Tara Ness
Student in an Organized Health Care Education/Training Program · Houston, TX 77030 · NPI 1285165035 · 1 payer file
139%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Tara Ness $133.59 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 12 contract rows for this clinician and code, from $101.19 to $176.35; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston student in an organized health care education/training programs, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $133.59median of 12 rows · $101.19–$176.35 | $96.33 | 139% | above 80% of 97 Houston student in an organized health care education/training programs on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $193.91median of 12 rows · $149.61–$251.12 | $137.41 | 141% | above 84% of 94 Houston student in an organized health care education/training programs on this plan |