Charles Dukes, MD
Psychiatry Physician · Houston, TX 77058 · NPI 1972720761 · 2 payer files
49%of Medicare
UnitedHealthcare — Optum Behavioral Health pays Charles Dukes, MD $46.75 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 $46.75 to $46.75; 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 | UnitedHealthcare — Optum Behavioral Health | $46.75median of 2 rows · $46.75–$46.75 | $96.33 | 49% | above 0% of 204 Houston psychiatry physicians on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $68.42median of 20 rows · $53.95–$80.50 | $96.33 | 71% | above 14% of 404 Houston psychiatry physicians on this plan | |
| 99214Office visit, established patient, moderate complexity | UnitedHealthcare — Optum Behavioral Health | $62.50median of 2 rows · $62.50–$62.50 | $137.41 | 45% | above 3% of 197 Houston psychiatry physicians on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $99.31median of 20 rows · $79.48–$116.83 | $137.41 | 72% | above 18% of 404 Houston psychiatry physicians on this plan | |
| 90833Psychotherapy, 30 minutes, add-on to an office visit | UnitedHealthcare — Optum Behavioral Health | $49.75median of 2 rows · $49.75–$49.75 | $82.68 | 60% | above 4% of 197 Houston psychiatry physicians on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $65.67median of 24 rows · $57.94–$77.26 | $82.68 | 79% | above 7% of 380 Houston psychiatry physicians on this plan | |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | UnitedHealthcare — Optum Behavioral Health | $99.75median of 2 rows · $99.75–$99.75 | $138.62 | 72% | above 4% of 197 Houston psychiatry physicians on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $115.61median of 18 rows · $102.01–$136.02 | $138.62 | 83% | above 16% of 213 Houston psychiatry physicians on this plan |