Melissa YU, M.D.
Neurology Physician · Houston, TX 77030 · NPI 1831196914 · 1 payer file
68%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Melissa YU, M.D. $65.18 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 118 contract rows for this clinician and code, from $39.90 to $90.39; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston neurology physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $65.18median of 118 rows · $39.90–$90.39 | $96.33 | 68% | above 7% of 189 Houston neurology physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $87.47median of 156 rows · $54.00–$130.47 | $137.41 | 64% | above 4% of 189 Houston neurology physicians on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston neurology physicians, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $79.63median of 20 rows · $64.00–$93.68 | $82.68 | 96% | not typically billed by neurology physicians |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $134.66median of 20 rows · $103.50–$158.42 | $138.62 | 97% | not typically billed by neurology 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 Melissa YU, M.D. performs these services, and they are kept out of the benchmark above.