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Based on public Medicaid payment data.

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

Other Procedures in Philadelphia, PA