This provider's $3.8M in total Medicare payments ranks in the 99th percentile of Psychiatry providers nationally.
Medicare payments to this provider grew 304% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 226% in 2017
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 | $143.75 | $75.15 | 1.91x | $68.60 | $172.6K | 2.4K | 1.1K |
| 2015 | $165.15 | $81.48 | 2.03x | $83.67 | $117.1K | 1.7K | 839 |
| 2016 | $208.39 | $52.48 | 3.97x | $155.91 | $152.0K | 2.2K | 1.0K |
| 2017 | $193.55 | $53.65 | 3.61x | $139.90 | $495.6K | 8.9K | 5.0K |
| 2018 | $206.00 | $51.93 | 3.97x | $154.07 | $322.3K | 7.1K | 4.1K |
| 2019 | $216.00 | $56.33 | 3.83x | $159.67 | $328.1K | 7.4K | 4.5K |
| 2020 | $179.55 | $46.97 | 3.82x | $132.58 | $245.0K | 4.8K | 2.7K |
| 2021 | $188.33 | $48.56 | 3.88x | $139.77 | $384.2K | 7.2K | 3.9K |
| 2022 | $145.41 | $40.95 | 3.55x | $104.46 | $872.3K | 16.0K | 6.3K |
| 2023 | $125.00 | $35.25 | 3.55x | $89.75 | $696.6K | 11.7K | 4.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 11.0K | $888.2K | $81.00 | 2.24x |
| 90834 | Psychotherapy, 45 minutes with patient and/or family member | 9.3K | $666.9K | $71.64 | 2.44x |
| 90833 | Psychotherapy, 30 minutes with patient and/or family member | 12.1K | $618.0K | $51.14 | 1.96x |
| 90868 | Transcranial magnetic stimulation treatment (stimulates nerve cells in brain to improve symptoms of depression), per session | 5.7K | $551.6K | $96.76 | 5.68x |
| 90791 | Psychiatric diagnostic evaluation | 1.9K | $212.0K | $112.78 | 2.66x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.6K | $183.6K | $114.62 | 2.18x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.1K | $121.1K | $56.52 | 2.34x |
| 84403 | Testosterone (hormone) level | 2.0K | $58.4K | $28.68 | 3.49x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 878 | $41.2K | $46.91 | 2.73x |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 879 | $36.3K | $41.31 | 3.10x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 1.9K | $35.5K | $18.80 | 5.32x |
| 82746 | Folic acid level | 2.0K | $32.6K | $16.31 | 6.13x |
| 80053 | Blood test, comprehensive group of blood chemicals | 2.9K | $32.5K | $11.18 | 8.95x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 1.9K | $32.4K | $16.65 | 6.01x |
| 90867 | Transcranial magnetic stimulation treatment (stimulates nerve cells in brain to improve symptoms of depression) | 164 | $29.2K | $178.10 | 4.21x |
| 90832 | Psychotherapy, 30 minutes | 519 | $27.9K | $53.70 | 2.33x |
| 90869 | Transcranial magnetic stimulation treatment (stimulates nerve cells in brain to improve symptoms of depression) | 163 | $27.6K | $169.37 | 5.61x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 2.7K | $23.9K | $8.81 | 5.68x |
| 84146 | Prolactin (milk producing hormone) level | 1.1K | $23.3K | $22.15 | 4.51x |
| 90792 | Psychiatric diagnostic evaluation with medical services | 175 | $23.2K | $132.83 | 2.26x |
This provider submits charges 3.14 times higher than what Medicare actually pays.
A markup ratio of 3.14x means for every $100 Medicare pays, this provider initially charges $314. 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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