The Case for Delegating Test Administration

Adjust Assumptions

Evaluations per month 8

28 base20

Tech hours per evaluation 2 hrs

1hr2hr typical4hr

Staffing fee charged to psychologist $45/hr

$45 base$52 breakeven

Value of reclaimed time $140/hr

$84 (96130)$112 Medicaid$175 Premera

Interpretation time (96130) 0.5 hrs

31 min (condensed)1hr standard2hr complex

⚠ Auth assumed required for every evaluation episode. No lifetime free units assumed. 90791 intake ($122) included in all episode billing.

Cumulative Episode Value · 36-Month Projection

Net to Olin after all Eagleview fees — same total hours, optimized vs. unoptimized

DIY

With Tech

The 90889 Opportunity

What does 1 freed hour earn when redirected to report preparation vs. DIY test administration?

Reports completed per hour: 2

2 = ~30 min/report | 3 = ~20 min/report

1 hr DIY test admin
96136 + 96137

$59

2 × 30-min units billed

1 hr freed → 90889
report preparation

$105

$52.29 × 2 reports

Net gain per redirected hour

When 1 hr of DIY admin becomes 2 report prep sessions

+$46

ⓘ 90889 covers report preparation for courts, agencies, disability filings, IEPs, and insurance carriers — separately from the evaluation itself. Each distinct request = 1 billable unit at $52.29 (WA Apple Health FFS). Max 2 units per day per MUE. Not payable by Medicare; confirmed payable under WA Medicaid.

90889 Revenue Pipeline — Native Project

Reports generated per evaluation episode, projected over time. These revenues are additional to the main model above.

Avg reports per evaluation (mature): 2

Model ramps: Q1 = 50% · Months 4–12 = 80% · Months 13–36 = 100% of slider value

Report types for this population:
Tribal employment program summaries · Disability benefit applications (SSI/SSDI) · Tribal court eval summaries (ICWA) · State court orders · IEP/special education reports · Tribal health authority requests · VR referral documentation · Insurance carrier requests

Bottom Line