Aparna Kulkarni, MD
Gastroenterology Physician · Houston, TX 77005 · NPI 1912996679 · 1 payer file
92%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Aparna Kulkarni, MD $88.38 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 36 contract rows for this clinician and code, from $41.17 to $127.37; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston gastroenterology physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $88.38median of 36 rows · $41.17–$127.37 | $96.33 | 92% | above 37% of 214 Houston gastroenterology physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $130.70median of 36 rows · $49.62–$187.34 | $137.41 | 95% | above 36% of 214 Houston gastroenterology physicians on this plan |