Joy-anne James, N.P
Psychiatric/Mental Health Nurse Practitioner · Houston, TX 77081 · NPI 1205381498 · 2 payer files
53%of Medicare
Cigna — Texas Connect (individual & family) pays Joy-anne James, N.P $51.43 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 6 contract rows for this clinician and code, from $51.43 to $51.43; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston psychiatric/mental health nurse practitioners, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Cigna — Texas Connect (individual & family) | $51.43median of 6 rows · $51.43–$51.43 | $96.33 | 53% | above 10% of 283 Houston psychiatric/mental health nurse practitioners on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $59.42median of 44 rows · $37.67–$81.60 | $96.33 | 62% | above 4% of 400 Houston psychiatric/mental health nurse practitioners on this plan | |
| 99214Office visit, established patient, moderate complexity | Cigna — Texas Connect (individual & family) | $80.75median of 6 rows · $80.75–$80.75 | $137.41 | 59% | above 10% of 283 Houston psychiatric/mental health nurse practitioners on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $83.65median of 44 rows · $55.46–$118.37 | $137.41 | 61% | above 1% of 400 Houston psychiatric/mental health nurse practitioners on this plan | |
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Cigna — Texas Connect (individual & family) | $38.00median of 6 rows · $38.00–$38.00 | $82.68 | 46% | above 0% of 283 Houston psychiatric/mental health nurse practitioners on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $57.47median of 36 rows · $43.10–$78.30 | $82.68 | 70% | above 3% of 391 Houston psychiatric/mental health nurse practitioners on this plan | |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Cigna — Texas Connect (individual & family) | $101.00median of 6 rows · $101.00–$101.00 | $138.62 | 73% | above 0% of 283 Houston psychiatric/mental health nurse practitioners on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $97.47median of 36 rows · $73.11–$136.02 | $138.62 | 70% | above 1% of 370 Houston psychiatric/mental health nurse practitioners on this plan |