Average Medicaid Psychiatric Evaluation Payments in O Fallon, IL: $47.78
Avg. Paid
$47.78
Range
$0.00 – $87.14
Total Claims
7,097
Providers
6
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 O Fallon, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Southern Illinois Healthcare Foundation Inc
3 Saint Elizabeth Blvd Ste 4000 |
$0.00 | 2,635 | 1,642 |
|
Dominique Marie Wilson
785 Wall St # 200 |
$71.81 | 2,104 | 631 |
|
Melissa Sundberg
3 Saint Elizabeth Blvd Ste 4000 |
$87.14 | 1,888 | 756 |
|
Rachel Morgan
791 Wall St |
$59.33 | 298 | 125 |
|
Suzanne Marie Heinzl Mullins
820 W Highway 50 Ste B |
$26.83 | 145 | 53 |
|
Lori Ann Mcallister
8 Eagle Ctr |
$69.68 | 27 | 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 O Fallon, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Psychiatric Evaluation in O Fallon, IL is $47.78 per claim, based on 7,097 claims from 6 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 O Fallon, IL?
There are 6 Medicaid providers offering Psychiatric Evaluation related services in O Fallon, IL according to public payment data.
What is the price range for Psychiatric Evaluation in O Fallon, IL?
Medicaid reimbursement for Psychiatric Evaluation in O Fallon, IL ranges from $0.00 to $87.14 per claim, with an average of $47.78. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Psychiatric Evaluation in Other Cities
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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
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Philadelphia, PA
Avg $69.22
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Bronx, NY
Avg $115.10
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Indianapolis, IN
Avg $57.23
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Avg $77.04
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Louisville, KY
Avg $62.63
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Avg $32.51
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Avg $30.64
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