Geanine Perez, PSYD
Clinical Psychologist · Houston, TX 77057 · NPI 1831858836 · 2 payer files
65%of Medicare
Cigna — Texas Connect (individual & family) pays Geanine Perez, PSYD $62.21 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.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston clinical psychologists, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Cigna — Texas Connect (individual & family) | $62.21 | $96.33 | 65% | above 99% of 73 Houston clinical psychologists on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $68.42median of 20 rows · $53.95–$80.50 | $96.33 | 71% | above 26% of 169 Houston clinical psychologists on this plan | |
| 99214Office visit, established patient, moderate complexity | Cigna — Texas Connect (individual & family) | $97.20 | $137.41 | 71% | above 99% of 73 Houston clinical psychologists on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $99.31median of 20 rows · $79.48–$116.83 | $137.41 | 72% | above 33% of 170 Houston clinical psychologists on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston clinical psychologists, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Cigna — Texas Connect (individual & family) | $30.00 | $82.68 | 36% | not typically billed by clinical psychologists |
| Aetna — Texas (office visit and psychotherapy codes only) | $65.67median of 24 rows · $57.94–$77.26 | $82.68 | 79% | not typically billed by clinical psychologists | |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Cigna — Texas Connect (individual & family) | $81.00 | $138.62 | 58% | not typically billed by clinical psychologists |
| Aetna — Texas (office visit and psychotherapy codes only) | $115.61median of 18 rows · $102.01–$136.02 | $138.62 | 83% | not typically billed by clinical psychologists |
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 Geanine Perez, PSYD performs these services, and they are kept out of the benchmark above.