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MD vs NP Reimbursement Psychiatrists (MD/DO): Reimbursed at 100% of physician fee schedule by Medicare and most commercial payers Example: A 99214 visit might pay $125-150 depending on location PMHNPs: Medicare reimburses NP services at 85% of physician fee schedule Some private insurers pay 85-100% depending on contract Illinois Medicaid pays NPs at 100% of physician rates (progressive policy) Practical impact: For high-volume telehealth practices, this 15% difference can add up, but NPs often have lower overhead (salary, malpractice)

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