Average Medicaid Psychiatric Evaluation Payments in Philadelphia, PA: $69.22
Avg. Paid
$69.22
Range
$0.00 – $4,512
Total Claims
3,688,209
Providers
233
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 Philadelphia, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pan American Mental Health Services Inc
4519 N 5Th St |
$64.81 | 236,730 | 97,816 |
|
Hispanic Community Counseling Services
3221 Kensington Ave |
$68.65 | 215,856 | 85,637 |
|
Citywide Community Counseling Service Inc
537 E Allegheny Ave |
$90.97 | 209,508 | 63,200 |
|
Cognitive Behavioral Services, Inc.
3255 N 6Th St |
$98.43 | 202,497 | 81,597 |
|
Asociacion De Puertorriquenos En Marcha, Inc.
2921 N 5Th St |
$83.03 | 153,373 | 60,803 |
|
Comhar Inc
2055 E Allegheny Ave |
$63.40 | 146,033 | 88,665 |
|
Center For Families And Relationships
7901 Bustleton Avenue |
$97.77 | 123,490 | 58,932 |
|
Dr Warren E Smith Community Mental Health Mental Retardation & Substan
1315 Windrim Avenue |
$85.28 | 111,456 | 50,454 |
|
Joseph J. Peters Institute
100 South Broad Street |
$99.14 | 106,825 | 38,633 |
|
Children'S Crisis Treatment Center
1080 N Delaware Ave |
$83.08 | 89,412 | 43,772 |
|
Community Council
4900 Wyalusing Ave |
$77.90 | 87,758 | 37,293 |
|
Path (People Acting To Help), Inc
1919 Cottman Ave |
$53.17 | 84,112 | 36,609 |
|
Northeast Treatment Centers. Inc.
499 N 5Th St |
$40.08 | 77,382 | 33,896 |
|
The Center For Autism
3905 Ford Rd |
$138.92 | 74,286 | 30,403 |
|
The Behavioral Wellness Center At Girard
801 W Girard Ave |
$4.07 | 70,383 | 32,572 |
|
The Wedge Medical Center, P.C.
3609 N Broad St |
$3.40 | 57,774 | 17,517 |
|
New Life Of Community Health Services, Inc.
6722 Bustleton Ave |
$83.39 | 56,881 | 23,570 |
|
West Phila Community Mental Health Consortium, Inc.
5501 Chestnut St |
$65.59 | 51,798 | 26,550 |
|
Wmc
1939 S Juniper St |
$73.04 | 49,565 | 25,084 |
|
Citizen'S Acting Together Can Help, Inc.
1400 Reed St |
$83.55 | 47,967 | 21,694 |
|
Best Behavioral Healthcare, Inc.
5043 Frankford Ave |
$110.47 | 46,539 | 21,687 |
|
Bustleton Mental Health Institute, Inc
9551 Bustleton Ave Ste 2B |
$78.66 | 46,368 | 14,411 |
|
The Wedge Medical Center, P.C.
2009 S Broad St |
$3.71 | 45,615 | 14,412 |
|
Merakey Philadelphia
27 E Mount Airy Ave |
$63.18 | 42,814 | 14,954 |
|
Intercultural Family Services, Inc.
4254-56 Chestnut Street |
$57.38 | 41,949 | 17,339 |
|
Wedge Medical Center, Pc
4243 Frankford Avenue |
$3.36 | 40,935 | 12,879 |
|
Stop & Surrender Inc
2522 W Huntingdon St |
$5.38 | 39,384 | 5,994 |
|
Merakey Philadelphia
11082 Knights Rd |
$57.56 | 38,408 | 13,858 |
|
Centralized Comprehensive Human Services, Inc.
112 N Broad St |
$60.04 | 37,680 | 28,400 |
|
Elwyn Of Pennsylvania And Delaware
12 N Preston St |
$62.83 | 37,506 | 16,443 |
|
Wmc
6701 N Broad St |
$50.56 | 35,293 | 18,308 |
|
Merakey Parkside Recovery
5000 Parkside Ave |
$0.13 | 35,289 | 18,901 |
|
Merakey Childrens Services
265 E Lehigh Ave |
$50.11 | 34,540 | 16,529 |
|
Soar Corp
9150 Marshall St |
$3.27 | 34,456 | 25,340 |
|
Childrens Hospital Of Philadelphia
34Th And Civic Center Blvd |
$232.58 | 34,156 | 1,852 |
|
Casa De Consejeria Y Salud Integral, Inc.
213 W Allegheny Ave |
$7.26 | 34,026 | 9,662 |
|
Hall-Mercer Cmh-Mrc Of Pennsylvania Hosp
245 S 8Th St |
$83.68 | 32,749 | 14,235 |
|
Thomas Jefferson University Psych
833 Chestnut St Ste 630 |
$105.03 | 30,610 | 15,168 |
|
Men & Women For Human Excellence, Inc.
2603 Cecil B Moore Ave |
$28.96 | 29,861 | 7,311 |
|
Merakey Parkside Recovery
5429 Germantown Ave |
$4.76 | 26,785 | 12,218 |
|
Gaudenzia Inc
1306 Spring Garden St |
$3.99 | 23,884 | 10,046 |
|
West Philadelphia Community Mh Consortium Inc.
451 S University Ave |
$0.01 | 22,636 | 10,185 |
|
Intercommunity Action, Inc.
6122 Ridge Ave |
$84.99 | 21,913 | 9,642 |
|
Addiction Medicine And Health Advocates, Incorporated
928 Market St |
$3.60 | 21,375 | 12,921 |
|
Assessment & Treatment Alternatives
1235 Vine St |
$24.03 | 20,678 | 8,600 |
|
Harmony Wellness Group Inc
9150 Marshall St Ste 16 |
$83.42 | 20,664 | 7,809 |
|
Kensington Hospital
2100 N Front St |
$1.98 | 19,306 | 9,281 |
|
Agape Storge Healthcare Services, Inc
8410 Bustleton Ave Ste 2 |
$101.46 | 18,632 | 10,935 |
|
North City Congress
827 N Franklin St |
$109.96 | 18,232 | 5,878 |
|
Northeast Treatment Centers, Inc.
499 N 5Th St |
$1.15 | 17,572 | 9,915 |
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 Philadelphia, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Psychiatric Evaluation in Philadelphia, PA is $69.22 per claim, based on 3,688,209 claims from 233 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 Philadelphia, PA?
There are 233 Medicaid providers offering Psychiatric Evaluation related services in Philadelphia, PA according to public payment data.
What is the price range for Psychiatric Evaluation in Philadelphia, PA?
Medicaid reimbursement for Psychiatric Evaluation in Philadelphia, PA ranges from $0.00 to $4,512 per claim, with an average of $69.22. 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
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
Jamaica, NY
Avg $121.79
2,333,568 claims · 119 providers
Other Procedures in Philadelphia, PA
Office Visit
Avg $47.22
5,853,067 claims
Substance Abuse Treatment
Avg $57.23
5,131,687 claims
Emergency Room Visit
Avg $135.52
3,661,931 claims
X-Ray
Avg $9.69
1,822,183 claims
Behavioral & Mental Health Therapy
Avg $119.23
1,618,868 claims
Blood Work & Lab Tests
Avg $6.85
1,492,079 claims
Dental Cleaning & Exam
Avg $29.51
1,399,541 claims
EKG / ECG (Electrocardiogram)
Avg $11.36
1,272,685 claims