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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 Social Worker: 14,841 services across 51 groups; top group 15%. See Clinical Social Worker across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City Specialty Providers 90837 svcs Submitted charges Avg charge Medicare $ Share of specialty*Share of state* Phone
1 SILVER LININGS FOR SENIORS, INC CARY CLINICAL SOCIAL WORKER 23 2,210 $376,200 $170 14.9% 2.1% (919) 457-1598
2 VERNA DORITY MSW CCSW INC FUQUAY VARINA CLINICAL SOCIAL WORKER 19 937 $201,455 $215 6.3% 0.9% (919) 762-3185
3 APPALACHIAN COUNSELING AND PSYCHOLOGICAL SERVICES INC ASHEVILLE CLINICAL SOCIAL WORKER 24 935 $196,350 $210 6.3% 0.9% (828) 575-9760
4 INNOVATION COUNSELING SERVICES GREER CLINICAL SOCIAL WORKER 4 674 $87,620 $130 4.5% 0.6% (864) 334-5019
5 HOPE HARBOR COUNSELING AND WELLNESS, PLLC MOORESVILLE CLINICAL SOCIAL WORKER 5 647 $129,400 $200 4.4% 0.6% (704) 954-8347
6 BMSC NC LLC KITTY HAWK CLINICAL SOCIAL WORKER 11 559 $145,340 $260 3.8% 0.5% (855) 241-7160
7 POSITIVE GENERATION IN CHRIST INCORPORATED BALTIMORE CLINICAL SOCIAL WORKER 2 530 $90,581 $171 3.6% 0.5% (252) 641-4522
8 ALL-AMERICAN COUNSELING WELLNESS FAYETTEVILLE CLINICAL SOCIAL WORKER 8 490 $73,600 $150 3.3% 0.5% (833) 846-3463
9 DELTA BEHAVIORAL HEALTH PLLC WILMINGTON CLINICAL SOCIAL WORKER 9 474 $65,350 $138 3.2% 0.4% (910) 343-6890
10 CENTER FOR HOLISTIC HEALING PC HIGH POINT CLINICAL SOCIAL WORKER 9 389 $73,535 $189 2.6% 0.4% (336) 841-4307
11 DIFFERENT LIKE ME INC BOCA RATON CLINICAL SOCIAL WORKER 10 361 $90,250 $250 2.4% 0.3% (561) 270-2280
12 GREATER VISION COUNSELING AND CONSULTING AGENCY PLLC RAEFORD CLINICAL SOCIAL WORKER 5 326 $79,340 $243 2.2% 0.3% (910) 875-5590
13 A FRESH START BEHAVIORAL HEALTH SERVICES, PLLC NEW BERN CLINICAL SOCIAL WORKER 6 316 $69,520 $220 2.1% 0.3% (252) 638-0185
14 CLEAR PERSPECTIVE LLC MORGANTON CLINICAL SOCIAL WORKER 2 315 $36,225 $115 2.1% 0.3% (828) 475-0149
15 RINGER CENTERS INC GREENSBORO CLINICAL SOCIAL WORKER 5 296 $81,400 $275 2.0% 0.3% (336) 379-7144
16 HOPE AND RESTORATION PATHWAYS CHRISTIAN COUNSELING GARNER CLINICAL SOCIAL WORKER 2 295 $53,100 $180 2.0% 0.3% (919) 803-8122
17 OCTOBER ROAD INC ASHEVILLE CLINICAL SOCIAL WORKER 6 286 $71,500 $250 1.9% 0.3% (828) 350-1000
18 MAIN STREET CLINICAL ASSOCIATES, PA DURHAM CLINICAL SOCIAL WORKER 2 283 $53,825 $190 1.9% 0.3% (919) 286-3453
19 ELLIE OF AVL CENTRAL, PLLC ASHEVILLE CLINICAL SOCIAL WORKER 4 245 $42,875 $175 1.7% 0.2% (828) 393-0902
20 OPTUM BEHAVIORAL CARE OF NORTH CAROLINA PC SARASOTA CLINICAL SOCIAL WORKER 176 238 $123,060 $517 1.6% 0.2% (941) 363-0878
21 NEW DIRECTIONS CS PLLC HICKORY CLINICAL SOCIAL WORKER 10 227 $40,860 $180 1.5% 0.2% (828) 267-1740
22 SECOND CHANCE COUNSELING SERVICES, PLLC FAYETTEVILLE CLINICAL SOCIAL WORKER 2 201 $40,200 $200 1.4% 0.2% (910) 491-1758
23 WALGREN COUNSELING, PLLC MATTHEWS CLINICAL SOCIAL WORKER 9 193 $42,387 $220 1.3% 0.2% (704) 443-0144
24 SHAKESPEARE AND MUSCENTE LCSW PLLC ITHACA CLINICAL SOCIAL WORKER 4 190 $34,253 $180 1.3% 0.2% (607) 256-4422
25 HARRIS COUNSELING AND CONSULTING LLC LINCOLNTON CLINICAL SOCIAL WORKER 2 188 $32,900 $175 1.3% 0.2% (518) 244-3737
26 MINDLY GROUP, PLLC CARY CLINICAL SOCIAL WORKER 7 184 $20,929 $114 1.2% 0.2% (919) 617-9656
27 EASTERN PSYCHIATRIC AND BEHAVIORAL SPECIALISTS PLLC GREENVILLE CLINICAL SOCIAL WORKER 4 183 $41,175 $225 1.2% 0.2% (252) 756-4899
28 HARNETT COUNSELING SERVICES PC LILLINGTON CLINICAL SOCIAL WORKER 2 178 $33,820 $190 1.2% 0.2% (910) 814-0909
29 MIRACLES HEALING CENTERS INC DENVER CLINICAL SOCIAL WORKER 7 173 $42,800 $247 1.2% 0.2% (704) 483-3783
30 JEWISH FAMILY SERVICES OF GREATER CHARLOTTE INC CHARLOTTE CLINICAL SOCIAL WORKER 5 171 $18,810 $110 1.2% 0.2% (704) 364-6594
31 COMMUNITY COUNSELING CENTER WILIMINGTON CLINICAL SOCIAL WORKER 3 158 $40,922 $259 1.1% 0.1% (910) 452-7370
32 INTO THE LIGHT COUNSELING INC SMITHFIELD CLINICAL SOCIAL WORKER 2 155 $27,900 $180 1.0% 0.1% (919) 271-0135
33 NORTH CAROLINA THERAPY PROFESSIONALS PLLC DURHAM CLINICAL SOCIAL WORKER 5 153 $30,650 $200 1.0% 0.1% (919) 267-1661
34 SOUTHERN PROFESSIONAL COUNSELING SERVICES LLC ELIZABETHTOWN CLINICAL SOCIAL WORKER 2 152 $16,610 $109 1.0% 0.1% (910) 862-4151
35 CATHOLIC SOCIAL SERVICES OF THE UP MARQUETTE CLINICAL SOCIAL WORKER 5 152 $23,560 $155 1.0% 0.1% (906) 227-9176
36 STRAIGHT WALK FAMILY SERVICES,INC ROCKY MOUNT CLINICAL SOCIAL WORKER 6 144 $16,465 $114 1.0% 0.1% (252) 212-5524
37 POSITIVE PATHWAYS LLC MADISON CLINICAL SOCIAL WORKER 2 135 $25,100 $186 0.9% 0.1% (336) 612-1827
38 BRINKLEY BROWN MENTAL WELLNESS PLLC APEX CLINICAL SOCIAL WORKER 10 116 $23,125 $199 0.8% 0.1% (919) 355-9792
39 OCEANIC COUNSELING GROUP LLC MYRTLE BEACH CLINICAL SOCIAL WORKER 40 111 $15,540 $140 0.7% 0.1% (843) 894-0000
40 MENTAL HEALTH SPECIALTY GROUP PA LAKE WORTH CLINICAL SOCIAL WORKER 535 104 $14,171 $136 0.7% 0.1% (323) 205-7088
41 MCCOMBS COUNSELING AND CONSULTING INC KANNAPOLIS CLINICAL SOCIAL WORKER 2 96 $13,440 $140 0.6% 0.1% (704) 933-0007
42 THERAPY GROUP, LLC HILTON HEAD ISLAND CLINICAL SOCIAL WORKER 9 83 $13,695 $165 0.6% 0.1% (843) 815-6789
43 DREAM PROVIDER CARE SERVICES WASHINGTON CLINICAL SOCIAL WORKER 5 80 $8,960 $112 0.5% 0.1% (252) 946-0585
44 BRIGHTSIDE MEDICAL OF NEW JERSEY PC RALEIGH CLINICAL SOCIAL WORKER 51 78 $20,670 $265 0.5% 0.1% (415) 360-3348
45 FAYETTEVILLE NEUROPSYCHOLOGY PLLC FAYETTEVILLE CLINICAL SOCIAL WORKER 6 77 $19,760 $257 0.5% 0.1% (910) 677-0000
46 CLIENTFIRST OF NC, LLC GOLDSBORO CLINICAL SOCIAL WORKER 8 74 $17,520 $237 0.5% 0.1% (919) 330-4367
47 JEWISH FAMILY SERVICES OF WNC INC HENDERSONVILLE CLINICAL SOCIAL WORKER 8 71 $12,425 $175 0.5% 0.1% (828) 253-2900
48 BLUE MOON SENIOR COUNSELING OF CALIFORNIA LLC PALM DESERT CLINICAL SOCIAL WORKER 73 55 $14,300 $260 0.4% 0.1% (855) 241-7160
49 ANCHOR PSYCHOLOGICAL AND COUNSELING SERVICES PLLC HAMPSTEAD CLINICAL SOCIAL WORKER 15 53 $15,370 $290 0.4% 0.0% (910) 270-9995
50 TREE OF LIFE COUNSELING PLLC GREENSBORO CLINICAL SOCIAL WORKER 6 50 $11,250 $225 0.3% 0.0% (336) 288-9190
51 OPNMYND LLC ORANGE CLINICAL SOCIAL WORKER 4 50 $8,250 $165 0.3% 0.0% (855) 750-5010

*"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 →