Alicia Mccain, FNP
Family Nurse Practitioner · Houston, TX 77065 · NPI 1447659479 · 1 payer file
60%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Alicia Mccain, FNP $58.15 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 20 contract rows for this clinician and code, from $45.85 to $68.42; 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) | $58.15median of 20 rows · $45.85–$68.42 | $96.33 | 60% | above 2% of 1,439 Houston family nurse practitioners on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $84.41median of 20 rows · $67.55–$99.30 | $137.41 | 61% | above 3% of 1,443 Houston family nurse practitioners on this plan |