Tanisha Hankerson, PSY.D.
Clinical Psychologist · Houston, TX 77057 · NPI 1174072698 · 2 payer files
99%of Medicare
UnitedHealthcare — Optum Behavioral Health pays Tanisha Hankerson, PSY.D. $95.26 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.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston clinical psychologists, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | UnitedHealthcare — Optum Behavioral Health | $95.26 | $96.33 | 99% | above 92% of 718 all Houston clinicians on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $65.18median of 156 rows · $42.18–$109.93 | $96.33 | 68% | above 20% of 169 Houston clinical psychologists on this plan | |
| 99214Office visit, established patient, moderate complexity | UnitedHealthcare — Optum Behavioral Health | $134.30 | $137.41 | 98% | above 93% of 711 all Houston clinicians on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $97.33median of 174 rows · $62.15–$159.65 | $137.41 | 71% | above 31% of 170 Houston clinical psychologists on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston clinical psychologists, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | UnitedHealthcare — Optum Behavioral Health | $67.86median of 4 rows · $67.86–$73.78 | $82.68 | 82% | not typically billed by clinical psychologists |
| Aetna — Texas (office visit and psychotherapy codes only) | $68.95median of 102 rows · $49.49–$105.60 | $82.68 | 83% | not typically billed by clinical psychologists | |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | UnitedHealthcare — Optum Behavioral Health | $122.40median of 4 rows · $122.40–$122.49 | $138.62 | 88% | not typically billed by clinical psychologists |
| Aetna — Texas (office visit and psychotherapy codes only) | $122.17median of 118 rows · $83.53–$185.26 | $138.62 | 88% | not typically billed by clinical psychologists |
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 Tanisha Hankerson, PSY.D. performs these services, and they are kept out of the benchmark above.