Rukmini Kumar, M.D.
Pediatrics Physician · Houston, TX 77074 · NPI 1891722492 · 1 payer file
79%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Rukmini Kumar, M.D. $76.29 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 $60.82 to $89.76; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston pediatrics physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $76.29median of 20 rows · $60.82–$89.76 | $96.33 | 79% | above 28% of 715 Houston pediatrics physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $110.67median of 20 rows · $89.33–$130.20 | $137.41 | 81% | above 27% of 717 Houston pediatrics physicians on this plan |