Robert Davis, PHD ABPP
Clinical Neuropsychologist · Houston, TX 77079 · NPI 1114023421 · 2 payer files
72%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Robert Davis, PHD ABPP $69.35 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 28 contract rows for this clinician and code, from $55.29 to $81.59; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston clinical neuropsychologists, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $69.35median of 28 rows · $55.29–$81.59 | $96.33 | 72% | above 36% of 46 Houston clinical neuropsychologists on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $100.60median of 30 rows · $81.20–$118.37 | $137.41 | 73% | above 36% of 46 Houston clinical neuropsychologists on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston clinical neuropsychologists, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | UnitedHealthcare — Optum Behavioral Health | $64.63 | $82.68 | 78% | not typically billed by clinical neuropsychologists |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | UnitedHealthcare — Optum Behavioral Health | $116.57 | $138.62 | 84% | not typically billed by clinical neuropsychologists |
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 Robert Davis, PHD ABPP performs these services, and they are kept out of the benchmark above.