Priscilla Liem
Student in an Organized Health Care Education/Training Program · Houston, TX 77030 · NPI 1457001331 · 1 payer file
208%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Priscilla Liem $200.22 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 8 contract rows for this clinician and code, from $169.11 to $231.32; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston student in an organized health care education/training programs, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $200.22median of 8 rows · $169.11–$231.32 | $96.33 | 208% | above 92% of 97 Houston student in an organized health care education/training programs on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $305.16median of 8 rows · $261.88–$348.44 | $137.41 | 222% | above 95% of 94 Houston student in an organized health care education/training programs on this plan |