Ronit Gerecht, FNP-C
Nurse Practitioner · Houston, TX 77025 · NPI 1457877755 · 1 payer file
83%of Medicare
Cigna — Texas Connect (individual & family) pays Ronit Gerecht, FNP-C $80.00 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.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston nurse practitioners, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Cigna — Texas Connect (individual & family) | $80.00 | $96.33 | 83% | above 59% of 1,164 all Houston clinicians on this plan |
| 99214Office visit, established patient, moderate complexity | Cigna — Texas Connect (individual & family) | $116.00 | $137.41 | 84% | above 61% of 1,164 all Houston clinicians on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston nurse practitioners, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Cigna — Texas Connect (individual & family) | $77.00 | $82.68 | 93% | not typically billed by nurse practitioners |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Cigna — Texas Connect (individual & family) | $127.00 | $138.62 | 92% | not typically billed by 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 Ronit Gerecht, FNP-C performs these services, and they are kept out of the benchmark above.