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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Heidi Mandl
⚕️
Individual

Heidi Mandl

NPI: 1851746499
Houston, TX
8 years of data
Licensed Clinical Social Worker
$3.3M
Total Payments
2.9K
Beneficiaries
123.9K
Services
2.49x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$3.3M
Specialty median$16.9K

📋 Key Findings

1Billed $3.3M over 8 years
22.49x markup ratio (above median)
399th percentile in Licensed Clinical Social Worker by payments
462 services/day — unusually high
5Payments surged 198% in 2019
62 procedures with >3x markup

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 →

🔎 Data Analysis

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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 198% in 2019

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2016$79.16$42.611.86x$36.55$268.5K11.2K471
2017$81.38$43.631.87x$37.75$630.4K27.0K510
2018$97.23$47.712.04x$49.52$119.6K2.5K278
2019$94.55$40.072.36x$54.48$356.2K13.8K188
2020$137.51$42.763.22x$94.75$711.4K24.1K619
2021$146.18$43.113.39x$103.07$937.2K37.1K535
2022$92.08$36.212.54x$55.87$153.8K5.4K134
2023$93.22$38.372.43x$54.85$101.6K2.8K129

Top Procedures (9)

90832Psychotherapy, 30 minutes with patient and/or family member
$1.2M
28.0K services$43.55/svc2.33x markup
90834Psychotherapy, 45 minutes with patient and/or family member
$627.7K
11.6K services$54.28/svc2.02x markup
90853Group psychotherapy
$620.5K
37.9K services$16.38/svc2.58x markup
90785Interactive complexity⚠ 4.8x markup
$355.9K
39.8K services$8.94/svc4.75x markup
90837Psychotherapy, 60 minutes
$287.5K
3.9K services$73.96/svc1.56x markup
90880Hypnotherapy
$76.1K
1.2K services$61.02/svc1.64x markup
90847Family psychotherapy including patient
$72.2K
1.1K services$63.21/svc1.58x markup
90791Psychiatric diagnostic evaluation
$14.5K
176 services$82.50/svc2.15x markup
Q3014Telehealth originating site facility fee⚠ 13.6x markup
$3.3K
160 services$20.87/svc13.63x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
90832Psychotherapy, 30 minutes with patient and/or family member28.0K$1.2M$43.552.33x
90834Psychotherapy, 45 minutes with patient and/or family member11.6K$627.7K$54.282.02x
90853Group psychotherapy37.9K$620.5K$16.382.58x
90785Interactive complexity39.8K$355.9K$8.944.75x
90837Psychotherapy, 60 minutes3.9K$287.5K$73.961.56x
90880Hypnotherapy1.2K$76.1K$61.021.64x
90847Family psychotherapy including patient1.1K$72.2K$63.211.58x
90791Psychiatric diagnostic evaluation176$14.5K$82.502.15x
Q3014Telehealth originating site facility fee160$3.3K$20.8713.63x

Markup Analysis

Charge-to-Payment Ratio

2.49x

This provider submits charges 2.49 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.49x means for every $100 Medicare pays, this provider initially charges $249. This is higher than the national average.

Location

Houston, TX

Provider Verification

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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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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.

Believe this data is inaccurate? Dispute this data