Heather Anderson, OD
Optometrist · Houston, TX 77204 · NPI 1326225541 · 1 payer file
59%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Heather Anderson, OD $57.24 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 $41.92 to $78.12; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston optometrists, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $57.24median of 48 rows · $41.92–$78.12 | $96.33 | 59% | above 1% of 575 Houston optometrists on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $82.33median of 24 rows · $61.68–$109.87 | $137.41 | 60% | above 1% of 575 Houston optometrists on this plan |