Dana BUI, PSY.D.
Psychologist · Houston, TX 77058 · NPI 1033287784 · 1 payer file
51%of Medicare
Cigna — Texas Connect (individual & family) pays Dana BUI, PSY.D. $49.30 for a 99213 — Office visit, established patient, low complexity. Medicare pays $96.33 for the same service in this locality. Commercial insurance is widely assumed to pay above Medicare.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston psychologists, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Cigna — Texas Connect (individual & family) | $49.30 | $96.33 | 51% | above 0% of 54 Houston psychologists on this plan |
| 99214Office visit, established patient, moderate complexity | Cigna — Texas Connect (individual & family) | $77.61 | $137.41 | 56% | above 0% of 54 Houston psychologists on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston psychologists, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Cigna — Texas Connect (individual & family) | $28.00 | $82.68 | 34% | not typically billed by psychologists |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Cigna — Texas Connect (individual & family) | $75.00 | $138.62 | 54% | not typically billed by psychologists |
A payer’s file carries a rate for every code in the contract’s fee class, whether or not the clinician will ever bill it. These rows are real, and they are how the fee class shows through — but they are not evidence that Dana BUI, PSY.D. performs these services, and they are kept out of the benchmark above.