Renuka Tolani, DO
Nephrology Physician · Houston, TX 77030 · NPI 1457972820 · 1 payer file
79%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Renuka Tolani, DO $75.76 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 $53.10 to $89.12; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston nephrology physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $75.76median of 20 rows · $53.10–$89.12 | $96.33 | 79% | above 42% of 184 Houston nephrology physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $109.32median of 20 rows · $81.84–$128.62 | $137.41 | 80% | above 43% of 184 Houston nephrology physicians on this plan |