Chantel Perry, MSN, NP, AGNP-C
Adult Health Nurse Practitioner · Houston, TX 77096 · NPI 1275193344 · 1 payer file
108%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Chantel Perry, MSN, NP, AGNP-C $104.41 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 24 contract rows for this clinician and code, from $76.12 to $143.09; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston adult health nurse practitioners, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $104.41median of 24 rows · $76.12–$143.09 | $96.33 | 108% | above 69% of 131 Houston adult health nurse practitioners on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $156.97median of 24 rows · $117.19–$210.26 | $137.41 | 114% | above 69% of 131 Houston adult health nurse practitioners on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston adult health nurse practitioners, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $100.03median of 24 rows · $82.66–$125.03 | $82.68 | 121% | not typically billed by adult health nurse practitioners |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $168.18median of 24 rows · $139.28–$209.97 | $138.62 | 121% | not typically billed by adult health 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 Chantel Perry, MSN, NP, AGNP-C performs these services, and they are kept out of the benchmark above.