I don't know how anyone could legitimately bill 3x90833's per hour. Almost all psych patients require a 99213 for complexity (level 2s are typically for self-limiting problems and hence not psychiatric), and the suggested time for such a visit is at least 15-minutes. Yes, I know that time is not required, but if the suggested time is 15-minutes and you are on a consistent basis doing med-evals in 1-5 minutes for psychiatric problems, that stinks up to high heaven. I just don't see the reason to get greedy over it, and I don't think it's good patient care. I guess for rock solid patients who walk in and tell you everything is great, they aren't anxious, but there is this thing at work or school they aren't sure about, it could happen. But not for the majority of patients.
I personally do 40-minute med/therapy appointments and 20-minute med appointments. That gives me time with my patients and further puts me safely in the expected time frame for appointments, as most of my patients are 99214+90833 (suggested time is 25-minutes+therapy). The med appointments sometimes run over, and hence I keep most of my appointments at 40-minutes.
As an aside, Becker puts the median pay for psychiatrists at $254k and median wRVUs as 4079. When you do the math, that translates to a median of $62/wRVU.