Aamir Bhimani, MD

Adult Reconstructive Orthopaedic Surgery Physician · Houston, TX 77030 · NPI 1790281806 · 1 payer file

90%of Medicare

Aetna — Texas (office visit and psychotherapy codes only) pays Aamir Bhimani, MD $86.38 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 8 contract rows for this clinician and code, from $72.33 to $100.43; 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)	$86.38median of 8 rows · $72.33–$100.43	$96.33	90%	above 64% 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)	$130.67median of 8 rows · $111.79–$149.55	$137.41	95%	above 73% of 12 Houston adult reconstructive orthopaedic surgery physicians on this plan

Also contracted — outside this specialty’s usual billing

Service	Payer · plan	Negotiated	Medicare	% of Medicare	Among Houston adult reconstructive orthopaedic surgery physicians, same plan
90833Psychotherapy, 30 minutes, add-on to an office visit	Aetna — Texas (office visit and psychotherapy codes only)	$94.36median of 8 rows · $93.90–$94.82	$82.68	114%	not typically billed by adult reconstructive orthopaedic 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 Aamir Bhimani, MD performs these services, and they are kept out of the benchmark above.