Mary Anderson, M.D.
Otolaryngology Physician · Houston, TX 77054 · NPI 1962460220 · 1 payer file
82%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Mary Anderson, M.D. $78.53 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 32 contract rows for this clinician and code, from $67.10 to $92.56; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston otolaryngology physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $78.53median of 32 rows · $67.10–$92.56 | $96.33 | 82% | above 25% of 127 Houston otolaryngology physicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $114.31median of 32 rows · $98.21–$137.83 | $137.41 | 83% | above 25% of 127 Houston otolaryngology physicians on this plan |