Mental Health Practitioner Office Revenue Benchmark

Average Mental Health Practitioner Office Revenue per Year 2022 Economic Census

The 2022 Economic Census counts every office of mental health practitioners other than physicians that has paid employees, including psychologists, therapists and counselors, and publishes their combined annual receipts. Dividing that total by the number of offices gives the average annual revenue per employer establishment shown below.

≈$558,000 /year

Average annual gross revenue per employer establishment

How this is calculated: about $23.3 billion in combined annual receipts divided by 41,781 employer establishments works out to an average annual revenue of $558,000 per employer establishment.

Scope: Offices of Mental Health Practitioners (except Physicians), NAICS 621330. The category covers offices of psychologists, clinical social workers, counselors and therapists who are not physicians. Psychiatry offices and outpatient mental health centers are counted in separate categories. Classified separately in group 6213: 621310 Offices of chiropractors; 621320 Offices of Optometrists; 621340 Offices of Physical, Occupational and Speech Therapists, and Audiologists, and 2 further codes. Nothing outside that code is counted on this page.

Source US Census Bureau, 2022 Economic Census, Summary Statistics (ECNBASIC): ESTAB, RCPTOT and PAYANN by NAICS · Vintage 2022 Economic Census · Calculation BusinessNES · Accessed September 2026

Employer Establishments at Year Five Industry group

Offices of other health practitioners, NAICS 6213, the 2018 starting count compared with the count of five-year-old establishments in 2023.

Across the 2014 to 2018 cohorts, five-year results ranged from 65.5 to 73.8 percent. This benchmark covers Offices of other health practitioners, NAICS 6213, as a whole, and this category accounts for 41,781 of the 194,668 employer establishments in it. A count by age is not a survival rate, because the figures compare two headcounts rather than follow one set of businesses.

Payroll as a Share of Revenue Official data

Payroll divided by receipts, both as published for the same year.

Payroll share of receipts, Offices of Mental Health Practitioners (except Physicians), United States, 2022 Economic Census.

Approximately 46.0 percent of every revenue dollar goes to annual payroll, a high share because a therapy practice sells clinician time and has little to buy beyond office space and software.

Payroll here excludes benefits, employer taxes and owner compensation, and in a practice owned by its lead clinician the owner's own sessions produce revenue without appearing in the payroll figure.

Business Scale and Ownership Structure Official data

How large the average establishment is, and whether the population is independent operators or multi-site companies.

Scale and ownership, Offices of Mental Health Practitioners (except Physicians), United States, 2022 Economic Census.

The average establishment employed about 6.3 people, and the industry counted 1.1 employer establishments per firm. A practice of that size is a small group of clinicians with front desk support, and the establishments per firm figure shows a trade of single-location practices, with a growing number of group practices operating more than one office.

These are arithmetic industry averages. They state the size of the average establishment and show that multi-establishment ownership exists. They do not show the distribution of business sizes and they do not measure market concentration.

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Data Source Notice

This product uses the Census Bureau Data API but is not endorsed or certified by the Census Bureau.

Figures above are from the 2022 Economic Census reference year, released by the Census Bureau in 2024 and 2025; markets have moved since.

Questions Worth Asking BusinessNES analysis

Mental Health Practitioner Office: reading a session-based practice through a revenue average.

Before you rely on this benchmark

• Insurance panels or private pay? Practices that accept insurance fill their schedules more easily but at contracted rates with billing overhead, while private-pay practices charge more per session and depend on a clientele able to pay. The average blends both models.
• How many sessions can a clinician deliver? A therapist's week has a ceiling of billable hours after notes, supervision and administration, and burnout lowers it further. Revenue per clinician is bounded in a way that most businesses are not, and the average cannot show how close a practice sits to that ceiling.
• What do no-shows and cancellations cost? Missed sessions leave unused billable capacity, and cancellation fees, rescheduling and payer rules determine how much of that revenue can be recovered. The gap between scheduled and delivered hours is one of the central operating numbers of a practice.
• Is telehealth part of the practice? Remote sessions reduce office space needs and widen the catchment area, but licensing across state lines and payer rules for telehealth vary. A practice's mix of in-person and remote care changes its cost base and its reach.
• Which licenses and specialties are present? Psychologists, clinical social workers and counselors bill at different rates and may be reimbursed differently by the same payer, and testing and assessment services carry their own economics. The clinician mix behind a revenue figure varies widely.
• How is the practice structured? Solo practices, group practices that split fees with associates and platform-based practices differ in who bears overhead and who keeps what. The structure decides the meaning of both the revenue and the payroll figures on this page.