Courtney Wilson
MOHS-Micrographic Surgery Physician · Houston, TX 77030 · NPI 1922636265 · 1 payer file
91%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Courtney Wilson $87.24 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 64 contract rows for this clinician and code, from $61.53 to $145.55; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston mohs-micrographic surgery physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $87.24median of 64 rows · $61.53–$145.55 | $96.33 | 91% | above 46% of 14 Houston mohs-micrographic surgery physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $120.94median of 60 rows · $90.70–$207.72 | $137.41 | 88% | above 38% of 14 Houston mohs-micrographic surgery physicians on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston mohs-micrographic surgery physicians, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $98.42median of 48 rows · $75.79–$127.35 | $82.68 | 119% | not typically billed by mohs-micrographic surgery 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 Courtney Wilson performs these services, and they are kept out of the benchmark above.