Average Medicaid Psychiatric Evaluation Payments in Lexington, MA: $66.70
Avg. Paid
$66.70
Range
$7.26 – $172.70
Total Claims
264,193
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 Lexington, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eliot Community Human Services
125 Hartwell Ave |
$67.00 | 215,402 | 96,334 |
|
Katelyn Kim Anderson
1040 Waltham St |
$54.12 | 19,708 | 9,023 |
|
Eliot Community Human Services
125 Hartwell Ave |
$76.28 | 19,495 | 8,359 |
|
Linda Marie Ploude
1040 Waltham St |
$61.60 | 4,323 | 2,505 |
|
Danielle Barry
10 Muzzey St Ste 9 |
$37.93 | 1,891 | 1,518 |
|
Town Of Lexington
146 Maple Street |
$15.16 | 1,013 | 264 |
|
Jihan S Ward
186 Bedford St |
$172.70 | 959 | 340 |
|
Lucy S Hall
1040 Waltham St |
$74.98 | 563 | 389 |
|
Fong Chan
1040 Waltham St |
$83.93 | 493 | 217 |
|
Caitrin Caloia
363 Massachusetts Ave Ste 202 |
$125.69 | 110 | 49 |
|
Alexandra Virginia Morrow
110 Hartwell Ave Ste 330 |
$97.27 | 69 | 41 |
|
Chrisell Sarit
125 Hartwell Ave |
$7.26 | 50 | 12 |
|
Kenneth E Martel
1040 Waltham St |
$121.41 | 44 | 24 |
|
Sara E Heaton
80 School St |
$119.20 | 35 | 12 |
|
Julie A Cummins
13 Pelham Rd |
$86.23 | 24 | 12 |
|
Stacie Rose
131 Hartwell Ave |
$51.39 | 14 | 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 Lexington, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Psychiatric Evaluation in Lexington, MA is $66.70 per claim, based on 264,193 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 Lexington, MA?
There are 16 Medicaid providers offering Psychiatric Evaluation related services in Lexington, MA according to public payment data.
What is the price range for Psychiatric Evaluation in Lexington, MA?
Medicaid reimbursement for Psychiatric Evaluation in Lexington, MA ranges from $7.26 to $172.70 per claim, with an average of $66.70. 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 Lexington, MA
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Avg $51.02
176,126 claims
Behavioral & Mental Health Therapy
Avg $111.04
142,000 claims
Non-Emergency Medical Transportation
Avg $20.25
90,438 claims
Office Visit
Avg $63.79
83,870 claims
Pathology & Lab Services
Avg $33.99
56,960 claims
Dental Cleaning & Exam
Avg $32.29
41,664 claims
Speech Therapy
Avg $18.28
13,255 claims
Physical Therapy
Avg $11.41
11,868 claims