Edwards Mcreynolds, MD
Child & Adolescent Psychiatry Physician · Houston, TX 77006 · NPI 1962607374 · 1 payer file
82%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Edwards Mcreynolds, MD $79.41 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 28 contract rows for this clinician and code, from $61.65 to $93.42; 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 | Aetna — Texas (office visit and psychotherapy codes only) | $79.41median of 28 rows · $61.65–$93.42 | $96.33 | 82% | above 57% of 83 Houston child & adolescent psychiatry physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $115.11median of 20 rows · $90.83–$135.42 | $137.41 | 84% | above 56% of 81 Houston child & adolescent psychiatry physicians on this plan |
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $75.73median of 18 rows · $66.83–$89.11 | $82.68 | 92% | above 53% of 80 Houston child & adolescent psychiatry physicians on this plan |