John Kelly, CRNA
Certified Registered Nurse Anesthetist · Houston, TX 77057 · NPI 1467476259 · 1 payer file
73%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays John Kelly, CRNA $70.62 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 $59.85 to $88.29; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston certified registered nurse anesthetists, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $70.62median of 24 rows · $59.85–$88.29 | $96.33 | 73% | above 20% of 816 Houston certified registered nurse anesthetists on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $101.11median of 24 rows · $92.45–$125.34 | $137.41 | 74% | above 41% of 612 Houston certified registered nurse anesthetists on this plan |