Charles Cleveland, PHD PSYCHOLOGIST
Clinical Neuropsychologist · Houston, TX 77098 · NPI 1821008665 · 2 payer files
56%of Medicare
Cigna — Texas Connect (individual & family) pays Charles Cleveland, PHD PSYCHOLOGIST $53.79 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 2 contract rows for this clinician and code, from $53.79 to $53.79; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston clinical neuropsychologists, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Cigna — Texas Connect (individual & family) | $53.79median of 2 rows · $53.79–$53.79 | $96.33 | 56% | above 0% of 14 Houston clinical neuropsychologists on this plan |
| 99214Office visit, established patient, moderate complexity | Cigna — Texas Connect (individual & family) | $84.39median of 2 rows · $84.39–$84.39 | $137.41 | 61% | above 0% of 14 Houston clinical neuropsychologists on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston clinical neuropsychologists, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Cigna — Texas Connect (individual & family) | $28.00median of 2 rows · $28.00–$28.00 | $82.68 | 34% | not typically billed by clinical neuropsychologists |
| UnitedHealthcare — Optum Behavioral Health | $64.63 | $82.68 | 78% | not typically billed by clinical neuropsychologists | |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Cigna — Texas Connect (individual & family) | $75.00median of 2 rows · $75.00–$75.00 | $138.62 | 54% | not typically billed by clinical neuropsychologists |
| UnitedHealthcare — Optum Behavioral Health | $116.57 | $138.62 | 84% | not typically billed by clinical neuropsychologists |
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 Charles Cleveland, PHD PSYCHOLOGIST performs these services, and they are kept out of the benchmark above.