Suzette Toombs, M.D.
Psychiatry Physician · Houston, TX 77219 · NPI 1356785497 · 1 payer file
109%of Medicare
Cigna — Texas Connect (individual & family) pays Suzette Toombs, M.D. $105.00 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. The file lists 2 contract rows for this clinician and code, from $105.00 to $105.00; the median is shown.
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) | $105.00median of 2 rows · $105.00–$105.00 | $96.33 | 109% | above 92% of 249 Houston psychiatry physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Cigna — Texas Connect (individual & family) | $148.00median of 2 rows · $148.00–$148.00 | $137.41 | 108% | above 90% of 249 Houston psychiatry physicians on this plan |
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Cigna — Texas Connect (individual & family) | $80.00median of 2 rows · $80.00–$80.00 | $82.68 | 97% | above 88% of 249 Houston psychiatry physicians on this plan |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Cigna — Texas Connect (individual & family) | $135.00median of 2 rows · $135.00–$135.00 | $138.62 | 97% | above 90% of 249 Houston psychiatry physicians on this plan |