Sharon Phillips, RDN, LD
Registered Dietitian · Houston, TX 77054 · NPI 1437505542 · 1 payer file
74%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Sharon Phillips, RDN, LD $70.92 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 100 contract rows for this clinician and code, from $44.13 to $143.09; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston registered dietitians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $70.92median of 100 rows · $44.13–$143.09 | $96.33 | 74% | above 93% of 142 Houston registered dietitians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $100.31median of 94 rows · $65.00–$210.26 | $137.41 | 73% | above 77% of 143 Houston registered dietitians on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston registered dietitians, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $100.03median of 24 rows · $82.66–$125.03 | $82.68 | 121% | not typically billed by registered dietitians |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $168.18median of 24 rows · $139.28–$209.97 | $138.62 | 121% | not typically billed by registered dietitians |
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 Sharon Phillips, RDN, LD performs these services, and they are kept out of the benchmark above.