Average Medicaid Psychiatric Evaluation Payments in Madison, WI: $58.08
Avg. Paid
$58.08
Range
$0.00 – $328.69
Total Claims
217,475
Providers
378
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 Madison, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Meriter Hospital, Inc.
202 S Park St |
$34.05 | 23,809 | 8,584 |
|
Samantha J Ball
525 Junction Rd Ste 6500 |
$83.95 | 6,439 | 3,670 |
|
Sobia Kirmani Moe
6302 Odana Rd |
$37.36 | 6,279 | 5,072 |
|
University Of Wisconsin Hospitals And Clinics Authority
600 Highland Ave |
$51.14 | 5,359 | 3,529 |
|
Kenneth James Herrmann
2727 Marshall Court |
$25.35 | 3,780 | 3,518 |
|
Ssm Health Care Of Wisconsin, Inc.
700 S. Park St. |
$39.45 | 3,563 | 3,039 |
|
Crystal Lynn Dalebroux
7818 Big Sky Dr Ste 101 |
$83.08 | 3,467 | 1,670 |
|
Shariety Gibbs
702 N Blackhawk Ave |
$67.33 | 2,940 | 852 |
|
Jacqueline Elizabeth Wright
1101 Dartmouth Rd |
$86.73 | 2,806 | 1,015 |
|
Alexandra Mcmurray
2727 Marshall Ct |
$34.25 | 2,796 | 2,163 |
|
Amanda M Henschel
49 Kessel Ct |
$69.13 | 2,656 | 1,265 |
|
Laura Wilkinson
7818 Big Sky Dr. #101 |
$72.24 | 2,608 | 1,238 |
|
Jeremy Paul Boudreaux
615 N Sherman Ave Ste 24 |
$87.43 | 2,575 | 1,334 |
|
Rachel Lee Fashing
301 S Bedford St Ste 4A |
$88.07 | 2,568 | 1,009 |
|
Elizabeth C Armstrong
2810 Crossroads Dr Ste 4000 |
$18.92 | 2,246 | 1,642 |
|
Pat Ann St. Germain
2829 Royal Avenue, Ste 200 |
$94.91 | 2,228 | 1,103 |
|
Vanessa Sovine
6001 Research Park Blvd |
$76.08 | 2,206 | 1,427 |
|
Travis B Copeland
752 N High Point Rd |
$55.12 | 2,142 | 1,933 |
|
Cassondra Ohm
740 Regent St Ste 201 |
$99.78 | 1,913 | 706 |
|
Celia L. Huerta
30 S Franklin St |
$73.23 | 1,892 | 714 |
|
Molly Margeaux Roberts
49 Kessel Ct |
$88.11 | 1,859 | 955 |
|
Penny L Raimer
25 Kessel Court |
$94.18 | 1,826 | 1,159 |
|
Alexander Smith
2202 S Park St |
$41.69 | 1,814 | 1,471 |
|
Thomas Carroll
1716 Fordem Ave |
$47.18 | 1,773 | 827 |
|
Daniel Scott Towns
600 Highland Ave |
$1.88 | 1,740 | 1,586 |
|
Hannah Brown
2445 Darwin Rd Ste 15 |
$64.56 | 1,722 | 1,086 |
|
Meghan D Fondow
3434 E Washington Ave |
$42.84 | 1,692 | 1,292 |
|
Kate Brockman
1716 Fordem Ave |
$56.22 | 1,637 | 798 |
|
Sandra Lee Eugster
313 Price Pl |
$33.34 | 1,630 | 546 |
|
Heather H Douglas
6502 Grand Teton Plz |
$28.64 | 1,616 | 711 |
|
Anesis Center For Marriage And Family Therapy
815 Forward Dr. |
$65.14 | 1,615 | 550 |
|
Marilyn C Holschuh
437 S Yellowstone Dr Ste 106 |
$70.56 | 1,537 | 670 |
|
Whitney M Nelson
122 W Washington Ave Ste 630 |
$106.87 | 1,528 | 708 |
|
Kelly Clements
3434 E Washington Ave |
$36.85 | 1,482 | 1,249 |
|
Jamie Colvin
2202 S Park St |
$30.85 | 1,482 | 1,234 |
|
Ashley Grosshans
3434 E Washington Ave |
$29.32 | 1,458 | 1,179 |
|
Matthew S Sager
700 S Park St |
$34.99 | 1,453 | 507 |
|
Thomas Michael Kaufman
7818 Big Sky Dr |
$56.30 | 1,433 | 531 |
|
Emilie Klos
7818 Big Sky Dr Ste 101 |
$85.71 | 1,387 | 471 |
|
April M Burmeister
1102 S Park St |
$38.01 | 1,379 | 716 |
|
Cynthia Marie Johnson
2901 W Beltline Hwy Ste 301 |
$68.85 | 1,375 | 630 |
|
Angela Marie Rademaker
25 Kessel Ct |
$76.61 | 1,300 | 534 |
|
Celeste A Woodruff
1821 S Stoughton Rd |
$71.85 | 1,298 | 878 |
|
Jennifer Lea Burkel
122 W Washington Ave Ste 630 |
$10.82 | 1,251 | 727 |
|
Richard C Schramm
752 N High Point Rd |
$32.99 | 1,242 | 1,010 |
|
Katrina Johnson
2202 S Park St |
$38.20 | 1,240 | 1,009 |
|
Jennifer L Larson Conti
1716 Fordem Ave |
$62.68 | 1,229 | 530 |
|
Margaret Louise Anunson
100 Wisconsin Ave Apt 702 |
$74.11 | 1,217 | 323 |
|
Daniel P. Davis
7601 Ganser Way |
$69.42 | 1,169 | 759 |
|
Omar S Waqhar
5401 Quarry Park Rd |
$108.35 | 1,166 | 977 |
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 Madison, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Psychiatric Evaluation in Madison, WI is $58.08 per claim, based on 217,475 claims from 378 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 Madison, WI?
There are 378 Medicaid providers offering Psychiatric Evaluation related services in Madison, WI according to public payment data.
What is the price range for Psychiatric Evaluation in Madison, WI?
Medicaid reimbursement for Psychiatric Evaluation in Madison, WI ranges from $0.00 to $328.69 per claim, with an average of $58.08. 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 Madison, WI
Substance Abuse Treatment
Avg $12.67
1,509,772 claims
Behavioral & Mental Health Therapy
Avg $110.40
1,504,873 claims
Office Visit
Avg $49.22
1,187,844 claims
Blood Work & Lab Tests
Avg $11.76
1,154,690 claims
Emergency Room Visit
Avg $59.96
734,593 claims
X-Ray
Avg $5.48
502,669 claims
Physical Therapy
Avg $19.46
343,028 claims
EKG / ECG (Electrocardiogram)
Avg $5.11
290,457 claims