PayerParity

Noreen Joseph, APRN

Psychiatric/Mental Health Nurse Practitioner · Houston, TX 77010 · NPI 1003779364 · 1 payer file

64%of Medicare

Aetna — Texas (office visit and psychotherapy codes only) pays Noreen Joseph, APRN $61.40 for a 99213Office 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 124 contract rows for this clinician and code, from $53.11 to $109.93; the median is shown.

Negotiated rates vs Medicare

ServicePayer · planNegotiatedMedicare% of MedicareAmong Houston psychiatric/mental health nurse practitioners, same plan
99213Office visit, established patient, low complexityAetna — Texas (office visit and psychotherapy codes only)$61.40median of 124 rows · $53.11$109.93$96.3364%

above 6% of 400 Houston psychiatric/mental health nurse practitioners on this plan

99214Office visit, established patient, moderate complexityAetna — Texas (office visit and psychotherapy codes only)$102.53median of 74 rows · $76.90$159.65$137.4175%

above 72% of 400 Houston psychiatric/mental health nurse practitioners on this plan

90833Psychotherapy, 30 minutes, add-on to an office visitAetna — Texas (office visit and psychotherapy codes only)$81.10median of 56 rows · $55.28$105.60$82.6898%

above 97% of 391 Houston psychiatric/mental health nurse practitioners on this plan

90838Psychotherapy, 60 minutes, add-on to an office visitAetna — Texas (office visit and psychotherapy codes only)$122.70median of 56 rows · $92.58$185.26$138.6289%

above 61% of 370 Houston psychiatric/mental health nurse practitioners on this plan

Sources. Aetna — Texas (office visit and psychotherapy codes only) (August 2026 extract). Each payer’s machine-readable file, joined to the national provider registry by NPI. Rates are the negotiated professional amounts — not billed charges, and not what a member owes after cost sharing. Where a file carries several contract rows for one clinician and code, the median is shown with the range and row count beneath it.

Medicare. Non-facility allowed amount, HOUSTON, Texas, Locality 18, CY2026 non-QP conversion factor, computed from RVUs and the locality’s geographic indices — not looked up from a table.

Position. Percentile of this rate among Houston clinicians in the same specialty holding a rate for the same code on the same plan; falls back to all Houston clinicians on that plan where the specialty cohort is under ten. Payers are never pooled.

Built 2026-09-03 · PayerParity