Yomna Monla, M.D.
Endocrinology, Diabetes & Metabolism Physician · Houston, TX 77030 · NPI 1376585851 · 1 payer file
78%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Yomna Monla, M.D. $75.53 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 $55.30 to $127.15; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston endocrinology, diabetes & metabolism physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $75.53median of 28 rows · $55.30–$127.15 | $96.33 | 78% | above 24% of 108 Houston endocrinology, diabetes & metabolism physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $106.56median of 28 rows · $81.21–$181.38 | $137.41 | 78% | above 23% of 108 Houston endocrinology, diabetes & metabolism physicians on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston endocrinology, diabetes & metabolism 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 · $58.73–$78.30 | $82.68 | 81% | not typically billed by endocrinology, diabetes & metabolism physicians |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $115.61median of 12 rows · $102.01–$136.02 | $138.62 | 83% | not typically billed by endocrinology, diabetes & metabolism 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 Yomna Monla, M.D. performs these services, and they are kept out of the benchmark above.