Albert HAN, M.D., PH.D.
Otolaryngology Physician · Houston, TX 77030 · NPI 1003347204 · 1 payer file
74%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Albert HAN, M.D., PH.D. $71.17 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 $43.95 to $217.75; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston otolaryngology physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $71.17median of 28 rows · $43.95–$217.75 | $96.33 | 74% | above 21% of 127 Houston otolaryngology physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $102.93median of 28 rows · $67.65–$309.09 | $137.41 | 75% | above 21% of 127 Houston otolaryngology physicians on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston otolaryngology physicians, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $85.00median of 20 rows · $64.00–$180.79 | $82.68 | 103% | not typically billed by otolaryngology physicians |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $138.00median of 20 rows · $103.50–$303.01 | $138.62 | 100% | not typically billed by otolaryngology physicians |
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 Albert HAN, M.D., PH.D. performs these services, and they are kept out of the benchmark above.