VI Pham, MD
Endocrinology, Diabetes & Metabolism Physician · Houston, TX 77005 · NPI 1861952905 · 1 payer file
90%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays VI Pham, MD $87.06 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 8 contract rows for this clinician and code, from $72.79 to $101.33; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston endocrinology, diabetes & metabolism physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $87.06median of 8 rows · $72.79–$101.33 | $96.33 | 90% | above 28% of 108 Houston endocrinology, diabetes & metabolism physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $131.09median of 8 rows · $111.90–$150.29 | $137.41 | 95% | above 28% of 108 Houston endocrinology, diabetes & metabolism physicians on this plan |