Tomas Melicher, M.D.
Psychiatry Physician · Houston, TX 77054 · NPI 1629450523 · 1 payer file
106%of Medicare
UnitedHealthcare — Optum Behavioral Health pays Tomas Melicher, M.D. $102.23 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 $102.23 to $102.23; 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 | UnitedHealthcare — Optum Behavioral Health | $102.23median of 2 rows · $102.23–$102.23 | $96.33 | 106% | above 90% of 204 Houston psychiatry physicians on this plan |
| 99214Office visit, established patient, moderate complexity | UnitedHealthcare — Optum Behavioral Health | $151.45median of 2 rows · $151.45–$151.45 | $137.41 | 110% | above 91% of 197 Houston psychiatry physicians on this plan |
| 90833Psychotherapy, 30 minutes, add-on to an office visit | UnitedHealthcare — Optum Behavioral Health | $94.67median of 2 rows · $94.67–$94.67 | $82.68 | 115% | above 94% of 197 Houston psychiatry physicians on this plan |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | UnitedHealthcare — Optum Behavioral Health | $159.03median of 2 rows · $159.03–$159.03 | $138.62 | 115% | above 98% of 197 Houston psychiatry physicians on this plan |