Mackenzie Hansen, NNP
Critical Care Neonatal Nurse Practitioner · Houston, TX 77030 · NPI 1174910780 · 1 payer file
93%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Mackenzie Hansen, NNP $89.88 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 48 contract rows for this clinician and code, from $65.69 to $120.10; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston critical care neonatal nurse practitioners, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $89.88median of 48 rows · $65.69–$120.10 | $96.33 | 93% | above 48% of 24 Houston critical care neonatal nurse practitioners on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $131.00median of 64 rows · $96.83–$170.70 | $137.41 | 95% | above 52% of 24 Houston critical care neonatal nurse practitioners on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston critical care neonatal nurse practitioners, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $102.26median of 42 rows · $80.91–$122.81 | $82.68 | 124% | not typically billed by critical care neonatal nurse practitioners |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $171.31median of 28 rows · $135.61–$205.06 | $138.62 | 124% | not typically billed by critical care neonatal 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 Mackenzie Hansen, NNP performs these services, and they are kept out of the benchmark above.