Kathleen Archer, M.D.
Ophthalmology Physician · Houston, TX 77079 · NPI 1295720167 · 1 payer file
89%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Kathleen Archer, M.D. $85.34 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 8 contract rows for this clinician and code, from $64.73 to $105.96; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston ophthalmology physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $85.34median of 8 rows · $64.73–$105.96 | $96.33 | 89% | above 50% of 170 Houston ophthalmology physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $123.24median of 8 rows · $95.33–$151.15 | $137.41 | 90% | above 49% of 169 Houston ophthalmology physicians on this plan |