Aysha Rizwan, NP
Family Nurse Practitioner · Houston, TX 77019 · NPI 1053883298 · 1 payer file
65%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Aysha Rizwan, NP $62.36 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 160 contract rows for this clinician and code, from $39.03 to $258.94; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston family nurse practitioners, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $62.36median of 160 rows · $39.03–$258.94 | $96.33 | 65% | above 20% of 1,439 Houston family nurse practitioners on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $90.57median of 162 rows · $60.10–$368.12 | $137.41 | 66% | above 24% of 1,443 Houston family nurse practitioners on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston family nurse practitioners, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $56.55median of 48 rows · $42.39–$78.30 | $82.68 | 68% | not typically billed by family nurse practitioners |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $95.24median of 36 rows · $71.43–$136.02 | $138.62 | 69% | not typically billed by family nurse practitioners |
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 Aysha Rizwan, NP performs these services, and they are kept out of the benchmark above.