KEN Young, MD
Anatomic Pathology & Clinical Pathology Physician · Houston, TX 77030 · NPI 1891756318 · 1 payer file
Every rate on file for KEN Young, MD is for a code outside what anatomic pathology & clinical pathology physicians typically bill. Those rates are listed below as contracted but implausible.
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston anatomic pathology & clinical pathology physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $50.17median of 20 rows · $34.49–$63.00 | $96.33 | 52% | not typically billed by anatomic pathology & clinical pathology physicians |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $68.08median of 32 rows · $52.17–$88.79 | $137.41 | 50% | not typically billed by anatomic pathology & clinical pathology physicians |
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $49.09median of 16 rows · $39.07–$78.75 | $82.68 | 59% | not typically billed by anatomic pathology & clinical pathology physicians |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $102.99median of 16 rows · $90.56–$132.83 | $138.62 | 74% | not typically billed by anatomic pathology & clinical pathology 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 KEN Young, MD performs these services, and they are kept out of the benchmark above.