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Market snapshot

90837 in AL CY2024

Medicare Part B FFS · CY2024 · as published by CMS

90837 — Psychotherapy, 1 hour

Billing groups
38
Named-group FFS services
7,848
FFS of Medicare
40%
Services YoY
-9.6%
FFS enrollment -5.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~19,335 services

7,848 observed fee-for-service (41%) · ~11,487 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
$1.6M
Named-group allowed amount
$899K
Named-group Medicare payments
$676K
Avg charge / svc
$205
Avg allowed / svc
$115
Avg payment / svc
$86
Average charge per group
$125 38 groups · avg submitted charge / service $518
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Specialty market — Mental Health Counselor: 1,598 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Mental Health Counselor 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 GARDENIA COVE MENTAL HEALTH PC MONTGOMERY MENTAL HEALTH COUNSELOR 36 708 $118,585 $167 premium 5.0% (334) 954-6010
2 NORTH ALABAMA COUNSELING CENTER INC GUNTERSVILLE MENTAL HEALTH COUNSELOR 6 332 $41,500 $125 premium 2.3% (256) 582-8880
3 PSYCHOLOGICAL AND COUNSELING ASSOCIATES HUNTSVILLE MENTAL HEALTH COUNSELOR 4 167 $30,265 $181 premium 1.2% (256) 837-2127
4 COVENANT COUNSELING AND CONSULTING LLC DECATUR MENTAL HEALTH COUNSELOR 17 136 $19,490 $143 premium 1.0% (256) 822-2375
5 ALABAMA PSYCHIATRY AND COUNSELING,LLC VESTAVIA HLS MENTAL HEALTH COUNSELOR 4 121 $20,328 $168 premium 0.9% (205) 440-6292
6 RIVERBEND CENTER FOR MENTAL HEALTH FLORENCE MENTAL HEALTH COUNSELOR 14 85 $15,300 $180 premium 0.6% (256) 764-3431
7 MENTAL HEALTH CENTER OF NORTH CENTRAL ALABAMA INC. ATHENS MENTAL HEALTH COUNSELOR 6 49 $8,232 $168 premium 0.3% (256) 232-3661

*"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 →