This provider averages 62 services per working day
Based on 123.9K total services over 8 years (250 working days/year). Learn about impossible service volumes →
This provider's $3.3M in total Medicare payments ranks in the 99th percentile of Licensed Clinical Social Worker providers nationally.
Averaging 62 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 198% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $79.16 | $42.61 | 1.86x | $36.55 | $268.5K | 11.2K | 471 |
| 2017 | $81.38 | $43.63 | 1.87x | $37.75 | $630.4K | 27.0K | 510 |
| 2018 | $97.23 | $47.71 | 2.04x | $49.52 | $119.6K | 2.5K | 278 |
| 2019 | $94.55 | $40.07 | 2.36x | $54.48 | $356.2K | 13.8K | 188 |
| 2020 | $137.51 | $42.76 | 3.22x | $94.75 | $711.4K | 24.1K | 619 |
| 2021 | $146.18 | $43.11 | 3.39x | $103.07 | $937.2K | 37.1K | 535 |
| 2022 | $92.08 | $36.21 | 2.54x | $55.87 | $153.8K | 5.4K | 134 |
| 2023 | $93.22 | $38.37 | 2.43x | $54.85 | $101.6K | 2.8K | 129 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes with patient and/or family member | 28.0K | $1.2M | $43.55 | 2.33x |
| 90834 | Psychotherapy, 45 minutes with patient and/or family member | 11.6K | $627.7K | $54.28 | 2.02x |
| 90853 | Group psychotherapy | 37.9K | $620.5K | $16.38 | 2.58x |
| 90785 | Interactive complexity | 39.8K | $355.9K | $8.94 | 4.75x |
| 90837 | Psychotherapy, 60 minutes | 3.9K | $287.5K | $73.96 | 1.56x |
| 90880 | Hypnotherapy | 1.2K | $76.1K | $61.02 | 1.64x |
| 90847 | Family psychotherapy including patient | 1.1K | $72.2K | $63.21 | 1.58x |
| 90791 | Psychiatric diagnostic evaluation | 176 | $14.5K | $82.50 | 2.15x |
| Q3014 | Telehealth originating site facility fee | 160 | $3.3K | $20.87 | 13.63x |
This provider submits charges 2.49 times higher than what Medicare actually pays.
A markup ratio of 2.49x means for every $100 Medicare pays, this provider initially charges $249. 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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