Average Medicaid Psychiatric Evaluation Payments in Toa Baja, PR: $2.39
Avg. Paid
$2.39
Range
$0.00 – $12.62
Total Claims
25,537
Providers
19
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 Toa Baja, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Melissa Barrios Falcon
1808 Ave Del Valle |
$6.73 | 4,995 | 3,976 |
|
Lesly A Mendez
Carr. 865 #19A |
$0.14 | 4,329 | 3,540 |
|
Carissa Melendez
Carretera 866 Km 1.1 Lote 51 Bo. Candelaria |
$0.29 | 3,364 | 3,312 |
|
Lourdes B. Urena Pichardo
Boulevard Ave. Calle Cabal #Bb-64 |
$3.08 | 3,266 | 2,083 |
|
Sonja Berrios
Urb. San Pedro |
$4.66 | 2,337 | 2,099 |
|
Rafael Gandia
Ak12 Calle 8 |
$0.00 | 2,256 | 1,759 |
|
Nicole M Cepeda
Toa Baja |
$0.00 | 1,731 | 1,630 |
|
Yenaira Zoe Figueroa Baez
Urb. Levittown Calle Genaro Arizmendi Hr7 |
$0.00 | 685 | 659 |
|
Zayana Figueroa
293 Calle Pabellon De Espana |
$0.77 | 565 | 508 |
|
Brendaly Garcia Morales
3326 Ave Boulevard |
$6.66 | 437 | 392 |
|
Servanda C Fleitas Macias
Hf16 Calle Lizzie Graham |
$0.00 | 372 | 339 |
|
Luz Colon Acevedo
Calle 4 Parcelas Nuevas 448 |
$0.48 | 323 | 268 |
|
Jose Vidal Ramos
610 Ave. Comerio Marginal |
$0.00 | 219 | 152 |
|
Elizabeth Pena Payero
3326 Paseo Carmen |
$0.00 | 198 | 178 |
|
Caroline Rodriguez
Ave. Don Pelayo Aa 3, Covadonga |
$0.00 | 125 | 114 |
|
Estefania Maestre Gomez
1808 Ave Del Valle |
$0.00 | 106 | 94 |
|
Lornna Otero Nieves
Ci13 Calle Dr Zeno Gandia |
$12.62 | 101 | 71 |
|
Orlando Sanchez
Cc10 Calle Dr Jose Sabater |
$0.00 | 88 | 82 |
|
Mireya Lissette Tavarez Soto
Pr 863 Km 1 |
$0.00 | 40 | 31 |
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 Toa Baja, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Psychiatric Evaluation in Toa Baja, PR is $2.39 per claim, based on 25,537 claims from 19 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 Toa Baja, PR?
There are 19 Medicaid providers offering Psychiatric Evaluation related services in Toa Baja, PR according to public payment data.
What is the price range for Psychiatric Evaluation in Toa Baja, PR?
Medicaid reimbursement for Psychiatric Evaluation in Toa Baja, PR ranges from $0.00 to $12.62 per claim, with an average of $2.39. 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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