Area Insights
Therapy practice market data for New York 11220
ZIP 11220 in New York scores 54 out of 100 (Watchlist) for starting or growing a therapy practice. The area has 90,652 residents, 89% of them insured, and 252 registered therapists. Medicare pays $171.08 for a 60-minute therapy session here.
Opportunity score
54/100
Population
90,652
Median income
$69,883
Insured residents
89.3%
Therapists
252
Therapists per 10K
27.8
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 11220?
Of 90,652 residents in 11220, 23.1% hold employer-based coverage, 44.8% are covered by Medicaid, 6.6% by Medicare, 4.0% buy marketplace plans, and 10.7% are uninsured. Payer mix decides what a practice actually collects, so credential where the coverage is.
| Employer-based | 23.1% |
| Medicaid | 44.8% |
| Medicare | 6.6% |
| Marketplace | 4.0% |
| Uninsured | 10.7% |
How many therapists already practice in 11220?
The National Plan and Provider Enumeration System (NPPES) lists 317 behavioral health providers in 11220: 252 therapists, 29 psychologists, and 36 psychiatrists. That is 27.8 therapists per 10,000 residents, which reads as saturated supply for a market this size.
What does Medicare pay for therapy in 11220?
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 11220 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 11220 unlikely. Verify with HRSA if the incentives matter to your plan.
Nearby ZIPs that score higher
Go deeper on 11220
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 11220.
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 2026-02-14T23:07:33.626Z.