Kathy Marcotte
Family Nurse Practitioner · Houston, TX 77027 · NPI 1376020719 · 1 payer file
128%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Kathy Marcotte $123.29 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 $66.23 to $208.54; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston family nurse practitioners, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $123.29median of 28 rows · $66.23–$208.54 | $96.33 | 128% | above 75% of 1,439 Houston family nurse practitioners on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $181.60median of 56 rows · $89.64–$297.04 | $137.41 | 132% | above 74% of 1,443 Houston family nurse practitioners on this plan |