Average Medicaid Psychiatric Evaluation Payments in Sun Prairie, WI: $67.18
Avg. Paid
$67.18
Range
$22.58 – $109.33
Total Claims
10,540
Providers
20
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 Sun Prairie, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Myrna Solganick
1460 W Main St |
$93.25 | 16 | 13 |
|
Mihaela Pirau
10 Tower Dr |
$36.33 | 25 | 24 |
|
Jan Jackson
1460 W Main St |
$95.19 | 35 | 15 |
|
Corinne C Stoner
242 E Main St Ste 205 |
$96.02 | 61 | 39 |
|
Charles V Lindsey
628 Featherwood Pass |
$53.96 | 111 | 72 |
|
Daniel Villarreal
722 Lois Dr |
$27.86 | 149 | 29 |
|
Amber Renee Levanetz
2337 Effingham Way |
$81.44 | 188 | 77 |
|
Stephanie W Haugen
10 Tower Dr |
$73.84 | 194 | 173 |
|
Ashley Stankey
1268 W Main St |
$109.33 | 207 | 106 |
|
Nicole Brown
1460 W Main St Ste 150 |
$99.81 | 228 | 118 |
|
Joanna R Becker
830 Derby Dr |
$37.56 | 237 | 60 |
|
Adebowale Mofikoya
425 W Main St Ste 201 |
$22.58 | 316 | 206 |
|
Lauren Piper
1268 W Main St |
$87.17 | 452 | 162 |
|
Eva Balfanz
10 Tower Dr |
$88.56 | 509 | 346 |
|
Amanda Mckeaton
722 Lois Dr |
$96.06 | 511 | 239 |
|
Christopher D Peters
10 Tower Dr |
$61.61 | 697 | 354 |
|
Phillip L. Stall
10 Tower Dr |
$51.53 | 937 | 801 |
|
Patricia L Hottmann-Rindy
10 Tower Dr |
$83.84 | 1,300 | 1,065 |
|
Kimberly Jean Berndt
131 Walmar Dr |
$41.11 | 1,519 | 1,121 |
|
Robert T. Peyton
10 Tower Dr |
$69.89 | 2,848 | 2,155 |
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 Sun Prairie, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Psychiatric Evaluation in Sun Prairie, WI is $67.18 per claim, based on 10,540 claims from 20 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 Sun Prairie, WI?
There are 20 Medicaid providers offering Psychiatric Evaluation related services in Sun Prairie, WI according to public payment data.
What is the price range for Psychiatric Evaluation in Sun Prairie, WI?
Medicaid reimbursement for Psychiatric Evaluation in Sun Prairie, WI ranges from $22.58 to $109.33 per claim, with an average of $67.18. 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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