Sarah Kamal
Ophthalmology Physician · Houston, TX 77030 · NPI 1194344911 · 1 payer file
94%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Sarah Kamal $90.10 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 32 contract rows for this clinician and code, from $59.92 to $162.38; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston ophthalmology physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $90.10median of 32 rows · $59.92–$162.38 | $96.33 | 94% | above 53% of 170 Houston ophthalmology physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $132.41median of 32 rows · $92.25–$228.02 | $137.41 | 96% | above 50% of 169 Houston ophthalmology physicians on this plan |