Sarah Gatumu, MD
Psychiatry Physician · Houston, TX 77098 · NPI 1750489845 · 1 payer file
74%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Sarah Gatumu, MD $71.20 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 134 contract rows for this clinician and code, from $51.35 to $119.81; 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 | Aetna — Texas (office visit and psychotherapy codes only) | $71.20median of 134 rows · $51.35–$119.81 | $96.33 | 74% | above 48% of 404 Houston psychiatry physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $100.56median of 148 rows · $61.47–$174.10 | $137.41 | 73% | above 26% of 404 Houston psychiatry physicians on this plan |
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $67.62median of 48 rows · $51.50–$100.29 | $82.68 | 82% | above 35% of 380 Houston psychiatry physicians on this plan |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $125.99median of 36 rows · $96.42–$166.98 | $138.62 | 91% | above 77% of 213 Houston psychiatry physicians on this plan |