Bhavna Lall, MD, MPH
Internal Medicine Physician · Houston, TX 77204 · NPI 1538336250 · 1 payer file
154%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Bhavna Lall, MD, MPH $148.57 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 12 contract rows for this clinician and code, from $121.69 to $175.46; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston internal medicine physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $148.57median of 12 rows · $121.69–$175.46 | $96.33 | 154% | above 86% of 898 Houston internal medicine physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $225.78median of 12 rows · $188.38–$263.18 | $137.41 | 164% | above 86% of 899 Houston internal medicine physicians on this plan |