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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)

For best results with retatrutide, stay connected with your care team, report side effects, and stay up to date with guidance

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Hidden selection risk: Uneven access and persistence may create unexpected portfolio effects