Alison Spangler, D.O.
Cardiovascular Disease Physician · Houston, TX 77030 · NPI 1679988604 · 1 payer file
56%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Alison Spangler, D.O. $53.97 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 30 contract rows for this clinician and code, from $53.72 to $71.96; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston cardiovascular disease physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $53.97median of 30 rows · $53.72–$71.96 | $96.33 | 56% | above 0% of 233 Houston cardiovascular disease physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $89.82median of 42 rows · $79.26–$185.00 | $137.41 | 65% | above 1% of 233 Houston cardiovascular disease physicians on this plan |