Claimee Torres, APRN, A-GNP-C
Gerontology Nurse Practitioner · Houston, TX 77014 · NPI 1144945874 · 1 payer file
66%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Claimee Torres, APRN, A-GNP-C $63.31 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 20 contract rows for this clinician and code, from $47.00 to $83.23; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston gerontology nurse practitioners, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $63.31median of 20 rows · $47.00–$83.23 | $96.33 | 66% | above 17% of 162 Houston gerontology nurse practitioners on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $90.56median of 20 rows · $69.02–$120.73 | $137.41 | 66% | above 17% of 162 Houston gerontology nurse practitioners on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston gerontology nurse practitioners, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $56.57median of 6 rows · $49.92–$66.55 | $82.68 | 68% | not typically billed by gerontology 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 Claimee Torres, APRN, A-GNP-C performs these services, and they are kept out of the benchmark above.