Average Medicaid Psychiatric Evaluation Payments in Sumter, SC: $158.47
Avg. Paid
$158.47
Range
$59.57 – $194.61
Total Claims
109,398
Providers
21
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 Sumter, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eric Wooten
1278 N Lafayette Dr |
$142.50 | 12 | 12 |
|
Sara Ellen Anderson
1110 Twin Lakes Dr |
$95.91 | 21 | 13 |
|
Karen Duncan Page
18 Barnette Dr |
$156.51 | 53 | 50 |
|
Micheal G Gore
130 Broad St |
$111.89 | 77 | 24 |
|
Felicia Minniette Heyward
531 Oxford St Ste C1 |
$59.57 | 99 | 91 |
|
Matthew Jay Wilkie
3133 Daufaskie Rd |
$194.61 | 107 | 88 |
|
Tia D. Buchanan
531 Oxford St Ste A |
$107.24 | 192 | 74 |
|
Renee Michelle Shaw
1278 N Lafayette Dr |
$159.81 | 228 | 206 |
|
David A Justice
1278 N Lafayette Dr |
$173.45 | 329 | 328 |
|
Leslie 'Day' G Caughman
742 W Liberty St |
$69.67 | 420 | 312 |
|
Gertrude Elizabeth Stoney Shaw
30 Cuttino Rd |
$179.80 | 421 | 269 |
|
Jacquelyn Michelle Lynn
770 W Liberty St |
$105.44 | 455 | 343 |
|
Juanita A Giraud
770 W Liberty St |
$94.44 | 670 | 366 |
|
Annie R. Brock
525 N Lafayette Dr |
$184.34 | 1,292 | 1,105 |
|
Briana Dishongh
441 N Main St |
$94.85 | 1,362 | 874 |
|
Sarah Campbell
2 Medical Ct |
$106.08 | 1,496 | 1,003 |
|
Sumter County Commission On Alcohol And Drug Abuse
755 Electric Dr |
$90.89 | 1,893 | 1,225 |
|
Terrance Wells
130 Broad St |
$109.51 | 2,301 | 1,272 |
|
Jeffrey S Selman
2580 Lin Do Ct |
$158.63 | 5,008 | 3,340 |
|
Tara Lynn Corbett
444B Broad St |
$109.88 | 10,279 | 7,056 |
|
South Carolina Dept Of Mental Health Accounting Office
801 N Pike W |
$170.35 | 82,683 | 64,866 |
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 Sumter, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Psychiatric Evaluation in Sumter, SC is $158.47 per claim, based on 109,398 claims from 21 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 Sumter, SC?
There are 21 Medicaid providers offering Psychiatric Evaluation related services in Sumter, SC according to public payment data.
What is the price range for Psychiatric Evaluation in Sumter, SC?
Medicaid reimbursement for Psychiatric Evaluation in Sumter, SC ranges from $59.57 to $194.61 per claim, with an average of $158.47. 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
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Avg $76.88
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Avg $34.02
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Avg $44.33
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