Hamza Bhatti, DO
Plastic and Reconstructive Surgery Physician · Houston, TX 77030 · NPI 1326542192 · 1 payer file
75%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Hamza Bhatti, DO $72.32 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 $37.70 to $138.56; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston plastic and reconstructive surgery physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $72.32median of 48 rows · $37.70–$138.56 | $96.33 | 75% | above 17% of 66 Houston plastic and reconstructive surgery physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $108.90median of 48 rows · $57.97–$203.83 | $137.41 | 79% | above 20% of 66 Houston plastic and reconstructive surgery physicians on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston plastic and reconstructive surgery physicians, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $71.09median of 48 rows · $40.74–$121.62 | $82.68 | 86% | not typically billed by plastic and reconstructive surgery physicians |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $82.53median of 24 rows · $68.64–$102.66 | $138.62 | 60% | not typically billed by plastic and reconstructive surgery 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 Hamza Bhatti, DO performs these services, and they are kept out of the benchmark above.