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Market snapshot

90837 in NM CY2024

Medicare Part B FFS · CY2024 · as published by CMS

90837 — Psychotherapy, 1 hour

Billing groups
32
Named-group FFS services
6,607
FFS of Medicare
50%
Services YoY
+3.9%
FFS enrollment -1.3%
Estimated all-Medicare volume FFS + estimated MA estimate
~13,136 services

6,607 observed fee-for-service (50%) · ~6,529 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
$1.4M
Named-group allowed amount
$754K
Named-group Medicare payments
$574K
Avg charge / svc
$206
Avg allowed / svc
$114
Avg payment / svc
$87
Average charge per group
$148 32 groups · avg submitted charge / service $446
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Specialty market — Mental Health Counselor: 1,257 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 NONVIOLENCE WORKS INC TAOS MENTAL HEALTH COUNSELOR 12 696 $114,447 $164 premium 3.3% (575) 770-8136
2 HEALTHY FAMILIES OF ALBUQUERQUE LLC ALBUQUERQUE MENTAL HEALTH COUNSELOR 10 198 $36,630 $185 premium 0.9% (505) 842-9911
3 TEAMBUILDERS BEHAVIORAL HEALTH LLC SANTA FE MENTAL HEALTH COUNSELOR 20 167 $30,728 $184 premium 0.8% (505) 216-2727
4 GD PSYCH SERVICES, LLC RIO RANCHO MENTAL HEALTH COUNSELOR 18 100 $20,000 $200 premium 0.5% (505) 218-6383
5 THE LIFE LINK SANTA FE MENTAL HEALTH COUNSELOR 14 96 $18,825 $196 premium 0.5% (505) 438-0010

*"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 →