Area Insights
Therapy practice market data for New York 11369
ZIP 11369 in New York scores 57 out of 100 (Moderate Opportunity) for starting or growing a therapy practice. The area has 35,133 residents, 90% of them insured, and 17 registered therapists. Medicare pays $176.93 for a 60-minute therapy session here.
Opportunity score
57/100
Population
35,133
Median income
$80,297
Insured residents
89.5%
Therapists
17
Therapists per 10K
4.8
Medicare 90837
$176.93
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 11369?
Of 35,133 residents in 11369, 37.0% hold employer-based coverage, 25.9% are covered by Medicaid, 10.0% by Medicare, 3.3% buy marketplace plans, and 10.5% are uninsured. Payer mix decides what a practice actually collects, so credential where the coverage is.
| Employer-based | 37.0% |
| Medicaid | 25.9% |
| Medicare | 10.0% |
| Marketplace | 3.3% |
| Uninsured | 10.5% |
How many therapists already practice in 11369?
The National Plan and Provider Enumeration System (NPPES) lists 18 behavioral health providers in 11369: 17 therapists, 1 psychologists, and 0 psychiatrists. That is 4.8 therapists per 10,000 residents, which reads as competitive supply for a market this size.
What does Medicare pay for therapy in 11369?
Medicare's Physician Fee Schedule for the QUEENS locality pays $176.93 for a 60-minute psychotherapy session (CPT code 90837), $120.79 for a 45-minute session (90834), and $183.96 for an initial diagnostic evaluation (90791).
| CPT code | Session type | Medicare rate |
|---|---|---|
| 90791 | Initial diagnostic evaluation | $183.96 |
| 90834 | 45-minute psychotherapy | $120.79 |
| 90837 | 60-minute psychotherapy | $176.93 |
| 90847 | Family therapy (patient present) | $114.67 |
| 90853 | Group psychotherapy | $32.32 |
Is 11369 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 11369 unlikely. Verify with HRSA if the incentives matter to your plan.
Nearby ZIPs that score higher
Go deeper on 11369
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 11369.
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 2026-02-14T23:07:44.923Z.