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Market snapshot

90853 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

90853 — Group psychotherapy

Billing groups
303
Named-group FFS services
144,432
FFS of Medicare
49%
Services YoY
-2.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~297,187 services

144,432 observed fee-for-service (49%) · ~152,755 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

Top states — 90853 (CY2024)
TX 32,179 CA 20,364 NY 20,043 IL 18,057 GA 16,063

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Named-group submitted charges
$12.3M
Named-group allowed amount
$3.3M
Named-group Medicare payments
$2.5M
Avg charge / svc
$85
Avg allowed / svc
$23
Avg payment / svc
$17
Average charge per group
$18 303 groups · avg submitted charge / service $535
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 90853 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 FOSTER BEHAVIORAL HEALTHCARE LLC HOUSTON TX CLINICAL SOCIAL WORKER 2 12,934 $646,800 $50 40.2% (713) 413-1844
2 BETTER SELF, LLC MABLETON GA CLINICAL SOCIAL WORKER 3 6,328 $496,840 $79 39.4% (401) 263-6467
3 JASON D. BARON, M.D., PA HOUSTON TX NURSE PRACTITIONER 7 5,863 $185,681 $32 18.2% (713) 783-8889
4 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 3,859 $922,729 $239 19.0% (650) 723-4000
5 HEALING RHYTHMS PSYCHOLOGICAL SERVICES PC MONROVIA CA CLINICAL PSYCHOLOGIST 4 3,777 $188,850 $50 18.5% (626) 940-6744
6 THRIVING MINDS HEALTH SERVICES CORP LAS VEGAS NV CLINICAL PSYCHOLOGIST 2 3,666 $98,395 $27 89.2% (702) 483-8017
7 HELPING HEARTS BEHAVIORAL HEALTH SERVICES LLC RIVERDALE GA CLINICAL SOCIAL WORKER 4 3,592 $359,200 $100 22.4% (678) 834-5711
8 SONDERMIND PROVIDER NETWORK LLC DENVER TX CLINICAL SOCIAL WORKER 1194 3,298 $317,170 $96 10.2% (844) 843-7279
9 SSM HEALTH CARE ST LOUIS BRIDGETON MO NURSE PRACTITIONER 183 3,080 $277,200 $90 54.1% (314) 344-6000
10 COUNSELING CLINIC INC BENTON AR CLINICAL SOCIAL WORKER 20 2,905 $145,250 $50 26.6% (501) 315-4224
11 AGAPE COMMUNITY INTEGRATED HEALTH SYSTEMS INC COLLEGE PARK GA CERTIFIED CLINICAL NURSE SPECIALIST (CNS) 3 2,851 $142,550 $50 17.7% (404) 564-4796
12 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 2,675 $310,948 $116 21.5% (617) 732-5500
13 THE MCLEAN HOSPITAL CORPORATION BELMONT MA PSYCHIATRY 185 2,625 $164,470 $63 21.1% (617) 855-3450
14 RECOVIA LLC PHOENIX AZ CLINICAL SOCIAL WORKER 28 2,467 $207,192 $84 79.9% (480) 712-4600
15 ARISA HEALTH INC JONESBORO AR CLINICAL SOCIAL WORKER 63 2,313 $103,461 $45 21.2% (870) 972-4016
16 HARVEST CENTER FOR WELLNESS LLC DETROIT MI CLINICAL SOCIAL WORKER 2 2,030 $101,500 $50 16.4% (248) 298-9215
17 HARTFORD HOSPITAL HARTFORD CT PHYSICIAN ASSISTANT 1045 1,843 $165,870 $90 18.8% (860) 696-5950
18 SILVER STAR ADULT DAY CENTER LLC DETROIT MI CLINICAL SOCIAL WORKER 2 1,555 $71,910 $46 12.6% (313) 635-5526
19 STATE OF ALABAMA DEPT OF MENTAL HEALTH AND MENTAL RETARDATION TUSCALOOSA AL NURSE PRACTITIONER 14 1,460 $65,700 $45 76.8% (205) 507-8000
20 MN PSYCHOLOGICAL SERVICES PLLC HEMPSTEAD NY CLINICAL PSYCHOLOGIST 2 1,436 $143,130 $100 7.2% (516) 564-1100
21 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 1,296 $200,880 $155 6.5% —
22 DAYMARK RECOVERY SERVICES INC LEXINGTON NC PSYCHIATRY 129 1,264 $202,240 $160 50.2% (336) 242-2450
23 LENAPE VALLEY FOUNDATION DOYLESTOWN PA MENTAL HEALTH COUNSELOR 64 1,194 $103,878 $87 21.4% (215) 345-5300
24 UNIVERSITY OF CALIFORNIA SAN FRANCISCO SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1842 1,170 $255,060 $218 5.7% (415) 476-4029
25 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 1,141 $112,959 $99 35.4% (612) 863-4000
26 VESTA, INC. ODENTON MD CLINICAL SOCIAL WORKER 21 1,050 $30,818 $29 18.7% (240) 296-1370
27 RUSHFORD CENTER INC MERIDEN CT NURSE PRACTITIONER 25 1,017 $123,385 $121 10.4% (203) 630-5220
28 DELTA COUNSELING ASSOCIATES INC MONTICELLO AR CLINICAL SOCIAL WORKER 14 976 $51,159 $52 8.9% (870) 367-2461
29 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 965 $112,129 $116 4.7% (415) 600-1020
30 BHCARE, INC. ANSONIA CT CLINICAL SOCIAL WORKER 37 887 $88,700 $100 9.0% (203) 736-2601
31 UNIVERSITY OF VERMONT MEDICAL CENTER INC BURLINGTON VT PHYSICIAN ASSISTANT 1194 882 $40,389 $46 79.2% (802) 847-0000
32 THE DERECH SHALOM CENTER INC SUFFERN NY CLINICAL SOCIAL WORKER 11 875 $87,500 $100 4.4% (845) 523-9300
33 OUACHITA REGIONAL COUNSELING AND MENTAL HEALTH CENTER, INC. HOT SPRINGS AR MENTAL HEALTH COUNSELOR 37 838 $42,130 $50 7.7% (501) 624-7111
34 THE GRIFFIN HOSPITAL DERBY CT CLINICAL SOCIAL WORKER 25 816 $62,008 $76 8.3% (203) 732-7360
35 EXODUS BEHAVIORAL HEALTH LLC BALTIMORE DE CLINICAL SOCIAL WORKER 4 796 $24,883 $31 100.0% (410) 343-4343
36 REGENTS UNIV OF CALIFORNIA UCSF SAN FRANCISCO CA PHYSICIAN ASSISTANT 277 770 $106,861 $139 3.8% (415) 476-1000
37 RHA HEALTH SERVICES INC ASHEVILLE NC CLINICAL SOCIAL WORKER 58 757 $109,008 $144 30.1% (828) 254-2700
38 VOLUNTEERS OF AMERICA DAKOTAS SIOUX FALLS SD CLINICAL PSYCHOLOGIST 3 755 $48,320 $64 93.6% (605) 334-1414
39 SERVICE PROGRAM FOR OLDER PEOPLE INC NEW YORK NY CLINICAL SOCIAL WORKER 14 754 $24,466 $32 3.8% —
40 PSYCHIATRIC PROFESSIONALS OF GEORGIA, LLC SUWANEE GA PSYCHIATRY 25 707 $70,700 $100 4.4% (678) 263-3080
41 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 652 $76,511 $117 5.2% (617) 724-0287
42 LILAC CENTER LLC TOPEKA MO CLINICAL SOCIAL WORKER 17 619 $27,855 $45 10.9% (816) 221-0305
43 VINLAND NATIONAL CENTER LORETTO MN MENTAL HEALTH COUNSELOR 7 597 $44,775 $75 18.5% (763) 479-3555
44 SOUTHWEST ARKANSAS COUNSELING AND MENTAL HEALTH CENTER, INC TEXARKANA AR MENTAL HEALTH COUNSELOR 8 540 $14,060 $26 5.0% 8707734655224
45 HORIZON HEALTH SERVICES INC BUFFALO NY MENTAL HEALTH COUNSELOR 135 537 $66,641 $124 2.7% (716) 831-1977
46 EXCEPTIONAL SERVICES GROUP, LLC BOCA RATON FL CLINICAL SOCIAL WORKER 13 534 $21,360 $40 4.4% (561) 852-0910
47 COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA MONTEREY CA EMERGENCY MEDICINE 141 525 $134,173 $256 2.6% (831) 624-5311
48 FAMILY SERVICE LEAGUE INC HUNTINGTON NY CLINICAL SOCIAL WORKER 49 521 $15,807 $30 2.6% (631) 427-3700
49 STATE OF ARKANSAS LITTLE ROCK AR PSYCHIATRY 19 520 $96,110 $185 4.8% (501) 686-9585
50 FAMILY AND PSYCHOLOGICAL SERVICES CHERRY HILL NJ CLINICAL SOCIAL WORKER 5 518 $41,440 $80 10.8% (856) 424-4408
51 VIRGINIA CENTER FOR ADDICTION MEDICINE GLEN ALLEN VA NURSE PRACTITIONER 14 501 $40,080 $80 12.4% (804) 332-5950
52 LIFECORE REHAB AND COUNSELING SERVICES SC ORLAND PARK IL CLINICAL SOCIAL WORKER 4 480 $28,800 $60 2.7% (708) 960-4023
53 PHILHAVEN LANCASTER PA CLINICAL SOCIAL WORKER 87 479 $73,796 $154 8.6% (717) 735-1954
54 MENDA BEHAVIORAL HEALTH SERVICES OF CALIFORNIA, PC SACRAMENTO CA CLINICAL SOCIAL WORKER 5 479 $26,345 $55 2.4% (323) 776-3632
55 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 477 $70,598 $148 2.3% (800) 926-8273
56 THE BRIEN CENTER FOR MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES INC PITTSFIELD MA CLINICAL SOCIAL WORKER 30 476 $26,835 $56 3.8% (413) 629-1062
57 ELDERS OF PUERTO RICO PSC SAN JUAN PR CLINICAL PSYCHOLOGIST 3 472 $23,600 $50 100.0% —
58 LAKEMARY CENTER INC PAOLA KS CLINICAL SOCIAL WORKER 4 465 $11,625 $25 95.1% (913) 535-4722
59 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 463 $62,968 $136 3.7% (508) 334-1000
60 STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING COLUMBUS OH PSYCHIATRY 111 439 $9,606 $22 14.7% (614) 752-0333
61 FAITH COUNSELING WARREN MI CLINICAL SOCIAL WORKER 3 438 $19,710 $45 3.5% (248) 759-7771
62 STONY BROOK PSYCHIATRIC ASSOCIATES UNIVERSITY FACULTY PRACTICE CORPOR STONY BROOK NY PSYCHIATRY 99 436 $41,865 $96 2.2% (631) 632-8850
63 WEST BERGEN MENTAL HEALTHCARE INC. RIDGEWOOD NJ CLINICAL SOCIAL WORKER 25 436 $28,340 $65 9.1% (201) 444-3550
64 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 433 $83,136 $192 14.5% —
65 ZUMBRO VALLEY HEALTH CENTER ROCHESTER MN CLINICAL SOCIAL WORKER 25 425 $45,050 $106 13.2% (507) 289-2089
66 THE EMORY CLINIC INC ATLANTA PA NURSE PRACTITIONER 3484 423 $39,874 $94 7.6% (404) 778-7525
67 HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS PLLC STORRS CT PHYSICIAN ASSISTANT 1493 422 $37,980 $90 4.3% (860) 724-2579
68 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 413 $50,165 $121 3.3% (734) 763-5459
69 SENIOR BEHAVIORAL GROUP INC JAMAICA NY CLINICAL SOCIAL WORKER 3 410 $41,000 $100 2.0% (917) 312-5697
70 RIVERBEND COMMUNITY MENTAL HEALTH, INC CONCORD NH MENTAL HEALTH COUNSELOR 38 410 $45,757 $112 21.1% (603) 225-0123
71 ANDREW R BUNCE PA PEMBROKE PINES FL CLINICAL PSYCHOLOGIST 2 405 $20,250 $50 3.3% (786) 457-9431
72 GENERATION STATION LLC LOGAN TOWNSHIP NJ CLINICAL SOCIAL WORKER 2 400 $22,000 $55 8.3% (856) 467-6687
73 MIAMI GARDENS COUNSELING SERVICE LLC MIAMI GARDENS FL CLINICAL SOCIAL WORKER 2 399 $20,210 $51 3.3% (305) 900-3475
74 SETH BENKEL MD PLLC FAR ROCKAWAY NY CLINICAL SOCIAL WORKER 14 395 $21,820 $55 2.0% (718) 471-0200
75 VITALITY UNLIMITED ELKO NV CLINICAL SOCIAL WORKER 4 386 $12,675 $33 9.4% (775) 777-8477
76 WELLLIFE NETWORK INC SMITHTOWN NY CLINICAL SOCIAL WORKER 17 386 $26,406 $68 1.9% (631) 920-8000
77 NORTHWOOD HEALTH SYSTEMS INC WHEELING OH NURSE PRACTITIONER 13 384 $23,040 $60 12.8% (304) 234-3500
78 COMMUNITY WELLNESS OUTPATIENT MENTAL HEALTH CENTER LLC BALTIMORE MD NURSE PRACTITIONER 4 381 $29,436 $77 6.8% (443) 708-5056
79 SUPPORTIVE PSYCH CARE OF ARKANSAS PA LITTLE ROCK AR NURSE PRACTITIONER 34 374 $37,400 $100 3.4% (866) 708-1240
80 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 373 $27,975 $75 7.8% (856) 247-7260
81 YALE NEW HAVEN HOSPITAL NEW HAVEN CT CLINICAL SOCIAL WORKER 44 373 $51,543 $138 3.8% (203) 688-2464
82 HELENE MILLER MD LLC PARAMUS CT NURSE PRACTITIONER 8 367 $33,240 $91 3.7% (201) 977-2889
83 SENECA CAYUGA COUNTIES CHAPTER NYSARC, INC. WATERLOO NY CLINICAL PSYCHOLOGIST 12 366 $25,384 $69 1.8% —
84 KODIAK ISLAND HEALTH CARE FOUNDATION KODIAK MA FAMILY PRACTICE 14 365 $34,500 $95 2.9% (907) 481-5000
85 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 365 $120,450 $330 3.0% (904) 953-2000
86 SHILOH CONSULTING LLC NEW YORK NY NURSE PRACTITIONER 3 365 $25,117 $69 1.8% (212) 564-7631
87 AFFINITY RELATIONSHIP COACHING INC PIGGOTT MO CLINICAL SOCIAL WORKER 5 365 $18,250 $50 6.4% (870) 324-5122
88 PARTNERSHIP HEALTH CENTER INC MISSOULA MT FAMILY PRACTICE 55 357 $10,564 $30 50.4% (406) 258-4789
89 COMMUNITY HEALTH RESOURCES, INC. MANCHESTER CT CLINICAL SOCIAL WORKER 49 354 $24,780 $70 3.6% (860) 646-3888
90 CENTRAL BEHAVIORAL HEALTH NORRISTOWN PA PSYCHIATRY 31 346 $25,950 $75 6.2% (484) 806-2012
91 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 340 $44,192 $130 2.7% —
92 SOUND SEATTLE WA MENTAL HEALTH COUNSELOR 48 339 $22,305 $66 53.8% (206) 461-3614
93 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 328 $31,342 $96 2.0% (404) 778-7525
94 MASS GENERAL BRIGHAM MEDICAL GROUP SUBURBAN MASSACHUSETTS INC NEWTON MA INTERNAL MEDICINE 535 326 $37,816 $116 2.6% (617) 243-6000
95 ACADIA HOSPITAL CORP. BANGOR ME NURSE PRACTITIONER 85 324 $75,664 $234 66.8% (207) 973-6100
96 SUBURBAN HOSPITAL, INC. BETHESDA MD CLINICAL SOCIAL WORKER 5 321 $48,150 $150 5.7% (301) 896-2036
97 THE UNIVERSITY OF CHICAGO MEDICAL CENTER CHICAGO IL NURSE PRACTITIONER 906 318 $29,574 $93 1.8% (773) 702-1000
98 HENNEPIN HEALTHCARE SYSTEM INC MINNEAPOLIS MN PHYSICIAN ASSISTANT 895 318 $26,739 $84 9.9% (612) 873-6963
99 THE CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON CT PHYSICIAN ASSISTANT 206 318 $25,074 $79 3.2% (860) 489-0418
100 SOUTH ARKANSAS REGIONAL HEALTH CENTER EL DORADO AR MENTAL HEALTH COUNSELOR 16 317 $15,507 $49 2.9% (870) 862-7921

Showing the top 100 of 303 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*Share of the state's disclosed Medicare-FFS services for the primary code, counted once per clinician. "St" is the state the volume was billed from: a group appears in each state where its clinicians bill Medicare, with that state's volume and share ("City" is the group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group, so shares reflect attributable volume. 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 →