This provider's $3.8M in total Medicare payments ranks in the 99th percentile of Psychiatry providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 71% 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 | $265.48 | $87.21 | 3.04x | $178.27 | $276.0K | 4.9K | 1.6K |
| 2015 | $250.48 | $82.89 | 3.02x | $167.59 | $279.3K | 4.6K | 1.9K |
| 2016 | $254.09 | $84.29 | 3.01x | $169.80 | $403.1K | 8.2K | 2.6K |
| 2017 | $240.97 | $81.02 | 2.97x | $159.95 | $379.0K | 7.3K | 2.4K |
| 2018 | $239.40 | $73.00 | 3.28x | $166.40 | $372.6K | 6.6K | 2.1K |
| 2019 | $214.15 | $80.68 | 2.65x | $133.47 | $613.3K | 11.4K | 3.8K |
| 2020 | $223.73 | $90.64 | 2.47x | $133.09 | $561.7K | 10.7K | 3.2K |
| 2021 | $236.95 | $97.47 | 2.43x | $139.48 | $325.8K | 6.4K | 1.9K |
| 2022 | $242.87 | $82.86 | 2.93x | $160.01 | $209.6K | 4.3K | 1.4K |
| 2023 | $212.41 | $91.17 | 2.33x | $121.24 | $359.4K | 6.3K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 38.5K | $1.3M | $33.71 | 4.45x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 16.9K | $1.0M | $60.63 | 2.89x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 6.6K | $747.3K | $113.91 | 3.07x |
| 99238 | Hospital discharge day management, 30 minutes or less | 4.1K | $253.4K | $62.25 | 2.89x |
| 90792 | Psychiatric diagnostic evaluation with medical services | 970 | $117.7K | $121.30 | 2.97x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 450 | $62.1K | $138.10 | 2.27x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 786 | $61.2K | $77.87 | 2.12x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 261 | $44.1K | $169.14 | 2.91x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 291 | $35.7K | $122.71 | 1.49x |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | 363 | $30.5K | $83.95 | 3.87x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 454 | $20.0K | $44.02 | 3.07x |
| 99336 | Established patient assisted living visit, typically 40 minutes | 179 | $18.7K | $104.48 | 1.76x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 186 | $16.0K | $86.18 | 2.32x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 269 | $15.4K | $57.18 | 2.36x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 85 | $9.2K | $108.80 | 2.62x |
| 99326 | New patient assisted living visit, typically 45 minutes | 53 | $5.7K | $108.13 | 2.45x |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 50 | $5.1K | $101.51 | 1.82x |
| 90832 | Psychotherapy, 30 minutes | 87 | $2.9K | $33.68 | 4.45x |
| 99325 | New patient assisted living visit, typically 30 minutes | 37 | $2.5K | $67.04 | 3.65x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 33 | $2.0K | $62.00 | 2.66x |
This provider submits charges 3.42 times higher than what Medicare actually pays.
A markup ratio of 3.42x means for every $100 Medicare pays, this provider initially charges $342. 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.
Share this provider's Medicare payment information
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