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Market snapshot

90837 in NC CY2024

Medicare Part B FFS · CY2024 · as published by CMS

90837 — Psychotherapy, 1 hour

Billing groups
153
Named-group FFS services
51,366
FFS of Medicare
43%
Services YoY
-1.4%
FFS enrollment -4.7%
Estimated all-Medicare volume FFS + estimated MA estimate
~114,991 services

51,366 observed fee-for-service (45%) · ~63,625 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Named-group submitted charges
$12.5M
Named-group allowed amount
$6.0M
Named-group Medicare payments
$4.6M
Avg charge / svc
$244
Avg allowed / svc
$117
Avg payment / svc
$89
Average charge per group
$100 153 groups · avg submitted charge / service $517
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Specialty market — Clinical Psychologist: 7,235 services across 18 groups; top group 23%. See Clinical Psychologist across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 90837 services, CY2024
#Physician group City Specialty Providers 90837 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 THE PISGAH INSTITUTE FOR PSYCHOTHERAPY AND EDUCATION PA ASHEVILLE CLINICAL PSYCHOLOGIST 12 1,639 $393,360 $240 premium 22.7% 1.5% (828) 254-9494
2 TOTAL LIFE INC ALLEN CLINICAL PSYCHOLOGIST 114 766 $196,967 $257 premium 10.6% 0.7% (800) 567-5433
3 SYLVA CLINICAL ASSOCIATES, PA SYLVA CLINICAL PSYCHOLOGIST 6 556 $88,960 $160 premium 7.7% 0.5% (828) 586-5555
4 FOCUS CENTERS,PLLC ASHEVILLE CLINICAL PSYCHOLOGIST 4 476 $69,780 $147 premium 6.6% 0.4% (828) 281-2299
5 PSYCHOLOGICAL SERVICES OF CHARLOTTE CHARLOTTE CLINICAL PSYCHOLOGIST 6 452 $84,750 $188 premium 6.2% 0.4% (704) 503-3535
6 DR. YAEL GOLD, P.C. WILMINGTON CLINICAL PSYCHOLOGIST 4 440 $108,675 $247 premium 6.1% 0.4% (910) 799-6162
7 TAILORED BRAIN HEALTH PLLC GREENSBORO CLINICAL PSYCHOLOGIST 5 401 $84,190 $210 premium 5.5% 0.4% (336) 542-1800
8 CAPE FEAR PSYCHOLOGICAL AND PSYCHIATRIC SERVICES WILMINGTON CLINICAL PSYCHOLOGIST 3 394 $97,567 $248 premium 5.4% 0.4% (910) 763-8134
9 ASCEND PSYCHOLOGICAL SERVICES PLLC ROCKWELL CLINICAL PSYCHOLOGIST 3 384 $74,396 $194 premium 5.3% 0.4% (704) 279-0626
10 INSTITUTE FOR APPLIED NEUROSCIENCE CANDLER CLINICAL PSYCHOLOGIST 4 380 $56,978 $150 premium 5.3% 0.4% 82825128820
11 CHAPEL HILL PSYCHIATRIC ASSOCIATES, P.A. CARRBORO CLINICAL PSYCHOLOGIST 6 371 $102,025 $275 premium 5.1% 0.3% (919) 636-5695
12 ALBEMARLE PSYCHOLOGICAL SERVICES ELIZABETH CITY CLINICAL PSYCHOLOGIST 2 222 $53,280 $240 premium 3.1% 0.2% (252) 338-8821
13 WANG PSYCHOLOGICAL SERVICES PLLC FAYETTEVILLE CLINICAL PSYCHOLOGIST 2 194 $43,650 $225 premium 2.7% 0.2% (910) 758-1799
14 ALPHA NEUROBEHAVIORAL CLINIC, PLLC JACKSONVILLE CLINICAL PSYCHOLOGIST 2 181 $32,580 $180 premium 2.5% 0.2% (910) 378-7669
15 NEW DAY BEHAVIORAL HEALTH CENTER PC FAYETTEVILLE CLINICAL PSYCHOLOGIST 2 125 $20,625 $165 premium 1.7% 0.1% 91048364273412
16 DEBRA K CARTER PH D AND ASSOCIATES PA BRADENTON CLINICAL PSYCHOLOGIST 9 106 $23,850 $225 premium 1.5% 0.1% (941) 753-0064
17 LOTUS CARE PSYCHOLOGICAL SERVICES, PLLC FAYETTEVILLE CLINICAL PSYCHOLOGIST 3 87 $45,015 $517 premium 1.2% 0.1% (910) 748-0100
18 PSYCHIATRIC AND PSYCHOLOGICAL ASSOCIATES OF DURHAM, PLLC DURHAM CLINICAL PSYCHOLOGIST 13 61 $7,721 $127 premium 0.8% 0.1% (919) 479-1600

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →