Jaromir Kohout, MD
Surgical Critical Care Physician · Houston, TX 77042 · NPI 1245423367 · 1 payer file
77%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Jaromir Kohout, MD $74.23 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 166 contract rows for this clinician and code, from $37.82 to $206.92; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston surgical critical care physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $74.23median of 166 rows · $37.82–$206.92 | $96.33 | 77% | above 11% of 20 Houston surgical critical care physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $135.05median of 216 rows · $58.34–$225.73 | $137.41 | 98% | above 16% of 20 Houston surgical critical care physicians on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston surgical critical care physicians, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $51.30median of 24 rows · $42.39–$64.12 | $82.68 | 62% | not typically billed by surgical critical care physicians |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $86.25median of 24 rows · $71.43–$107.68 | $138.62 | 62% | not typically billed by surgical critical care 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 Jaromir Kohout, MD performs these services, and they are kept out of the benchmark above.