Danielle Busby, PH.D.
Clinical Psychologist · Houston, TX 77030 · NPI 1245881960 · 1 payer file
72%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Danielle Busby, PH.D. $68.88 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 64 contract rows for this clinician and code, from $51.15 to $92.74; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston clinical psychologists, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $68.88median of 64 rows · $51.15–$92.74 | $96.33 | 72% | above 29% of 169 Houston clinical psychologists on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $100.41median of 64 rows · $75.41–$131.14 | $137.41 | 73% | above 41% 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 | Aetna — Texas (office visit and psychotherapy codes only) | $64.35median of 24 rows · $53.65–$79.89 | $82.68 | 78% | not typically billed by clinical psychologists |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $108.34median of 24 rows · $90.46–$134.29 | $138.62 | 78% | 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 Danielle Busby, PH.D. performs these services, and they are kept out of the benchmark above.