Joshua Coleman, DO
Psychiatry Physician · Houston, TX 77030 · NPI 1821675554 · 1 payer file
117%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Joshua Coleman, DO $112.50 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 8 contract rows for this clinician and code, from $85.33 to $139.67; 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) | $112.50median of 8 rows · $85.33–$139.67 | $96.33 | 117% | above 84% of 404 Houston psychiatry physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $95.91median of 32 rows · $66.70–$199.24 | $137.41 | 70% | above 14% 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) | $65.76median of 32 rows · $50.18–$119.88 | $82.68 | 80% | above 13% 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) | $102.72median of 24 rows · $85.11–$128.22 | $138.62 | 74% | above 4% of 213 Houston psychiatry physicians on this plan |