Average Medicaid Psychiatric Evaluation Payments in Toms River, NJ: $83.39
Avg. Paid
$83.39
Range
$0.00 – $525.97
Total Claims
128,862
Providers
41
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 Toms River, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Vimax Llc
1749 Hooper Ave Ste 202 |
$99.87 | 38,252 | 17,560 |
|
Integrity, Inc
310 Main St Ste 3B |
$45.13 | 13,062 | 4,214 |
|
Community Medical Center Inc
99 Route 37 W |
$26.09 | 12,746 | 11,064 |
|
Preferred Behavioral Health Of New Jersey
1191 Lakewood Rd |
$63.17 | 11,140 | 3,860 |
|
Preferred Behavioral Health Of New Jersey, Inc
1191 Lakewood Rd |
$68.86 | 7,950 | 2,922 |
|
Saint Barnabas Behavioral Health Center Inc
1691 Route 9 |
$77.88 | 7,212 | 2,320 |
|
Ocean Health Initiatives, Inc
10 Stockton Drive |
$0.00 | 5,076 | 3,414 |
|
Stress Care Of New Jersey, Llc
111 W Water St |
$155.04 | 4,967 | 2,939 |
|
Robert Charles Wesley
1155 Indian Hill Rd |
$77.81 | 4,097 | 2,532 |
|
Bruno Oriti
310 Main St |
$18.70 | 2,857 | 958 |
|
Sage Wellness Center Llc
1901 Lakewood Rd Ste 200 |
$87.13 | 2,648 | 1,178 |
|
Nicole Kristen Palmieri
310 Main St |
$59.18 | 2,514 | 2,201 |
|
Felix Aron Geller
20 Hospital Dr Ste 4 |
$103.10 | 2,337 | 1,549 |
|
Alberto Ballesteros
1691 Route 9 |
$248.19 | 1,956 | 1,697 |
|
Muralidhar Krishnaiah
1691 Route 9 |
$308.13 | 1,862 | 1,565 |
|
Thomas John Plahovinsak
448 Lakehurst Rd |
$35.06 | 1,856 | 1,056 |
|
Audrey Leah Kelly
1691 Highway 9 |
$60.75 | 1,293 | 1,106 |
|
Thomas Robert Comerci
250 Washington St Ste A6 |
$160.75 | 1,261 | 540 |
|
Donald D Oh
1709 Hooper Ave Suite 102 |
$3.78 | 748 | 553 |
|
Arnold Williams
1691 Us Highway 9 |
$525.97 | 722 | 650 |
|
Kristen R Kluin
368 Lakehurst Rd |
$4.89 | 650 | 200 |
|
Brenda Adenike Adeogun
1691 Us Highway 9 # Cn2025 |
$324.44 | 570 | 544 |
|
Gavriel Pliver
1691 Us Highway 9 |
$374.20 | 536 | 450 |
|
Jared Gorsky
1691 Route 9 |
$1.13 | 493 | 147 |
|
Pinnacle Treatment Centers Nj-I, Llc
2001 Route 37 E |
$77.77 | 409 | 363 |
|
Ymca Of The Jersey Shore
2050 Lakewood Rd |
$94.19 | 376 | 146 |
|
Grant Marshall Myers
509 Main Street, Bldg A |
$123.86 | 318 | 284 |
|
Obinna Ezealor
1691 Us Highway 9 |
$301.93 | 200 | 196 |
|
Crossroads Of New Jersey Management, Llc
751 Route 37 W |
$20.13 | 185 | 166 |
|
Gregory Joseph Coram
40 Bey Lea Rd |
$49.62 | 179 | 155 |
|
Francine Dygulski
1198 Lakewood Rd Ste 101 |
$278.27 | 168 | 128 |
|
Omar Yosry
40 Bey Lea Rd Ste B201 |
$101.45 | 40 | 37 |
|
Integrity, Inc
310 Main St Ste 3B |
$150.14 | 39 | 39 |
|
Ymca Of The Jersey Shore
725 Vaughn Ave |
$83.74 | 30 | 13 |
|
Preferred Behavioral Health Of New Jersey, Inc.
591 Lakehurst Rd |
$83.74 | 21 | 12 |
|
Corey Joseph Wasser
1691 Route 9 |
$136.48 | 17 | 17 |
|
Judith M. Kern
20 Hospital Drive |
$23.08 | 17 | 17 |
|
Suburban Health Clinic Of Toms River
Suburban Health Clinic Of Toms River |
$180.75 | 15 | 15 |
|
Ana Tuzio
25 W Water St |
$0.00 | 15 | 14 |
|
Christianah Omotayo Adegbite
662 Commons Way |
$92.40 | 15 | 13 |
|
Latisha Lenee Marshall
448 Lakehurst Rd |
$219.61 | 13 | 13 |
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 Toms River, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Psychiatric Evaluation in Toms River, NJ is $83.39 per claim, based on 128,862 claims from 41 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 Toms River, NJ?
There are 41 Medicaid providers offering Psychiatric Evaluation related services in Toms River, NJ according to public payment data.
What is the price range for Psychiatric Evaluation in Toms River, NJ?
Medicaid reimbursement for Psychiatric Evaluation in Toms River, NJ ranges from $0.00 to $525.97 per claim, with an average of $83.39. 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
Other Procedures in Toms River, NJ
Office Visit
Avg $39.86
767,181 claims
Vaccines & Immunizations
Avg $16.36
424,620 claims
Blood Work & Lab Tests
Avg $10.60
363,597 claims
Home Health Visit
Avg $76.39
321,882 claims
Dental Cleaning & Exam
Avg $29.14
240,398 claims
Non-Emergency Medical Transportation
Avg $63.62
234,777 claims
Emergency Room Visit
Avg $231.01
206,206 claims
X-Ray
Avg $24.90
131,476 claims