Meredith Ellis, CRNA
Certified Registered Nurse Anesthetist · Houston, TX 77042 · NPI 1285909143 · 1 payer file
76%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Meredith Ellis, CRNA $73.01 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 90 contract rows for this clinician and code, from $51.14 to $181.71; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston certified registered nurse anesthetists, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $73.01median of 90 rows · $51.14–$181.71 | $96.33 | 76% | above 23% of 816 Houston certified registered nurse anesthetists on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $105.96median of 90 rows · $78.45–$255.74 | $137.41 | 77% | above 43% of 612 Houston certified registered nurse anesthetists on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston certified registered nurse anesthetists, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $72.89median of 40 rows · $54.67–$142.90 | $82.68 | 88% | not typically billed by certified registered nurse anesthetists |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $121.09median of 46 rows · $90.81–$236.63 | $138.62 | 87% | not typically billed by certified registered nurse anesthetists |
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 Meredith Ellis, CRNA performs these services, and they are kept out of the benchmark above.