Shetal Amin, MD
Child & Adolescent Psychiatry Physician · Houston, TX 77027 · NPI 1548450596 · 1 payer file
72%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Shetal Amin, MD $69.35 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 40 contract rows for this clinician and code, from $55.29 to $81.60; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston child & adolescent psychiatry physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $69.35median of 40 rows · $55.29–$81.60 | $96.33 | 72% | above 10% of 83 Houston child & adolescent psychiatry physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $100.60median of 40 rows · $81.20–$118.37 | $137.41 | 73% | above 11% of 81 Houston child & adolescent psychiatry physicians on this plan |
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $66.56median of 24 rows · $58.72–$78.30 | $82.68 | 81% | above 8% of 80 Houston child & adolescent psychiatry physicians on this plan |
| 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% | above 12% of 41 Houston child & adolescent psychiatry physicians on this plan |