Matthew Shopshire, MD
Emergency Medicine Physician · Houston, TX 77030 · NPI 1881343457 · 1 payer file
83%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Matthew Shopshire, MD $80.27 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 82 contract rows for this clinician and code, from $42.17 to $127.01; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston emergency medicine physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $80.27median of 82 rows · $42.17–$127.01 | $96.33 | 83% | above 49% of 402 Houston emergency medicine physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $118.42median of 72 rows · $62.14–$179.93 | $137.41 | 86% | above 29% of 415 Houston emergency medicine physicians on this plan |