Jared Howell, CPO, LPO
Prosthetist · Houston, TX 77030 · NPI 1841756830 · 1 payer file
65%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Jared Howell, CPO, LPO $62.42 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 20 contract rows for this clinician and code, from $49.76 to $73.43; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston prosthetists, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $62.42median of 20 rows · $49.76–$73.43 | $96.33 | 65% | above 8% of 21,862 all Houston clinicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $90.54median of 20 rows · $73.08–$106.53 | $137.41 | 66% | above 8% of 21,418 all Houston clinicians on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston prosthetists, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $59.90median of 12 rows · $52.85–$70.46 | $82.68 | 72% | not typically billed by prosthetists |
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 Jared Howell, CPO, LPO performs these services, and they are kept out of the benchmark above.