Jessica Cazaubon
Primary Care Nurse Practitioner · Houston, TX 77049 · NPI 1336740588 · 1 payer file
61%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Jessica Cazaubon $58.95 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 28 contract rows for this clinician and code, from $47.00 to $69.35; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston primary care nurse practitioners, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $58.95median of 28 rows · $47.00–$69.35 | $96.33 | 61% | above 12% of 34 Houston primary care nurse practitioners on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $85.51median of 30 rows · $69.02–$100.61 | $137.41 | 62% | above 12% of 35 Houston primary care nurse practitioners on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston primary care nurse practitioners, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $56.57median of 12 rows · $49.92–$66.55 | $82.68 | 68% | not typically billed by primary care 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 Jessica Cazaubon performs these services, and they are kept out of the benchmark above.