Syed Iqbal, M.D
Behavioral Neurology & Neuropsychiatry Physician · Houston, TX 77030 · NPI 1740545813 · 1 payer file
55%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Syed Iqbal, M.D $52.57 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 44 contract rows for this clinician and code, from $37.95 to $139.67; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston behavioral neurology & neuropsychiatry physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $52.57median of 44 rows · $37.95–$139.67 | $96.33 | 55% | above 1% of 21,862 all Houston clinicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $79.58median of 32 rows · $56.07–$199.24 | $137.41 | 58% | above 0% of 21,418 all Houston clinicians on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston behavioral neurology & neuropsychiatry physicians, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $108.58median of 8 rows · $97.28–$119.88 | $82.68 | 131% | not typically billed by behavioral neurology & neuropsychiatry 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 Syed Iqbal, M.D performs these services, and they are kept out of the benchmark above.