Sypara Dhuka
Family Medicine Physician · Houston, TX 77024 · NPI 1760063671 · 1 payer file
110%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Sypara Dhuka $106.39 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 12 contract rows for this clinician and code, from $89.33 to $123.46; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston family medicine physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $106.39median of 12 rows · $89.33–$123.46 | $96.33 | 110% | above 65% of 623 Houston family medicine physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $152.86median of 8 rows · $131.57–$174.15 | $137.41 | 111% | above 64% of 632 Houston family medicine physicians on this plan |