PayerParity

Gibson Anugwom, MD

Psychiatry Physician · Houston, TX 77098 · NPI 1962144337 · 1 payer file

78%of Medicare

Aetna — Texas (office visit and psychotherapy codes only) pays Gibson Anugwom, MD $75.53 for a 99213Office 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 28 contract rows for this clinician and code, from $55.30 to $139.67; the median is shown.

Negotiated rates vs Medicare

ServicePayer · planNegotiatedMedicare% of MedicareAmong Houston psychiatry physicians, same plan
99213Office visit, established patient, low complexityAetna — Texas (office visit and psychotherapy codes only)$75.53median of 28 rows · $55.30$139.67$96.3378%

above 56% of 404 Houston psychiatry physicians on this plan

99214Office visit, established patient, moderate complexityAetna — Texas (office visit and psychotherapy codes only)$106.56median of 28 rows · $81.21$199.24$137.4178%

above 55% of 404 Houston psychiatry physicians on this plan

90833Psychotherapy, 30 minutes, add-on to an office visitAetna — Texas (office visit and psychotherapy codes only)$78.30median of 20 rows · $58.73$119.88$82.6895%

above 56% of 380 Houston psychiatry physicians on this plan

90838Psychotherapy, 60 minutes, add-on to an office visitAetna — Texas (office visit and psychotherapy codes only)$115.61median of 12 rows · $102.01$136.02$138.6283%

above 16% of 213 Houston psychiatry physicians on this plan

Sources. Aetna — Texas (office visit and psychotherapy codes only) (August 2026 extract). Each payer’s machine-readable file, joined to the national provider registry by NPI. Rates are the negotiated professional amounts — not billed charges, and not what a member owes after cost sharing. Where a file carries several contract rows for one clinician and code, the median is shown with the range and row count beneath it.

Medicare. Non-facility allowed amount, HOUSTON, Texas, Locality 18, CY2026 non-QP conversion factor, computed from RVUs and the locality’s geographic indices — not looked up from a table.

Position. Percentile of this rate among Houston clinicians in the same specialty holding a rate for the same code on the same plan; falls back to all Houston clinicians on that plan where the specialty cohort is under ten. Payers are never pooled.

Built 2026-09-03 · PayerParity