Ashley Nelson, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Houston, TX 77025 · NPI 1245105089 · 1 payer file
101%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Ashley Nelson, PMHNP-BC $97.26 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. The file lists 4 contract rows for this clinician and code, from $97.26 to $97.26; 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 | Aetna — Texas (office visit and psychotherapy codes only) | $97.26median of 4 rows · $97.26–$97.26 | $96.33 | 101% | above 99% of 400 Houston psychiatric/mental health nurse practitioners on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $92.34median of 24 rows · $69.32–$123.01 | $137.41 | 67% | above 12% of 400 Houston psychiatric/mental health nurse practitioners on this plan |
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $64.97median of 24 rows · $53.87–$81.06 | $82.68 | 79% | above 11% of 391 Houston psychiatric/mental health nurse practitioners on this plan |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $109.90median of 24 rows · $91.38–$136.75 | $138.62 | 79% | above 11% of 370 Houston psychiatric/mental health nurse practitioners on this plan |