Shlermine Everidge, MD
Surgery Physician · Houston, TX 77030 · NPI 1770946436 · 1 payer file
77%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Shlermine Everidge, MD $74.03 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 92 contract rows for this clinician and code, from $50.56 to $227.81; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston surgery physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $74.03median of 92 rows · $50.56–$227.81 | $96.33 | 77% | above 13% of 230 Houston surgery physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $109.31median of 92 rows · $77.43–$345.48 | $137.41 | 80% | above 20% of 230 Houston surgery physicians on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston surgery physicians, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $71.50median of 30 rows · $56.64–$88.62 | $82.68 | 86% | not typically billed by surgery physicians |
A payer’s file carries a rate for every code in the contract’s fee class, whether or not the clinician will ever bill it. These rows are real, and they are how the fee class shows through — but they are not evidence that Shlermine Everidge, MD performs these services, and they are kept out of the benchmark above.