Biren Patel, M.D.
Psychiatry Physician · Houston, TX 77096 · NPI 1932543311 · 1 payer file
68%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Biren Patel, M.D. $65.45 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 26 contract rows for this clinician and code, from $52.14 to $77.01; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston psychiatry physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $65.45median of 26 rows · $52.14–$77.01 | $96.33 | 68% | above 6% of 404 Houston psychiatry physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $95.14median of 28 rows · $76.78–$111.93 | $137.41 | 69% | above 8% of 404 Houston psychiatry physicians on this plan |