Alvin DAS, M.D.
Neurocritical Care Physician · Houston, TX 77030 · NPI 1912326000 · 1 payer file
93%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Alvin DAS, M.D. $89.32 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 128 contract rows for this clinician and code, from $45.76 to $191.22; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston neurocritical care physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $89.32median of 128 rows · $45.76–$191.22 | $96.33 | 93% | above 31% of 17 Houston neurocritical care physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $135.78median of 138 rows · $67.46–$272.04 | $137.41 | 99% | above 31% of 17 Houston neurocritical care physicians on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston neurocritical care physicians, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $104.98median of 28 rows · $94.26–$126.88 | $82.68 | 127% | not typically billed by neurocritical care physicians |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $172.07median of 16 rows · $158.55–$205.35 | $138.62 | 124% | not typically billed by neurocritical care 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 Alvin DAS, M.D. performs these services, and they are kept out of the benchmark above.