Joseph Mathews, DPT
Physical Therapist · Houston, TX 77065 · NPI 1710025242 · 1 payer file
90%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Joseph Mathews, DPT $86.89 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 $65.91 to $107.88; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston physical therapists, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $86.89median of 8 rows · $65.91–$107.88 | $96.33 | 90% | above 83% of 104 Houston physical therapists on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $125.48median of 8 rows · $97.07–$153.89 | $137.41 | 91% | above 84% of 106 Houston physical therapists on this plan |