Lesley Carleton, NP
Critical Care Medicine (Anesthesiology) Physician · Houston, TX 77070 · NPI 1437098712 · 1 payer file
65%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Lesley Carleton, NP $62.42 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 20 contract rows for this clinician and code, from $49.76 to $73.43; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston critical care medicine (anesthesiology) physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $62.42median of 20 rows · $49.76–$73.43 | $96.33 | 65% | above 0% of 16 Houston critical care medicine (anesthesiology) physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $90.54median of 20 rows · $73.08–$106.53 | $137.41 | 66% | above 0% of 16 Houston critical care medicine (anesthesiology) physicians on this plan |