Jean Doak, PH.D
Counseling Psychologist · Houston, TX 77030 · NPI 1427149772 · 1 payer file
54%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Jean Doak, PH.D $51.91 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 $38.46 to $70.07; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston counseling psychologists, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $51.91median of 24 rows · $38.46–$70.07 | $96.33 | 54% | above 0% of 15 Houston counseling psychologists on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $74.93median of 24 rows · $56.69–$99.02 | $137.41 | 55% | above 0% of 15 Houston counseling psychologists on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston counseling psychologists, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $56.78median of 24 rows · $47.37–$70.44 | $82.68 | 69% | not typically billed by counseling psychologists |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $95.14median of 36 rows · $79.39–$117.98 | $138.62 | 69% | not typically billed by counseling psychologists |
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 Jean Doak, PH.D performs these services, and they are kept out of the benchmark above.