Ashley Gipson
Professional Counselor · Houston, TX 77083 · NPI 1003505835 · 1 payer file
80%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Ashley Gipson $77.07 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 60 contract rows for this clinician and code, from $39.90 to $103.10; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston professional counselors, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $77.07median of 60 rows · $39.90–$103.10 | $96.33 | 80% | above 96% of 1,205 Houston professional counselors on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $110.90median of 68 rows · $54.00–$149.15 | $137.41 | 81% | above 96% of 1,207 Houston professional counselors on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston professional counselors, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $82.66median of 30 rows · $70.26–$97.25 | $82.68 | 100% | not typically billed by professional counselors |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $137.63median of 30 rows · $118.82–$161.92 | $138.62 | 99% | not typically billed by professional counselors |
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 Ashley Gipson performs these services, and they are kept out of the benchmark above.