Krishna Patel, MD
Pediatrics Physician · Houston, TX 77036 · NPI 1265723308 · 1 payer file
84%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Krishna Patel, MD $80.60 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 48 contract rows for this clinician and code, from $59.76 to $122.55; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston pediatrics physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $80.60median of 48 rows · $59.76–$122.55 | $96.33 | 84% | above 48% of 715 Houston pediatrics physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $120.23median of 48 rows · $82.34–$177.61 | $137.41 | 87% | above 47% of 717 Houston pediatrics physicians on this plan |