Gary Dildy, M.D.
Maternal & Fetal Medicine Physician · Houston, TX 77030 · NPI 1083765226 · 1 payer file
111%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Gary Dildy, M.D. $107.20 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 $99.90 to $134.00; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston maternal & fetal medicine physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $107.20median of 24 rows · $99.90–$134.00 | $96.33 | 111% | above 53% of 88 Houston maternal & fetal medicine physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $154.41median of 24 rows · $142.52–$190.03 | $137.41 | 112% | above 53% of 88 Houston maternal & fetal medicine physicians on this plan |