Katie Greenwood, M.D.
Pediatric Hematology & Oncology Physician · Houston, TX 77030 · NPI 1538509005 · 1 payer file
64%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Katie Greenwood, M.D. $61.65 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 24 contract rows for this clinician and code, from $45.23 to $84.00; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston pediatric hematology & oncology physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $61.65median of 24 rows · $45.23–$84.00 | $96.33 | 64% | above 0% of 132 Houston pediatric hematology & oncology physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $89.16median of 24 rows · $66.92–$118.77 | $137.41 | 65% | above 0% of 132 Houston pediatric hematology & oncology physicians on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston pediatric hematology & oncology physicians, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $79.09median of 24 rows · $65.68–$98.52 | $82.68 | 96% | not typically billed by pediatric hematology & oncology physicians |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $132.66median of 24 rows · $110.34–$165.02 | $138.62 | 96% | not typically billed by pediatric hematology & oncology 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 Katie Greenwood, M.D. performs these services, and they are kept out of the benchmark above.