Renee Rodrigues-d'souza, M.D.
Developmental - Behavioral Pediatrics Physician · Houston, TX 77054 · NPI 1467660134 · 1 payer file
93%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Renee Rodrigues-d'souza, M.D. $89.19 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 48 contract rows for this clinician and code, from $55.30 to $142.79; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston developmental - behavioral pediatrics physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $89.19median of 48 rows · $55.30–$142.79 | $96.33 | 93% | above 14% of 15 Houston developmental - behavioral pediatrics physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $130.24median of 48 rows · $81.21–$207.14 | $137.41 | 95% | above 14% of 15 Houston developmental - behavioral pediatrics physicians on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston developmental - behavioral pediatrics physicians, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $66.56median of 12 rows · $58.73–$78.30 | $82.68 | 81% | not typically billed by developmental - behavioral pediatrics physicians |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $115.61median of 12 rows · $102.01–$136.02 | $138.62 | 83% | not typically billed by developmental - behavioral pediatrics physicians |
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 Renee Rodrigues-d'souza, M.D. performs these services, and they are kept out of the benchmark above.