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Market snapshot

90837 in DE CY2024

Medicare Part B FFS · CY2024 · as published by CMS

90837 — Psychotherapy, 1 hour

Billing groups
41
Named-group FFS services
14,227
FFS of Medicare
67%
Services YoY
+5.3%
FFS enrollment -0.5%
Estimated all-Medicare volume FFS + estimated MA estimate
~20,890 services

14,227 observed fee-for-service (68%) · ~6,663 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
$3.0M
Named-group allowed amount
$1.7M
Named-group Medicare payments
$1.3M
Avg charge / svc
$214
Avg allowed / svc
$117
Avg payment / svc
$89
Average charge per group
$108 41 groups · avg submitted charge / service $511
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Specialty market — Clinical Social Worker: 7,716 services across 19 groups; top group 15%. See Clinical Social Worker 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 SERENE MINDS LLC WILMINGTON CLINICAL SOCIAL WORKER 22 1,126 $225,200 $200 premium 14.6% 4.0% (302) 478-6199
2 COASTAL THERAPEUTIC SERVICES, LLC LEWES CLINICAL SOCIAL WORKER 2 1,025 $123,000 $120 premium 13.3% 3.7% (302) 644-7788
3 PSYCHOLOGICAL SERVICES P.A. NEWARK CLINICAL SOCIAL WORKER 7 710 $124,250 $175 premium 9.2% 2.5% (215) 764-2403
4 A CENTER FOR MENTAL WELLNESS, INC. DOVER CLINICAL SOCIAL WORKER 12 640 $111,250 $174 premium 8.3% 2.3% (302) 674-1397
5 PSYCHIATRY DELAWARE COMPANY LLC WILMINGTON CLINICAL SOCIAL WORKER 9 581 $174,300 $300 premium 7.5% 2.1% (302) 478-1450
6 A WINDOW TO WELLNESS LLC WILMINGTON CLINICAL SOCIAL WORKER 2 548 $82,200 $150 premium 7.1% 2.0% (302) 294-6950
7 ANEW MENTAL HEALTH DOVER CLINICAL SOCIAL WORKER 6 516 $104,902 $203 premium 6.7% 1.8% (302) 678-4558
8 JEWISH FAMILY SERVICES OF DELAWARE WILMINGTON CLINICAL SOCIAL WORKER 21 408 $62,604 $153 premium 5.3% 1.5% (302) 478-9411
9 F.H. EVERETT AND ASSOC. INC CAMDEN CLINICAL SOCIAL WORKER 2 396 $59,400 $150 premium 5.1% 1.4% (302) 450-3447
10 CHRISTIANA COUNSELING AND PSYCHIATRIC ASSOCIATES INC WILMINGTON CLINICAL SOCIAL WORKER 4 355 $53,250 $150 premium 4.6% 1.3% (302) 995-1680
11 BRIDGE COUNSELING AND THERAPY CENTER, LLC GEORGETOWN CLINICAL SOCIAL WORKER 2 276 $140,940 $511 premium 3.6% 1.0% (302) 856-9190
12 DIANE NECASTRO LCSW LLC WILMINGTON CLINICAL SOCIAL WORKER 2 269 $34,970 $130 premium 3.5% 1.0% (302) 379-8959
13 MIDDLETOWN COUNSELING INCORPORATED MIDDLETOWN CLINICAL SOCIAL WORKER 3 196 $29,400 $150 premium 2.5% 0.7% (302) 376-0621
14 PREMIER WELLNESS HEALTHCARE BELAIR CLINICAL SOCIAL WORKER 7 191 $33,425 $175 premium 2.5% 0.7% (888) 333-1345
15 OPEN MINDS THERAPY FREDERICA CLINICAL SOCIAL WORKER 2 140 $27,432 $196 premium 1.8% 0.5% (302) 751-2003
16 ALLIED BEHAVIORAL HEALTH INC NEWARK CLINICAL SOCIAL WORKER 3 105 $18,880 $180 premium 1.4% 0.4% (302) 832-1282
17 RENEWED LIFE CHRISTIAN COUNSELING CENTER INC BEAR CLINICAL SOCIAL WORKER 2 98 $10,606 $108 premium 1.3% 0.3% (302) 464-0515
18 NORTHNODE GROUP COUNSELING DOVER CLINICAL SOCIAL WORKER 2 84 $12,600 $150 premium 1.1% 0.3% (302) 257-3135
19 DIAMOND STATE COUNSELING LLC WILMINGTON CLINICAL SOCIAL WORKER 8 52 $8,475 $163 premium 0.7% 0.2% (302) 683-1055

*"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 →