Oscar Bukstein, M.D.
Child & Adolescent Psychiatry Physician · Houston, TX 77054 · NPI 1831161876 · 1 payer file
237%of Medicare
UnitedHealthcare — Optum Behavioral Health pays Oscar Bukstein, M.D. $228.53 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 $228.53 to $228.53; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston child & adolescent psychiatry physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | UnitedHealthcare — Optum Behavioral Health | $228.53median of 2 rows · $228.53–$228.53 | $96.33 | 237% | above 100% of 43 Houston child & adolescent psychiatry physicians on this plan |
| 99214Office visit, established patient, moderate complexity | UnitedHealthcare — Optum Behavioral Health | $308.25median of 2 rows · $308.25–$308.25 | $137.41 | 224% | above 100% of 43 Houston child & adolescent psychiatry physicians on this plan |
| 90833Psychotherapy, 30 minutes, add-on to an office visit | UnitedHealthcare — Optum Behavioral Health | $300.74median of 2 rows · $300.74–$300.74 | $82.68 | 364% | above 100% of 43 Houston child & adolescent psychiatry physicians on this plan |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | UnitedHealthcare — Optum Behavioral Health | $596.97median of 2 rows · $596.97–$596.97 | $138.62 | 431% | above 100% of 43 Houston child & adolescent psychiatry physicians on this plan |