Richard Roberts, MD, MPH
Pediatric Endocrinology Physician · Houston, TX 77030 · NPI 1801213046 · 1 payer file
231%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Richard Roberts, MD, MPH $223.00 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 4 contract rows for this clinician and code, from $223.00 to $223.00; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston pediatric endocrinology physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $223.00median of 4 rows · $223.00–$223.00 | $96.33 | 231% | above 100% of 41 Houston pediatric endocrinology physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $253.00median of 4 rows · $253.00–$253.00 | $137.41 | 184% | above 98% of 41 Houston pediatric endocrinology physicians on this plan |