Clara Ortiz, MD
Diagnostic Radiology Physician · Houston, TX 77030 · NPI 1811417371 · 1 payer file
Every rate on file for Clara Ortiz, MD is for a code outside what diagnostic radiology physicians typically bill. Those rates are listed below as contracted but implausible.
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston diagnostic radiology physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $80.80median of 48 rows · $59.86–$109.03 | $96.33 | 84% | not typically billed by diagnostic radiology physicians |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $116.44median of 36 rows · $88.13–$153.83 | $137.41 | 85% | not typically billed by diagnostic radiology physicians |
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $82.98median of 36 rows · $69.17–$103.03 | $82.68 | 100% | not typically billed by diagnostic radiology 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 Clara Ortiz, MD performs these services, and they are kept out of the benchmark above.
