David Edelstein, MD
Adult Reconstructive Orthopaedic Surgery Physician · Houston, TX 77025 · NPI 1780763052 · 1 payer file
88%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays David Edelstein, MD $84.50 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 32 contract rows for this clinician and code, from $56.11 to $157.95; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston adult reconstructive orthopaedic surgery physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $84.50median of 32 rows · $56.11–$157.95 | $96.33 | 88% | above 55% of 12 Houston adult reconstructive orthopaedic surgery physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $118.74median of 32 rows · $82.56–$221.94 | $137.41 | 86% | above 55% of 12 Houston adult reconstructive orthopaedic surgery physicians on this plan |