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Market snapshot

90837 in VT CY2024

Medicare Part B FFS · CY2024 · as published by CMS

90837 — Psychotherapy, 1 hour

Billing groups
18
Named-group FFS services
6,424
FFS of Medicare
69%
Services YoY
+7.6%
FFS enrollment -1.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~9,511 services

6,424 observed fee-for-service (68%) · ~3,087 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
$1.3M
Named-group allowed amount
$745K
Named-group Medicare payments
$570K
Avg charge / svc
$205
Avg allowed / svc
$116
Avg payment / svc
$89
Average charge per group
$125 18 groups · avg submitted charge / service $339
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Specialty market — Mental Health Counselor: 2,924 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 WASHINGTON COUNTY MENTAL HEALTH SERVICES INC MONTPELIER MENTAL HEALTH COUNSELOR 29 973 $194,000 $199 premium 3.1% (802) 828-3983
2 NORTHEAST KINGDOM HUMAN SERVICES INC DERBY MENTAL HEALTH COUNSELOR 15 619 $110,434 $178 premium 2.0% (802) 334-6744
3 HEALTH CARE AND REHABILITATION SERVICES OF SOUTHEASTERN VERMONT INC SPRINGFIELD MENTAL HEALTH COUNSELOR 20 565 $100,172 $177 premium 1.8% (802) 886-4500
4 THE ADAMS CENTER FOR MIND AND BODY LLC SOUTH BURLINGTON MENTAL HEALTH COUNSELOR 3 245 $36,750 $150 premium 0.8% (802) 859-1577
5 CRISSY WEBSTER COUNSELING SERVICES, LLC SPRINGFIELD MENTAL HEALTH COUNSELOR 2 221 $27,625 $125 premium 0.7% (802) 952-8671
6 CLARA MARTIN CENTER RANDOLPH MENTAL HEALTH COUNSELOR 15 174 $29,580 $170 premium 0.6% 8027284466236
7 RUTLAND MENTAL HEALTH SERVICES INC RUTLAND MENTAL HEALTH COUNSELOR 12 127 $29,606 $233 premium 0.4% (802) 775-8224

*"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 →