Ronald Negrich, M.D.
Allergy & Immunology Physician · Houston, TX 77024 · NPI 1376546655 · 1 payer file
73%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Ronald Negrich, M.D. $70.36 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 90 contract rows for this clinician and code, from $40.81 to $125.44; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston allergy & immunology physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $70.36median of 90 rows · $40.81–$125.44 | $96.33 | 73% | above 18% of 29 Houston allergy & immunology physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $102.12median of 92 rows · $63.11–$176.59 | $137.41 | 74% | above 18% of 29 Houston allergy & immunology physicians on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston allergy & immunology physicians, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $72.93median of 46 rows · $59.75–$98.40 | $82.68 | 88% | not typically billed by allergy & immunology physicians |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $89.86median of 12 rows · $79.29–$105.72 | $138.62 | 65% | not typically billed by allergy & immunology 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 Ronald Negrich, M.D. performs these services, and they are kept out of the benchmark above.