Katherine Peterson, M.D.
Emergency Medicine Physician · Houston, TX 77030 · NPI 1679936728 · 1 payer file
137%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Katherine Peterson, M.D. $131.61 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 8 contract rows for this clinician and code, from $111.34 to $151.88; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston emergency medicine physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $131.61median of 8 rows · $111.34–$151.88 | $96.33 | 137% | above 91% of 402 Houston emergency medicine physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $188.71median of 8 rows · $163.30–$214.12 | $137.41 | 137% | above 70% of 415 Houston emergency medicine physicians on this plan |