Dorcas Achieng
Psychiatric/Mental Health Nurse Practitioner · Houston, TX 77098 · NPI 1346186673 · 1 payer file
72%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Dorcas Achieng $69.06 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 80 contract rows for this clinician and code, from $53.61 to $81.60; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston psychiatric/mental health nurse practitioners, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $69.06median of 80 rows · $53.61–$81.60 | $96.33 | 72% | above 29% of 400 Houston psychiatric/mental health nurse practitioners on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $100.10median of 90 rows · $78.99–$118.37 | $137.41 | 73% | above 40% of 400 Houston psychiatric/mental health nurse practitioners on this plan |
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $65.77median of 48 rows · $57.94–$78.30 | $82.68 | 80% | above 18% of 391 Houston psychiatric/mental health nurse practitioners on this plan |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $115.61median of 36 rows · $102.01–$137.08 | $138.62 | 83% | above 17% of 370 Houston psychiatric/mental health nurse practitioners on this plan |