This provider's $3.4M in total Medicare payments ranks in the 99th percentile of Psychiatry providers nationally.
Medicare payments to this provider grew 298% 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 | $210.84 | $78.72 | 2.68x | $132.12 | $81.9K | 1.4K | 472 |
| 2015 | $253.51 | $67.87 | 3.74x | $185.64 | $83.7K | 1.5K | 457 |
| 2016 | $278.59 | $72.05 | 3.87x | $206.54 | $90.1K | 1.6K | 462 |
| 2017 | $306.09 | $89.62 | 3.42x | $216.47 | $293.8K | 3.7K | 1.2K |
| 2018 | $245.55 | $74.77 | 3.28x | $170.78 | $561.0K | 5.8K | 1.2K |
| 2019 | $266.17 | $85.22 | 3.12x | $180.95 | $626.5K | 6.5K | 1.1K |
| 2020 | $214.23 | $64.78 | 3.31x | $149.45 | $571.6K | 6.3K | 1.5K |
| 2021 | $330.80 | $86.58 | 3.82x | $244.22 | $431.1K | 4.6K | 1.2K |
| 2022 | $362.36 | $90.63 | 4.00x | $271.73 | $304.0K | 3.7K | 951 |
| 2023 | $415.62 | $87.68 | 4.74x | $327.94 | $326.3K | 4.1K | 986 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 90868 | Transcranial magnetic stimulation treatment (stimulates nerve cells in brain to improve symptoms of depression), per session | 14.5K | $1.9M | $132.82 | 3.87x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.9K | $463.8K | $78.72 | 2.99x |
| 90833 | Psychotherapy, 30 minutes | 4.7K | $229.5K | $49.35 | 2.88x |
| 90832 | Psychotherapy, 30 minutes with patient and/or family member | 3.4K | $152.0K | $44.51 | 4.12x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.7K | $140.5K | $52.95 | 2.84x |
| 90792 | Psychiatric diagnostic evaluation with medical services | 731 | $79.9K | $109.31 | 3.15x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 667 | $58.4K | $87.54 | 2.24x |
| 90867 | Transcranial magnetic stimulation treatment (stimulates nerve cells in brain to improve symptoms of depression) | 410 | $58.1K | $141.66 | 3.93x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 890 | $54.1K | $60.80 | 2.48x |
| 90837 | Psychotherapy, 60 minutes with patient and/or family member | 441 | $39.8K | $90.21 | 4.24x |
| 90834 | Psychotherapy, 45 minutes with patient and/or family member | 570 | $31.9K | $55.97 | 5.09x |
| 90836 | Psychotherapy, 45 minutes | 458 | $27.0K | $58.97 | 3.11x |
| 95816 | Measurement and recording of brain wave (EEG) activity, awake and drowsy | 91 | $25.5K | $280.59 | 4.20x |
| 95957 | Digital analysis of electrical brain wave activity (EEG) | 91 | $18.8K | $206.62 | 5.65x |
| 90838 | Psychotherapy, 60 minutes | 169 | $13.4K | $79.00 | 3.90x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 220 | $11.0K | $49.80 | 1.91x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 125 | $8.4K | $67.53 | 1.93x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 62 | $7.9K | $127.64 | 1.57x |
| 96127 | Brief emotional or behavioral assessment | 2.3K | $7.9K | $3.36 | 7.46x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 25 | $3.2K | $128.54 | 2.38x |
This provider submits charges 3.59 times higher than what Medicare actually pays.
A markup ratio of 3.59x means for every $100 Medicare pays, this provider initially charges $359. 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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