Maliha Nusrat, M.B., B.S.
Internal Medicine Physician · Houston, TX 77030 · NPI 1013263482 · 1 payer file
248%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Maliha Nusrat, M.B., B.S. $238.53 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 40 contract rows for this clinician and code, from $161.36 to $402.53; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston internal medicine physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $238.53median of 40 rows · $161.36–$402.53 | $96.33 | 248% | above 100% of 898 Houston internal medicine physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $351.14median of 40 rows · $254.51–$573.22 | $137.41 | 256% | above 100% of 899 Houston internal medicine physicians on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston internal medicine physicians, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $287.67median of 32 rows · $268.71–$336.93 | $82.68 | 348% | not typically billed by internal medicine 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 Maliha Nusrat, M.B., B.S. performs these services, and they are kept out of the benchmark above.