Sara Iqbal, M.D.
Internal Medicine Physician · Houston, TX 77030 · NPI 1609282342 · 1 payer file
60%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Sara Iqbal, M.D. $57.79 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 48 contract rows for this clinician and code, from $53.11 to $72.25; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston internal medicine physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $57.79median of 48 rows · $53.11–$72.25 | $96.33 | 60% | above 1% of 898 Houston internal medicine physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $87.15median of 44 rows · $76.90–$102.53 | $137.41 | 63% | above 2% of 899 Houston internal medicine physicians on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston internal medicine physicians, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $68.95median of 32 rows · $60.82–$81.10 | $82.68 | 83% | not typically billed by internal medicine physicians |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $116.29median of 12 rows · $102.60–$136.81 | $138.62 | 84% | not typically billed by internal medicine physicians |
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 Sara Iqbal, M.D. performs these services, and they are kept out of the benchmark above.