Deborah Mckay, MD
Geriatric Medicine (Internal Medicine) Physician · Houston, TX 77075 · NPI 1477584480 · 1 payer file
71%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Deborah Mckay, MD $68.42 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 $53.95 to $80.50; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston geriatric medicine (internal medicine) physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $68.42median of 20 rows · $53.95–$80.50 | $96.33 | 71% | above 5% of 39 Houston geriatric medicine (internal medicine) physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $99.31median of 20 rows · $79.48–$116.83 | $137.41 | 72% | above 5% of 39 Houston geriatric medicine (internal medicine) physicians on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston geriatric medicine (internal medicine) physicians, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $65.67median of 24 rows · $57.94–$77.26 | $82.68 | 79% | not typically billed by geriatric medicine (internal medicine) physicians |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $115.61median of 18 rows · $102.01–$136.02 | $138.62 | 83% | not typically billed by geriatric medicine (internal medicine) 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 Deborah Mckay, MD performs these services, and they are kept out of the benchmark above.