This provider's $3.7M in total Medicare payments ranks in the 99th percentile of Psychiatry providers nationally.
Medicare payments to this provider grew 198% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
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 | $335.83 | $125.39 | 2.68x | $210.44 | $222.4K | 1.9K | 756 |
| 2015 | $290.00 | $111.56 | 2.60x | $178.44 | $253.1K | 2.1K | 690 |
| 2016 | $245.00 | $93.06 | 2.63x | $151.94 | $249.6K | 2.9K | 980 |
| 2017 | $264.00 | $102.10 | 2.59x | $161.90 | $262.3K | 3.4K | 865 |
| 2018 | $264.00 | $102.57 | 2.57x | $161.43 | $259.2K | 3.1K | 1.0K |
| 2019 | $277.99 | $106.40 | 2.61x | $171.59 | $285.2K | 3.1K | 908 |
| 2020 | $223.85 | $90.78 | 2.47x | $133.07 | $389.9K | 4.5K | 895 |
| 2021 | $209.07 | $104.81 | 1.99x | $104.26 | $516.0K | 5.2K | 1.3K |
| 2022 | $232.84 | $102.80 | 2.26x | $130.04 | $572.0K | 7.0K | 1.5K |
| 2023 | $225.76 | $100.97 | 2.24x | $124.79 | $662.1K | 7.9K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 90837 | Psychotherapy, 60 minutes with patient and/or family member | 8.7K | $1.0M | $118.82 | 2.58x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 9.8K | $911.5K | $93.37 | 2.18x |
| 90833 | Psychotherapy, 30 minutes with patient and/or family member | 11.7K | $665.7K | $56.98 | 2.08x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 3.4K | $391.2K | $116.66 | 2.15x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.6K | $350.4K | $75.98 | 2.43x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.5K | $251.0K | $171.58 | 2.36x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 151 | $25.1K | $166.40 | 2.40x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 263 | $22.4K | $85.06 | 2.94x |
| 90785 | Interactive complexity | 989 | $12.3K | $12.47 | 2.41x |
| 90839 | Psychotherapy for crisis, first hour | 27 | $3.3K | $121.29 | 2.93x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 19 | $2.1K | $112.80 | 3.10x |
| 96103 | Psychological testing with interpretation and report by computer | 51 | $1.2K | $22.98 | 3.26x |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic | 59 | $733.62 | $12.43 | 8.04x |
This provider submits charges 2.32 times higher than what Medicare actually pays.
A markup ratio of 2.32x means for every $100 Medicare pays, this provider initially charges $232. 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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