Average Medicaid Psychiatric Evaluation Payments in Gardner, MA: $80.12
Avg. Paid
$80.12
Range
$7.12 – $119.63
Total Claims
36,396
Providers
22
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 Gardner, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Troy Leblanc
486 Chestnut St |
$90.49 | 8,419 | 2,181 |
|
Nicholas J Killick
55 Lake St |
$90.92 | 7,114 | 2,107 |
|
Heywood Medical Group Inc.
242 Green St |
$77.88 | 4,830 | 2,614 |
|
Community Health Connections, Inc.
175 Connors Street |
$60.91 | 3,780 | 2,970 |
|
Suzanne L Caron
55 Lake St |
$84.07 | 2,223 | 1,229 |
|
Gaamha, Inc
208 Coleman St. Ext. |
$119.63 | 1,864 | 808 |
|
Raymond Laureat Demers
31 Lake St |
$21.57 | 1,328 | 880 |
|
Tiffany Osborne
242 Green St |
$18.20 | 1,161 | 1,001 |
|
Kristen Lee Lunden
486 Chestnut St |
$78.78 | 1,069 | 584 |
|
Victoria Abbie Valeri
235 Green St |
$103.50 | 956 | 953 |
|
Henry Heywood Memorial Hospital
242 Green St |
$79.94 | 830 | 465 |
|
Kirsten Marie Bright
235 Green St |
$92.31 | 824 | 375 |
|
Robert W Brown
55 Lake St |
$86.57 | 763 | 317 |
|
Kathy Lynn Hall
31 Lake St |
$54.00 | 448 | 174 |
|
Art Sweed
31 Lake Street |
$7.12 | 353 | 186 |
|
Rebecca Ann Blodgett
205 School St |
$92.69 | 181 | 81 |
|
Mark Lawrence Brooks
287 Central St |
$9.66 | 163 | 78 |
|
Melanie M Barber
31 Lake St |
$7.39 | 28 | 27 |
|
Jamie Sullivan
205 School St Ste 301 |
$94.50 | 18 | 12 |
|
Jo Ellen Papaleo Marro
31 Lake St |
$59.80 | 17 | 14 |
|
Shelly Kelley
31 Lake St |
$27.30 | 15 | 13 |
|
David H. Gill
242 Green St |
$113.58 | 12 | 12 |
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 Gardner, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Psychiatric Evaluation in Gardner, MA is $80.12 per claim, based on 36,396 claims from 22 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 Gardner, MA?
There are 22 Medicaid providers offering Psychiatric Evaluation related services in Gardner, MA according to public payment data.
What is the price range for Psychiatric Evaluation in Gardner, MA?
Medicaid reimbursement for Psychiatric Evaluation in Gardner, MA ranges from $7.12 to $119.63 per claim, with an average of $80.12. 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 Gardner, MA
Office Visit
Avg $62.74
160,889 claims
Blood Work & Lab Tests
Avg $8.81
132,814 claims
Emergency Room Visit
Avg $114.93
72,139 claims
Non-Emergency Medical Transportation
Avg $22.94
63,712 claims
Ambulance Transport
Avg $88.77
63,367 claims
Home Health Visit
Avg $21.44
39,730 claims
Behavioral & Mental Health Therapy
Avg $86.86
35,286 claims
Urinalysis & Urine Tests
Avg $3.09
29,898 claims