Psychiatry
Revenue intelligence for Psychiatry practices. BHI billing, collaborative care model revenue, and E&M coding benchmarks.
$78K
Avg Missed/Year
48K
US Providers
300
Avg Patients
2.4
Avg Chronic Dx
Specialty Overview
Psychiatry practices have the most natural fit for Behavioral Health Integration billing — yet BHI adoption remains at just 15%. The collaborative care model (CoCM) codes pay significantly more than general BHI and can be billed by psychiatrists serving as consultants to primary care. This represents a major revenue stream most psychiatrists haven't tapped.
Key Insight: Psychiatrists can serve as CoCM consultants to primary care practices — reviewing cases weekly and earning $130-164/month per patient without face-to-face visits. This is the highest-leverage BHI opportunity.
E&M Coding Distribution
National benchmark for Psychiatry E&M code distribution. Compare your practice against these targets to identify coding optimization opportunities.
99213
30%
$92/visit
99214
48%
$130/visit
99215
22%
$176/visit
Revenue Gap Breakdown
BHI/CoCM (99484/99492-99494)
15% adoption is highest of any specialty but still leaves 85% of the opportunity uncaptured. CoCM codes (99492-99494) pay $130-164/month.
E&M Coding Gap
Medication management and complex psychiatric conditions support moderate-to-high MDM. Many psychiatrists undercode office visits.
CCM (99490)
6% adoption. Patients with psychiatric conditions plus a chronic medical condition qualify for CCM.
AWV (G0438/G0439)
10% AWV rate. Psychiatrists can conduct AWVs when they're the primary Medicare provider for a patient.
RPM (99453-99458)
2% adoption. Medication adherence monitoring is an emerging psychiatric RPM use case.
Care Management Adoption Rates
CCM
6%
Target: 15%
RPM
2%
Target: 10%
BHI
15%
Target: 10%
AWV
10%
Target: 70%
Common Chronic Conditions
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Psychiatry Provider? See Your Gaps
These are national averages. Scan your NPI to see how your billing compares to Psychiatry benchmarks and get a personalized revenue roadmap.
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