Vincent Talosig, D.O
Physical Medicine & Rehabilitation Physician · Houston, TX 77090 · NPI 1073654984 · 1 payer file
67%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Vincent Talosig, D.O $64.47 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. The file lists 72 contract rows for this clinician and code, from $53.11 to $80.50; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston physical medicine & rehabilitation physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $64.47median of 72 rows · $53.11–$80.50 | $96.33 | 67% | above 3% of 74 Houston physical medicine & rehabilitation physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $87.62median of 62 rows · $76.90–$116.82 | $137.41 | 64% | above 3% of 74 Houston physical medicine & rehabilitation physicians on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston physical medicine & rehabilitation physicians, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $65.67median of 24 rows · $57.93–$77.26 | $82.68 | 79% | not typically billed by physical medicine & rehabilitation physicians |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $115.60median of 18 rows · $102.01–$136.02 | $138.62 | 83% | not typically billed by physical medicine & rehabilitation physicians |
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 Vincent Talosig, D.O performs these services, and they are kept out of the benchmark above.