Topaz Sampson, MD
Psychiatry Physician · Houston, TX 77035 · NPI 1760878441 · 1 payer file
74%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Topaz Sampson, 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 68 contract rows for this clinician and code, from $52.75 to $173.74; 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 68 rows · $52.75–$173.74 | $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 68 rows · $77.42–$245.83 | $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) | $85.31median of 24 rows · $57.93–$124.52 | $82.68 | 103% | above 64% 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) | $109.28median of 12 rows · $96.42–$128.56 | $138.62 | 79% | above 9% of 213 Houston psychiatry physicians on this plan |