Russell Kridel, MD
Facial Plastic Surgery Physician · Houston, TX 77030 · NPI 1194889642 · 1 payer file
78%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Russell Kridel, MD $75.53 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 $55.29 to $127.15; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston facial plastic surgery physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $75.53median of 40 rows · $55.29–$127.15 | $96.33 | 78% | above 51% of 21,862 all Houston clinicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $106.56median of 42 rows · $81.20–$181.38 | $137.41 | 78% | above 51% of 21,418 all Houston clinicians on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston facial plastic surgery physicians, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $78.29median of 30 rows · $58.72–$109.13 | $82.68 | 95% | not typically billed by facial plastic surgery physicians |
A payer’s file carries a rate for every code in the contract’s fee class, whether or not the clinician will ever bill it. These rows are real, and they are how the fee class shows through — but they are not evidence that Russell Kridel, MD performs these services, and they are kept out of the benchmark above.