Sophie Fletcher, MD
Urology Physician · Houston, TX 77030 · NPI 1093924714 · 1 payer file
93%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Sophie Fletcher, MD $89.39 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 20 contract rows for this clinician and code, from $62.66 to $105.17; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston urology physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $89.39median of 20 rows · $62.66–$105.17 | $96.33 | 93% | above 38% of 121 Houston urology physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $129.00median of 20 rows · $96.57–$151.77 | $137.41 | 94% | above 38% of 121 Houston urology physicians on this plan |