Theresa Berniard, CRNA
Certified Registered Nurse Anesthetist · Houston, TX 77025 · NPI 1154460103 · 1 payer file
64%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Theresa Berniard, CRNA $61.42 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 $49.77 to $72.26; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston certified registered nurse anesthetists, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $61.42median of 20 rows · $49.77–$72.26 | $96.33 | 64% | above 2% of 816 Houston certified registered nurse anesthetists on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $90.89median of 20 rows · $76.40–$106.92 | $137.41 | 66% | above 4% of 612 Houston certified registered nurse anesthetists on this plan |