Jessica Garcia, PA-C
Physician Assistant · Houston, TX 77055 · NPI 1275310492 · 1 payer file
68%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Jessica Garcia, PA-C $65.89 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 20 contract rows for this clinician and code, from $52.53 to $77.51; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston physician assistants, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $65.89median of 20 rows · $52.53–$77.51 | $96.33 | 68% | above 21% of 1,220 Houston physician assistants on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $95.57median of 20 rows · $77.14–$112.45 | $137.41 | 70% | above 21% of 1,217 Houston physician assistants on this plan |
