Edward POA, M.D.
Psychiatry Physician · Houston, TX 77059 · NPI 1528182847 · 1 payer file
106%of Medicare
Cigna — Texas Connect (individual & family) pays Edward POA, M.D. $102.00 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.
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) | $102.00 | $96.33 | 106% | above 88% of 249 Houston psychiatry physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Cigna — Texas Connect (individual & family) | $144.00 | $137.41 | 105% | above 88% of 249 Houston psychiatry physicians on this plan |
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Cigna — Texas Connect (individual & family) | $78.00 | $82.68 | 94% | above 80% of 249 Houston psychiatry physicians on this plan |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Cigna — Texas Connect (individual & family) | $126.00 | $138.62 | 91% | above 83% of 249 Houston psychiatry physicians on this plan |