Benjamin Parva, MD
Emergency Medicine Physician · Houston, TX 77030 · NPI 1245793751 · 1 payer file
79%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Benjamin Parva, MD $75.83 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 76 contract rows for this clinician and code, from $52.75 to $142.16; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston emergency medicine physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $75.83median of 76 rows · $52.75–$142.16 | $96.33 | 79% | above 47% of 402 Houston emergency medicine physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $110.19median of 76 rows · $77.42–$206.08 | $137.41 | 80% | above 25% of 415 Houston emergency medicine physicians on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston emergency medicine physicians, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $99.49median of 32 rows · $57.93–$135.60 | $82.68 | 120% | not typically billed by emergency medicine physicians |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $154.24median of 24 rows · $96.42–$239.89 | $138.62 | 111% | not typically billed by emergency medicine 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 Benjamin Parva, MD performs these services, and they are kept out of the benchmark above.