Vicki Rabin, M.D.
Specialist · Houston, TX 77030 · NPI 1316914880 · 1 payer file
87%of Medicare
Cigna — Texas Connect (individual & family) pays Vicki Rabin, M.D. $84.05 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 2 contract rows for this clinician and code, from $70.81 to $97.28; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston specialists, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Cigna — Texas Connect (individual & family) | $84.05median of 2 rows · $70.81–$97.28 | $96.33 | 87% | above 63% of 1,164 all Houston clinicians on this plan |
| 99214Office visit, established patient, moderate complexity | Cigna — Texas Connect (individual & family) | $120.91median of 2 rows · $104.32–$137.50 | $137.41 | 88% | above 63% of 1,164 all Houston clinicians on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston specialists, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Cigna — Texas Connect (individual & family) | $71.31median of 2 rows · $67.21–$75.41 | $82.68 | 86% | not typically billed by specialists |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Cigna — Texas Connect (individual & family) | $118.97median of 2 rows · $112.44–$125.49 | $138.62 | 86% | not typically billed by specialists |
| 70553MRI brain, with and without contrast | Cigna — Texas Connect (individual & family) | $246.88 | $317.92 | 78% | not typically billed by specialists |
| 72148MRI lumbar spine, without contrast | Cigna — Texas Connect (individual & family) | $147.85 | $192.38 | 77% | not typically billed by specialists |
| 74177CT abdomen and pelvis, with contrast | Cigna — Texas Connect (individual & family) | $237.93 | $300.72 | 79% | not typically billed by specialists |
| 77067Screening mammography, bilateral | Cigna — Texas Connect (individual & family) | $94.55 | $126.38 | 75% | not typically billed by specialists |
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 Vicki Rabin, M.D. performs these services, and they are kept out of the benchmark above.