Ashley Toutounchi, M.D.
Psychiatry Physician · Houston, TX 77057 · NPI 1043572423 · 1 payer file
96%of Medicare
Cigna — Texas Connect (individual & family) pays Ashley Toutounchi, M.D. $92.00 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 psychiatry physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Cigna — Texas Connect (individual & family) | $92.00 | $96.33 | 96% | above 68% of 249 Houston psychiatry physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Cigna — Texas Connect (individual & family) | $135.00 | $137.41 | 98% | above 81% of 249 Houston psychiatry physicians on this plan |
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Cigna — Texas Connect (individual & family) | $87.00 | $82.68 | 105% | above 91% of 249 Houston psychiatry physicians on this plan |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Cigna — Texas Connect (individual & family) | $145.00 | $138.62 | 105% | above 92% of 249 Houston psychiatry physicians on this plan |