Average Medicaid Psychiatric Evaluation Payments in Scarborough, ME: $76.38
Avg. Paid
$76.38
Range
$29.39 – $100.11
Total Claims
4,395
Providers
10
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 Scarborough, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mainehealth
49 Spring St |
$84.95 | 47 | 40 |
|
Aimee Reilly
96 Campus Dr Ste 1 |
$40.15 | 113 | 96 |
|
Henry Blanchette
15 Pleasant Hill Rd Ste 204 |
$33.58 | 161 | 111 |
|
Cathleen J Small
301C Us Route 1 |
$29.39 | 173 | 143 |
|
Samuel G Kingsley
15 Pleasant Hill Rd Ste 204 |
$45.49 | 197 | 172 |
|
Lisa Ann Barry
15 Pleasant Hill Rd Ste 204 |
$42.15 | 228 | 187 |
|
Gail Marie Libby
49 Spring St Ste 201 |
$31.23 | 246 | 183 |
|
Jennifer Marlowe
Crossroads Maine 71-Us-1 |
$100.11 | 446 | 175 |
|
Allison Leslie Hart
7 Oak Hill Ter Ste 211 |
$84.26 | 489 | 135 |
|
Mainehealth
300 Professional Dr |
$89.13 | 2,295 | 2,022 |
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 Scarborough, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Psychiatric Evaluation in Scarborough, ME is $76.38 per claim, based on 4,395 claims from 10 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 Scarborough, ME?
There are 10 Medicaid providers offering Psychiatric Evaluation related services in Scarborough, ME according to public payment data.
What is the price range for Psychiatric Evaluation in Scarborough, ME?
Medicaid reimbursement for Psychiatric Evaluation in Scarborough, ME ranges from $29.39 to $100.11 per claim, with an average of $76.38. 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 Scarborough, ME
Blood Work & Lab Tests
Avg $5.56
884,343 claims
Case Management Services
Avg $59.61
154,080 claims
Home Health Visit
Avg $86.71
126,047 claims
Office Visit
Avg $47.95
105,667 claims
EKG / ECG (Electrocardiogram)
Avg $4.42
105,137 claims
Non-Emergency Medical Transportation
Avg $15.21
93,962 claims
Ambulance Transport
Avg $100.78
81,368 claims
Urinalysis & Urine Tests
Avg $2.71
48,637 claims