Average Medicaid Psychiatric Evaluation Payments in Decatur, IL: $36.24
Avg. Paid
$36.24
Range
$0.00 – $160.38
Total Claims
14,667
Providers
16
Typical Payment Range
Typical Medicaid Psychiatric Evaluation payments fall between $44.37 and $97.13 per claim (median: $73.35). The top 10% of payments exceed $130.02.
Based on per-provider averages across all Medicaid claims in this category.
Psychiatric evaluations assess mental health conditions through clinical interviews, observation, and sometimes psychological testing.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Psychiatric Evaluation in Decatur, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Leroy Richard Hall
102 W Kenwood Ave Ste 120 |
$57.26 | 14 | 12 |
|
Community Health Improvement Center
151 N Main St |
$0.00 | 14 | 14 |
|
Ashley M Garner
151 N Main St |
$160.38 | 51 | 47 |
|
Christina Elizabeth Ventimiglia-Brandt
151 N Main St |
$108.28 | 91 | 54 |
|
Juanette M Plato
1745 E Clay St |
$47.45 | 107 | 49 |
|
Kathleen Ann Pritchett
2300 N Edward St |
$147.54 | 222 | 202 |
|
Jerry Lynn Douglas
1770 E Lakeshore Dr |
$18.85 | 237 | 139 |
|
Andrea Rolfs
792 N Sunnyside Rd |
$43.48 | 349 | 145 |
|
Angelique Bautista Gabat
2300 N Edward St Ste 2400 |
$38.82 | 386 | 317 |
|
Deanna Ford
102 W Kenwood Ave Ste 120A |
$46.56 | 499 | 107 |
|
Nathalie K Diethrich
151 N Main St |
$112.54 | 515 | 273 |
|
Tessa E Mccoy
1800 E Lake Shore Dr |
$24.88 | 557 | 195 |
|
Rohidas T. Patil
1770 E Lakeshore Dr |
$125.78 | 753 | 418 |
|
Macon Piatt County Spec Ed Dist
335 E Cerro Gordo St |
$98.73 | 2,468 | 1,972 |
|
Board Of Trustees Of Southern Illinois University
102 W Kenwood Ave |
$0.04 | 4,005 | 2,149 |
|
Community Health Improvement Center
320 E Central Ave |
$1.53 | 4,399 | 3,095 |
What to Expect: Psychiatric Evaluation
A psychiatric evaluation typically takes 45-90 minutes. The psychiatrist will ask about your symptoms, medical history, family history, and lifestyle. They may use standardized questionnaires. The evaluation may lead to a diagnosis and treatment plan, which might include medication, therapy, or a combination. Follow-up visits are usually shorter (15-30 minutes).
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 90837 | Psychotherapy 60 min | $94.87 | 127,195,989 | 96,636 |
| 90834 | Psychotherapy 45 min | $81.07 | 108,817,687 | 69,176 |
| 90832 | Psychotherapy 30 min | $54.28 | 65,774,815 | 51,093 |
| 90853 | Group psychotherapy | $36.01 | 35,579,531 | 19,408 |
| 90791 | Psychiatric diagnostic eval | $120.05 | 16,146,970 | 46,312 |
| 90833 | Psychotherapy 30 min w/E&M | $42.78 | 14,361,341 | 14,288 |
| 90847 | Family psychotherapy w/patient | $103.69 | 10,531,444 | 12,330 |
| 90792 | Psychiatric eval w/med svcs | $129.53 | 8,419,882 | 21,097 |
| 90846 | Family psychotherapy w/o patient | $95.45 | 3,081,240 | 4,241 |
| 90836 | Psychotherapy 45 min w/E&M | $65.71 | 1,356,089 | 2,515 |
| 90839 | Crisis psychotherapy 1st 60 min | $100.68 | 437,608 | 1,362 |
| 90838 | Psychotherapy 60 min w/E&M | $67.17 | 335,848 | 784 |
| 90840 | Crisis psychotherapy addl 30 | $59.84 | 44,895 | 221 |
| 90845 | Psychoanalysis | $6.74 | 13,021 | 38 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Psychiatric Evaluation cost in Decatur, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Psychiatric Evaluation in Decatur, IL is $36.24 per claim, based on 14,667 claims from 16 providers. Typical payments fall between $44.37 and $97.13. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Psychiatric Evaluation in Decatur, IL?
There are 16 Medicaid providers offering Psychiatric Evaluation related services in Decatur, IL according to public payment data.
What is the price range for Psychiatric Evaluation in Decatur, IL?
Medicaid reimbursement for Psychiatric Evaluation in Decatur, IL ranges from $0.00 to $160.38 per claim, with an average of $36.24. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Psychiatric Evaluation in Other Cities
New York, NY
Avg $116.70
6,547,727 claims · 1385 providers
Brooklyn, NY
Avg $117.44
6,337,773 claims · 1262 providers
Baltimore, MD
Avg $100.67
6,065,385 claims · 929 providers
Philadelphia, PA
Avg $69.22
3,688,209 claims · 233 providers
Bronx, NY
Avg $115.10
2,959,916 claims · 707 providers
Indianapolis, IN
Avg $57.23
2,769,777 claims · 898 providers
Springfield, MA
Avg $77.04
2,573,099 claims · 296 providers
Louisville, KY
Avg $62.63
2,356,243 claims · 964 providers
Other Procedures in Decatur, IL
Office Visit
Avg $24.65
505,157 claims
Blood Work & Lab Tests
Avg $5.54
435,905 claims
Emergency Room Visit
Avg $61.57
152,348 claims
Speech Therapy
Avg $14.65
137,456 claims
Vaccines & Immunizations
Avg $5.31
120,212 claims
Ambulance Transport
Avg $139.19
106,858 claims
Urinalysis & Urine Tests
Avg $2.40
103,176 claims
Substance Abuse Treatment
Avg $76.70
92,401 claims