Madison Nieberlein, PA-C
Medical Physician Assistant · Houston, TX 77055 · NPI 1811588437 · 1 payer file
72%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Madison Nieberlein, PA-C $69.35 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 24 contract rows for this clinician and code, from $55.29 to $81.59; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston medical physician assistants, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $69.35median of 24 rows · $55.29–$81.59 | $96.33 | 72% | above 42% of 129 Houston medical physician assistants on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $100.60median of 24 rows · $81.20–$118.37 | $137.41 | 73% | above 43% of 128 Houston medical physician assistants on this plan |