Heather Wark, M.D., PH.D.
Psychiatry Physician · Houston, TX 77024 · NPI 1457705279 · 2 payer files
94%of Medicare
UnitedHealthcare — Optum Behavioral Health pays Heather Wark, M.D., PH.D. $90.82 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.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston psychiatry physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | UnitedHealthcare — Optum Behavioral Health | $90.82 | $96.33 | 94% | above 15% of 204 Houston psychiatry physicians on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $68.68median of 68 rows · $50.93–$91.58 | $96.33 | 71% | above 18% of 404 Houston psychiatry physicians on this plan | |
| 99214Office visit, established patient, moderate complexity | UnitedHealthcare — Optum Behavioral Health | $128.43 | $137.41 | 93% | above 15% of 197 Houston psychiatry physicians on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $100.26median of 68 rows · $75.19–$129.75 | $137.41 | 73% | above 24% of 404 Houston psychiatry physicians on this plan | |
| 90833Psychotherapy, 30 minutes, add-on to an office visit | UnitedHealthcare — Optum Behavioral Health | $76.03 | $82.68 | 92% | above 12% of 197 Houston psychiatry physicians on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $66.56median of 36 rows · $53.84–$79.73 | $82.68 | 81% | above 17% of 380 Houston psychiatry physicians on this plan | |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | UnitedHealthcare — Optum Behavioral Health | $116.57 | $138.62 | 84% | above 14% of 197 Houston psychiatry physicians on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $113.72median of 36 rows · $90.59–$136.02 | $138.62 | 82% | above 10% of 213 Houston psychiatry physicians on this plan |