Mayoor Bhatt, M.D.
Neonatal-Perinatal Medicine Physician · Houston, TX 77002 · NPI 1356679005 · 1 payer file
163%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Mayoor Bhatt, M.D. $157.12 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 16 contract rows for this clinician and code, from $122.58 to $201.46; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston neonatal-perinatal medicine physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $157.12median of 16 rows · $122.58–$201.46 | $96.33 | 163% | above 96% of 159 Houston neonatal-perinatal medicine physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $225.61median of 16 rows · $179.99–$283.47 | $137.41 | 164% | above 95% of 160 Houston neonatal-perinatal medicine physicians on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston neonatal-perinatal medicine physicians, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $121.67median of 12 rows · $114.24–$129.10 | $82.68 | 147% | not typically billed by neonatal-perinatal medicine physicians |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $202.63median of 8 rows · $190.81–$214.45 | $138.62 | 146% | not typically billed by neonatal-perinatal medicine 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 Mayoor Bhatt, M.D. performs these services, and they are kept out of the benchmark above.