Mary Harris, MD
Pediatrics Physician · Houston, TX 77030 · NPI 1093842528 · 1 payer file
118%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Mary Harris, MD $114.03 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 8 contract rows for this clinician and code, from $93.70 to $134.37; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston pediatrics physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $114.03median of 8 rows · $93.70–$134.37 | $96.33 | 118% | above 95% of 715 Houston pediatrics physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $170.99median of 8 rows · $144.43–$197.55 | $137.41 | 124% | above 95% of 717 Houston pediatrics physicians on this plan |