Tiffany Tarrant, MD
Obstetrics & Gynecology Physician · Houston, TX 77005 · NPI 1295882173 · 1 payer file
76%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Tiffany Tarrant, MD $72.79 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 28 contract rows for this clinician and code, from $55.29 to $101.33; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston obstetrics & gynecology physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $72.79median of 28 rows · $55.29–$101.33 | $96.33 | 76% | above 23% of 445 Houston obstetrics & gynecology physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $106.56median of 28 rows · $81.20–$150.29 | $137.41 | 78% | above 25% of 445 Houston obstetrics & gynecology physicians on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston obstetrics & gynecology physicians, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $66.56median of 12 rows · $58.72–$78.29 | $82.68 | 81% | not typically billed by obstetrics & gynecology 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 Tiffany Tarrant, MD performs these services, and they are kept out of the benchmark above.