Sadia Sultana, M.D.
Anatomic Pathology & Clinical Pathology Physician · Houston, TX 77030 · NPI 1093151557 · 1 payer file
Every rate on file for Sadia Sultana, M.D. is for a code outside what anatomic pathology & clinical pathology physicians typically bill. Those rates are listed below as contracted but implausible.
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston anatomic pathology & clinical pathology physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $144.24median of 32 rows · $97.59–$258.94 | $96.33 | 150% | not typically billed by anatomic pathology & clinical pathology physicians |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $212.00median of 32 rows · $150.25–$368.12 | $137.41 | 154% | not typically billed by anatomic pathology & clinical pathology physicians |
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $138.79median of 32 rows · $105.97–$215.71 | $82.68 | 168% | not typically billed by anatomic pathology & clinical pathology physicians |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $233.45median of 32 rows · $178.57–$361.63 | $138.62 | 168% | not typically billed by anatomic pathology & clinical pathology 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 Sadia Sultana, M.D. performs these services, and they are kept out of the benchmark above.
