Taylor Roenigk, PA-C
Physician Assistant · Houston, TX 77024 · NPI 1558736777 · 1 payer file
53%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Taylor Roenigk, PA-C $51.33 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 $37.67 to $69.91; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston physician assistants, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $51.33median of 24 rows · $37.67–$69.91 | $96.33 | 53% | above 0% of 1,220 Houston physician assistants on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $73.88median of 24 rows · $55.46–$98.41 | $137.41 | 54% | above 0% of 1,217 Houston physician assistants on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston physician assistants, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $51.98median of 24 rows · $43.10–$64.85 | $82.68 | 63% | not typically billed by physician assistants |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $87.92median of 24 rows · $73.11–$109.40 | $138.62 | 63% | not typically billed by physician assistants |
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 Taylor Roenigk, PA-C performs these services, and they are kept out of the benchmark above.