Jane Hitch, M.S.N., C.N.M.
Advanced Practice Midwife · Houston, TX 77057 · NPI 1326225988 · 1 payer file
63%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Jane Hitch, M.S.N., C.N.M. $60.77 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 $45.18 to $81.74; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston advanced practice midwifes, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $60.77median of 24 rows · $45.18–$81.74 | $96.33 | 63% | above 8% of 41 Houston advanced practice midwifes on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $87.64median of 24 rows · $66.53–$115.44 | $137.41 | 64% | above 5% of 40 Houston advanced practice midwifes on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston advanced practice midwifes, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $56.20median of 24 rows · $46.90–$69.70 | $82.68 | 68% | not typically billed by advanced practice midwifes |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $94.95median of 36 rows · $79.44–$117.49 | $138.62 | 68% | not typically billed by advanced practice midwifes |
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 Jane Hitch, M.S.N., C.N.M. performs these services, and they are kept out of the benchmark above.