How much does Medicare pay for CPT 90833?

Medicare allowed an average of $64.86 per service and paid $49.42 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $141.10, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 90833?

Psychotherapy with evaluation and management visit, 30 minutes. It was billed 1,390,835 times to 382,706 Medicare beneficiaries by 8,761 providers in 2024.

Does 90833 pay differently in an office than a hospital?

Yes. The allowed amount averaged $65.88 in an office setting and $58.95 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 90833 most?

Psychiatry, with 725,443 services from 3,931 clinicians. Next are Nurse Practitioner, Physician Assistant, Certified Clinical Nurse Specialist.

CPT 90833

Psychotherapy with evaluation and management visit, 30 minutes

$64.86Medicare-allowed amount per service, averaged across 1,390,835 services

Providers submitted

$141.10

Asking price, not received

Medicare allowed

$64.86

The fee schedule figure

Medicare paid

$49.42

Balance is patient coinsurance

Providers submitted an average of $141.10 for this code and Medicare allowed $64.86 — 2.2× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $49.42 (76%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $65.88
Hospital / facility: $58.95

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 1,186,325 services were billed in an office setting and 204,510 in a facility.

Services: 1,390,835
Beneficiaries: 382,706
Providers billing it: 8,761
Total allowed: $90,209,558

What Medicare pays for CPT 90833

Across 1,390,835 services billed by 8,761 providers to 382,706 beneficiaries, Medicare allowed an average of $64.86 per service. That is 3.6 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 90833

Specialty	Services	Beneficiaries	Avg allowed	Providers
Psychiatry	725,443	188,518	$70.04	3,931
Nurse Practitioner	561,837	162,679	$58.58	4,071
Physician Assistant	53,480	15,768	$58.55	436
Certified Clinical Nurse Specialist	16,720	5,023	$59.72	141
Geriatric Psychiatry	9,857	2,658	$71.90	46
Neurology	7,401	2,670	$71.30	12
Internal Medicine	4,604	1,367	$68.59	30
Family Practice	2,697	949	$70.47	25
Neuropsychiatry	2,039	656	$67.92	14
Addiction Medicine	1,583	343	$71.01	16
General Practice	790	308	$73.39	6
Anesthesiology	788	679	$68.35	2
Interventional Pain Management	539	113	$75.15	1
Pain Management	402	84	$73.63	3
Osteopathic Manipulative Medicine	398	41	$67.63	2

90833 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	236,877	$66.47	$49.63	869
New York	150,894	$72.45	$52.07	707
Florida	131,604	$64.76	$49.87	801
Texas	86,615	$63.08	$49.35	587
New Jersey	80,011	$67.82	$50.12	360
Massachusetts	62,089	$65.48	$49.01	453
Illinois	60,681	$64.07	$48.89	371
Maryland	59,212	$63.67	$47.48	344
Georgia	48,798	$62.41	$49.16	271
Arizona	36,040	$59.64	$47.19	225
Ohio	32,247	$61.85	$49.50	285
Nevada	29,201	$59.71	$47.73	152
Virginia	28,208	$63.34	$48.87	213
North Carolina	27,880	$61.82	$49.03	265
Pennsylvania	27,491	$65.97	$51.22	218
Alabama	23,560	$60.02	$48.48	160
Colorado	19,166	$60.86	$47.38	150
South Carolina	18,436	$61.71	$48.92	142
Minnesota	18,101	$61.40	$47.31	179
Tennessee	18,077	$59.35	$48.16	166
Michigan	16,253	$65.08	$50.21	158
Washington	14,447	$61.99	$47.57	143
Connecticut	13,916	$68.12	$50.39	100
Missouri	12,973	$62.63	$49.84	97
Kentucky	12,410	$60.82	$47.86	125
Wisconsin	11,659	$62.86	$48.78	106
Arkansas	8,528	$57.22	$46.42	82
Louisiana	7,707	$58.50	$47.29	88
Idaho	7,640	$57.35	$46.59	46
Delaware	7,543	$62.15	$49.57	47
Oregon	7,086	$62.33	$48.46	70
New Mexico	6,744	$59.59	$46.31	59
Rhode Island	6,182	$66.28	$50.79	68
Utah	5,949	$61.85	$49.21	70
Oklahoma	5,771	$61.67	$49.44	56
New Hampshire	4,871	$65.51	$51.50	38
Mississippi	4,850	$59.15	$46.72	66
Nebraska	4,845	$57.82	$46.04	50
Indiana	4,515	$61.10	$49.16	58
Iowa	4,119	$60.72	$47.79	55
Montana	4,032	$62.56	$48.94	44
Hawaii	4,024	$65.15	$49.94	37
District of Columbia	3,890	$65.05	$47.18	29
Kansas	3,629	$60.46	$48.63	41
Alaska	3,169	$78.51	$48.97	21
West Virginia	2,171	$62.45	$50.50	14
Vermont	2,013	$66.47	$52.58	15
Maine	1,533	$60.05	$46.78	16
Puerto Rico	1,100	$66.68	$50.04	15
South Dakota	781	$64.09	$49.00	9
North Dakota	535	$59.80	$46.57	5
Wyoming	502	$57.71	$47.28	10
Guam	97	$65.82	$47.43	2
U.S. Virgin Islands	93	$61.73	$43.44	2
FM	70	$64.39	$49.98	1

Related codes

90837Psychotherapy$127.42
90834Psychotherapy$88.04
90832Psychotherapy$65.95
90836Psychotherapy$88.70
90868Treatment using magnetic field to stimulate nerve cells in brain, subs$183.83
90853Group psychotherapy$23.01
90870Therapy using electrical currents$103.73
90838Psychotherapy$113.05
90847Family psychotherapy$92.01
90839Psychotherapy for crisis$113.12
90846Family psychotherapy without patient$83.43
90867Treatment using magnetic field to stimulate nerve cells in brain, init$285.49

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.