Henry Small, M.D.
Orthopaedic Surgery Physician · Houston, TX 77054 · NPI 1720022320 · 1 payer file
72%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Henry Small, M.D. $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 36 contract rows for this clinician and code, from $55.29 to $101.79; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston orthopaedic surgery physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $69.35median of 36 rows · $55.29–$101.79 | $96.33 | 72% | above 6% of 116 Houston orthopaedic surgery physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $100.60median of 30 rows · $81.20–$118.37 | $137.41 | 73% | above 6% of 116 Houston orthopaedic surgery physicians on this plan |