Andrew KAY, M.D.
Orthopaedic Surgery Physician · Houston, TX 77030 · NPI 1194102699 · 1 payer file
75%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Andrew KAY, M.D. $72.06 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 40 contract rows for this clinician and code, from $50.96 to $93.79; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston orthopaedic surgery physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $72.06median of 40 rows · $50.96–$93.79 | $96.33 | 75% | above 24% of 116 Houston orthopaedic surgery physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $106.73median of 36 rows · $78.34–$137.24 | $137.41 | 78% | above 50% of 116 Houston orthopaedic surgery physicians on this plan |