ROSS GOURVITZ, PH.D.

Clinical Neuropsychologist · BEDFORD, NH

Individual Active Opted out of Medicare NPI 1033247226

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	40	580	$112,364	$38,456	$29,674
2023	74	1,124	$188,599	$72,366	$56,884
2022	42	527	$98,266	$39,111	$31,089

HCPCS	Description	Services	Avg allowed	Avg paid
96137	Administration of psychological or neuropsychological test, each additional 30 minutes	167	$38	$30
96139	Administration of psychological or neuropsychological test by technician, each additional 30 minutes	141	$36	$28
96133	Evaluation of neuropsychological test, each additional hour	135	$96	$76
96132	Evaluation of neuropsychological test, first hour	41	$127	$93
90791	Psychiatric diagnostic evaluation	40	$170	$121
96136	Administration of psychological or neuropsychological test, first 30 minutes	38	$41	$33
96138	Administration of psychological or neuropsychological test by technician, first 30 minutes	18	$34	$27

Specialty	Code	Primary	License	State
Clinical Neuropsychologist	103G00000X	✓	1298	NH
Clinical Neuropsychologist	103G00000X		68 018046	NY
Clinical Psychologist	103TC0700X		68 018046	NY
Clinical Psychologist	103TC0700X		1298	NH

Opted out of Medicare (Clinical Psychologist), effective 2026-06-17 through 2028-06-17.

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.