Dawn Randazzo, PA-C
Physician Assistant · Houston, TX 77081 · NPI 1447314745 · 1 payer file
60%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Dawn Randazzo, PA-C $58.15 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 36 contract rows for this clinician and code, from $45.85 to $68.42; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston physician assistants, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $58.15median of 36 rows · $45.85–$68.42 | $96.33 | 60% | above 1% of 1,220 Houston physician assistants on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $84.41median of 30 rows · $67.55–$99.30 | $137.41 | 61% | above 1% of 1,217 Houston physician assistants on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston physician assistants, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $55.81median of 24 rows · $49.24–$65.67 | $82.68 | 68% | not typically billed by physician assistants |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $98.26median of 24 rows · $86.70–$115.61 | $138.62 | 71% | not typically billed by physician assistants |
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 Dawn Randazzo, PA-C performs these services, and they are kept out of the benchmark above.