Tiffany Lester, M.D.
Primary Care Clinic/Center · Houston, TX 77043 · NPI 1114189784 · 1 payer file
66%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Tiffany Lester, M.D. $63.90 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 $43.95 to $83.73; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston primary care clinic/centers, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $63.90median of 24 rows · $43.95–$83.73 | $96.33 | 66% | above 11% of 21,862 all Houston clinicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $94.50median of 26 rows · $67.65–$121.09 | $137.41 | 69% | above 12% of 21,418 all Houston clinicians on this plan |