Area Insights
Therapy practice market data for New York 10456
ZIP 10456 in New York scores 51 out of 100 (Watchlist) for starting or growing a therapy practice. The area has 87,533 residents, 92% of them insured, and 167 registered therapists. Medicare pays $171.08 for a 60-minute therapy session here.
Opportunity score
51/100
Population
87,533
Median income
$34,954
Insured residents
92.4%
Therapists
167
Therapists per 10K
19.1
Medicare 90837
$171.08
HPSA status
Possible
The Practice Opportunity Score weighs market demand, provider supply, Medicare reimbursement, and shortage-area incentives. It assumes a Master's-level credential; adjust the credential in the interactive report.
Who insures the people in 10456?
Of 87,533 residents in 10456, 18.4% hold employer-based coverage, 47.5% are covered by Medicaid, 3.7% by Medicare, 2.7% buy marketplace plans, and 7.6% are uninsured. Payer mix decides what a practice actually collects, so credential where the coverage is.
| Employer-based | 18.4% |
| Medicaid | 47.5% |
| Medicare | 3.7% |
| Marketplace | 2.7% |
| Uninsured | 7.6% |
How many therapists already practice in 10456?
The National Plan and Provider Enumeration System (NPPES) lists 226 behavioral health providers in 10456: 167 therapists, 13 psychologists, and 46 psychiatrists. That is 19.1 therapists per 10,000 residents, which reads as saturated supply for a market this size.
What does Medicare pay for therapy in 10456?
Medicare's Physician Fee Schedule for the POUGHKPSIE/N NYC SUBURBS locality pays $171.08 for a 60-minute psychotherapy session (CPT code 90837), $116.73 for a 45-minute session (90834), and $177.71 for an initial diagnostic evaluation (90791). County-level locality data was not available for this ZIP, so these are the state default locality amounts.
| CPT code | Session type | Medicare rate |
|---|---|---|
| 90791 | Initial diagnostic evaluation | $177.71 |
| 90834 | 45-minute psychotherapy | $116.73 |
| 90837 | 60-minute psychotherapy | $171.08 |
| 90847 | Family therapy (patient present) | $111.64 |
| 90853 | Group psychotherapy | $31.19 |
Is 10456 a federal shortage area?
A Health Professional Shortage Area (HPSA) is a federal designation for areas with too few mental health providers. Practicing in one can qualify clinicians for a 10% Medicare bonus and loan repayment programs. A county-level designation exists in this county, but local provider density makes qualification at addresses in 10456 unlikely. Verify with HRSA if the incentives matter to your plan.
Nearby ZIPs that score higher
Go deeper on 10456
The interactive report adds carrier rankings, demographics, credential-adjusted rates, and a playbook for this market. And if the market looks good, Aria runs eligibility checks and billing follow-up for practices like the ones serving 10456.
Sources: U.S. Census Bureau American Community Survey (ACS) 2024 5-year estimates, the National Plan and Provider Enumeration System (NPPES) provider registry, Health Resources and Services Administration (HRSA) shortage designations, and the Centers for Medicare and Medicaid Services (CMS) Physician Fee Schedule. Last refreshed 2026-02-14T23:06:57.992Z.