Ngan LY, RD
Obesity and Weight Management Nutrition Registered Dietitian · Houston, TX 77055 · NPI 1053914267 · 1 payer file
63%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Ngan LY, RD $60.41 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 24 contract rows for this clinician and code, from $44.01 to $82.85; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston obesity and weight management nutrition registered dietitians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $60.41median of 24 rows · $44.01–$82.85 | $96.33 | 63% | above 6% of 21,862 all Houston clinicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $86.83median of 24 rows · $64.76–$116.41 | $137.41 | 63% | above 4% of 21,418 all Houston clinicians on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston obesity and weight management nutrition registered dietitians, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $59.05median of 24 rows · $48.72–$73.81 | $82.68 | 71% | not typically billed by obesity and weight management nutrition registered dietitians |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $99.74median of 24 rows · $82.64–$124.49 | $138.62 | 72% | not typically billed by obesity and weight management nutrition registered dietitians |
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 Ngan LY, RD performs these services, and they are kept out of the benchmark above.