Average Medicaid Psychiatric Evaluation Payments in Rochester, NY: $142.49
Avg. Paid
$142.49
Range
$0.00 – $961.51
Total Claims
1,087,559
Providers
285
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 Rochester, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rochester General Hospital
1425 Portland Ave |
$154.09 | 182,099 | 132,156 |
|
University Of Rochester
601 Elmwood Ave |
$272.06 | 126,328 | 90,084 |
|
The Unity Hospital Of Rochester
81 Lake Ave |
$131.80 | 119,099 | 83,946 |
|
Robert L Weisman
601 Elmwood Ave |
$125.94 | 81,489 | 42,685 |
|
Catholic Charities Of The Diocese Of Rochester
79 N Clinton Ave |
$102.64 | 70,466 | 43,991 |
|
Behavioral Health Network, Inc.
490 Ridge Rd E |
$113.73 | 45,799 | 35,096 |
|
Rochester City School District
131 W Broad St |
$39.65 | 44,648 | 21,970 |
|
Villa Of Hope
3300 Dewey Ave |
$106.16 | 36,556 | 22,816 |
|
Nysarc Inc
2060 Brighton Henrietta Town Line Rd |
$126.46 | 33,281 | 16,205 |
|
Gavia Lifecare Center, Llc
1343 Long Pond Rd Ste A |
$115.06 | 29,810 | 15,217 |
|
Laura Henrichs Cardella
315 Science Pkwy |
$224.79 | 25,338 | 15,449 |
|
U Of R Neurology Department
601 Elmwood Ave |
$486.15 | 19,494 | 14,262 |
|
Rochester Rehabilitation Center, Inc
1000 Elmwood Ave |
$99.00 | 16,665 | 11,338 |
|
Rita Marle Reisinger Novisky
1100 University Ave Ste 113 |
$87.75 | 15,604 | 4,327 |
|
Gloria J Baciewicz
300 Crittenden Blvd |
$105.52 | 12,002 | 5,518 |
|
The Healing Connection, Inc.
1320 University Ave |
$125.01 | 9,695 | 5,766 |
|
Delphi Drug & Alcohol Council, Inc
72 Hinchey Rd |
$97.79 | 8,910 | 5,177 |
|
Huther-Doyle Memorial Institute Inc
360 East Ave |
$107.77 | 7,475 | 3,697 |
|
Nina Yvette Ruffin
490 E Ridge Rd |
$49.93 | 6,743 | 3,254 |
|
The Unity Hospital Of Rochester
81 Lake Ave |
$110.51 | 6,427 | 4,313 |
|
Nys Office Of Mental Health
1111 Elmwood Ave |
$264.69 | 6,340 | 4,153 |
|
Barbara Burke
490 E Ridge Rd |
$76.04 | 5,833 | 2,515 |
|
Kevin J Dailor
2080 Ridge Rd W |
$83.78 | 5,084 | 2,302 |
|
Easter Seals New York, Inc
103 White Spruce Blvd |
$97.61 | 5,054 | 3,626 |
|
Khadijah Ella Tillman
4 Chelmsford Rd. |
$87.48 | 5,003 | 2,666 |
|
Laurie Agnello
835 W Main St |
$75.46 | 4,937 | 2,223 |
|
Kelly L Newby
2450 W Ridge Rd Ste 303 |
$79.05 | 4,219 | 2,114 |
|
Elizabeth E Zinn
1295 Portland Ave |
$72.93 | 3,748 | 1,817 |
|
Patricia L. Kelsey
20 Arcampus Dr |
$86.19 | 3,718 | 1,241 |
|
Baden Street Settlement Of Rochester, Inc
585 Joseph Ave |
$77.44 | 3,549 | 1,105 |
|
Rosemary P Shanahan
1183 Monroe Ave |
$94.09 | 3,324 | 1,745 |
|
Stephanie Ann Beneski-Barlow
100 Pinewild Dr |
$38.04 | 3,234 | 2,220 |
|
David Szulgit
1415 Monroe Ave |
$54.27 | 2,940 | 2,840 |
|
Myra L. Mathis-Uwanogho
300 Crittenden Blvd |
$281.01 | 2,899 | 2,179 |
|
Ronald E. Follansbee
2060 Brighton Henrietta Tl Rd |
$129.82 | 2,873 | 1,318 |
|
Annabel Fu
2613 W Henrietta Rd |
$71.06 | 2,834 | 2,048 |
|
Hillside Childrens Center
1183 Monroe Avenue |
$181.40 | 2,725 | 1,228 |
|
Alexandra Maria Fotiou
100 Pinewild Dr Ste 2A |
$62.39 | 2,678 | 2,129 |
|
Pauline Stahlbrodt
81 Lake Ave |
$120.04 | 2,552 | 1,139 |
|
Jeffrey Paul Dulko
259 Monroe Ave |
$108.62 | 2,326 | 1,144 |
|
Renee L Scanlon
913 Culver Rd |
$52.75 | 2,306 | 1,827 |
|
Elizabeth A Mackinnon
290 Aldine St |
$86.13 | 2,181 | 1,150 |
|
Allison L Giordano
140 Allens Creek Rd Ste 200 |
$65.08 | 2,179 | 1,760 |
|
Elizabeth Joy Santos
601 Elmwood Ave # Psych |
$41.29 | 2,158 | 1,786 |
|
Valerie A Reuman
33 May St |
$84.96 | 2,116 | 706 |
|
Catina Richardsen Glenday
30 Idlewood Rd |
$69.99 | 1,968 | 791 |
|
David Michael Comisar
1880 Ridge Rd E |
$52.53 | 1,942 | 1,276 |
|
Kevin M Mcintyre
81 Lake Ave. |
$47.64 | 1,936 | 1,438 |
|
Anca Seger
2000 Winton Rd S |
$38.92 | 1,915 | 1,419 |
|
Vincenzo F. Ragonese
2440 Ridgeway Ave |
$100.74 | 1,864 | 1,346 |
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 Rochester, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Psychiatric Evaluation in Rochester, NY is $142.49 per claim, based on 1,087,559 claims from 285 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 Rochester, NY?
There are 285 Medicaid providers offering Psychiatric Evaluation related services in Rochester, NY according to public payment data.
What is the price range for Psychiatric Evaluation in Rochester, NY?
Medicaid reimbursement for Psychiatric Evaluation in Rochester, NY ranges from $0.00 to $961.51 per claim, with an average of $142.49. 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 Rochester, NY
Home Health Visit
Avg $155.96
4,468,559 claims
Blood Work & Lab Tests
Avg $13.58
3,406,771 claims
Office Visit
Avg $80.81
3,372,720 claims
Emergency Room Visit
Avg $129.50
1,243,277 claims
Case Management Services
Avg $416.23
1,188,020 claims
Substance Abuse Treatment
Avg $66.55
788,422 claims
Physical Therapy
Avg $59.14
727,107 claims
Ambulance Transport
Avg $103.20
693,655 claims