7K | $86.11 | 2.23x |
| 99238 | Hospital discharge day management, 30 minutes or less | 209 | $12.6K | $60.17 | 2.42x |
| 90869 | Treatment using magnetic field to stimulate nerve cells in brain, subsequent motor threshold redetermination with delivery and management | 40 | $8.8K | $220.49 | 1.81x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 53 | $8.8K | $165.75 | 1.76x |
| 90838 | Psychotherapy with evaluation and management visit, 1 hour | 60 | $5.6K | $93.77 | 2.20x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 60 | $4.4K | $72.55 | 1.72x |
| 99239 | Hospital discharge day management, more than 30 minutes | 28 | $2.4K | $86.70 | 2.13x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | $1.8K | $68.95 | 2.78x |
This provider submits charges 2.04 times higher than what Medicare actually pays.
A markup ratio of 2.04x means for every $100 Medicare pays, this provider initially charges $204. This is higher 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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