Hannah Dineen, M.D.
Orthopaedic Surgery Physician · Houston, TX 77058 · NPI 1528403078 · 1 payer file
76%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Hannah Dineen, M.D. $73.56 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 46 contract rows for this clinician and code, from $55.29 to $120.41; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston orthopaedic surgery physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $73.56median of 46 rows · $55.29–$120.41 | $96.33 | 76% | above 25% of 116 Houston orthopaedic surgery physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $103.58median of 48 rows · $81.20–$171.76 | $137.41 | 75% | above 22% of 116 Houston orthopaedic surgery physicians on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston orthopaedic surgery physicians, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $78.29median of 26 rows · $58.72–$103.35 | $82.68 | 95% | not typically billed by orthopaedic surgery 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 Hannah Dineen, M.D. performs these services, and they are kept out of the benchmark above.