Oscar Lora, PA-C
Physician Assistant · Houston, TX 77089 · NPI 1720756596 · 1 payer file
70%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Oscar Lora, PA-C $67.42 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 $54.98 to $90.93; 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) | $67.42median of 24 rows · $54.98–$90.93 | $96.33 | 70% | above 21% of 1,220 Houston physician assistants on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $100.95median of 24 rows · $75.76–$131.77 | $137.41 | 73% | above 53% of 1,217 Houston physician assistants on this plan |