Keyishi Peters
Counselor · Houston, TX 77090 · NPI 1164037933 · 1 payer file
84%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Keyishi Peters $80.79 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 10 contract rows for this clinician and code, from $58.59 to $95.04; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston counselors, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $80.79median of 10 rows · $58.59–$95.04 | $96.33 | 84% | above 96% of 101 Houston counselors on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $116.87median of 10 rows · $89.69–$137.50 | $137.41 | 85% | above 96% of 102 Houston counselors on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston counselors, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $76.20median of 6 rows · $67.24–$89.65 | $82.68 | 92% | not typically billed by counselors |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $126.88median of 6 rows · $112.63–$149.26 | $138.62 | 92% | not typically billed by 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 Keyishi Peters performs these services, and they are kept out of the benchmark above.