John Caridi, MD
Neurological Surgery Physician · Houston, TX 77030 · NPI 1447386560 · 1 payer file
70%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays John Caridi, MD $67.79 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 $39.89 to $90.39; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston neurological surgery physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $67.79median of 20 rows · $39.89–$90.39 | $96.33 | 70% | above 4% of 124 Houston neurological surgery physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $97.84median of 20 rows · $54.00–$130.46 | $137.41 | 71% | above 3% of 124 Houston neurological surgery physicians on this plan |