PayerParity

Seprina Howard

Psychiatric/Mental Health Nurse Practitioner · Houston, TX 77047 · NPI 1477104420 · 1 payer file

54%of Medicare

Cigna — Texas Connect (individual & family) pays Seprina Howard $51.76 for a 99213Office 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

ServicePayer · planNegotiatedMedicare% of MedicareAmong Houston psychiatric/mental health nurse practitioners, same plan
99213Office visit, established patient, low complexityCigna — Texas Connect (individual & family)$51.76$96.3354%

above 11% of 283 Houston psychiatric/mental health nurse practitioners on this plan

99214Office visit, established patient, moderate complexityCigna — Texas Connect (individual & family)$81.31$137.4159%

above 11% of 283 Houston psychiatric/mental health nurse practitioners on this plan

90833Psychotherapy, 30 minutes, add-on to an office visitCigna — Texas Connect (individual & family)$38.00$82.6846%

above 0% of 283 Houston psychiatric/mental health nurse practitioners on this plan

90838Psychotherapy, 60 minutes, add-on to an office visitCigna — Texas Connect (individual & family)$101.00$138.6273%

above 0% of 283 Houston psychiatric/mental health nurse practitioners on this plan

Sources. Cigna — Texas Connect (individual & family) (September 2026). Each payer’s machine-readable file, joined to the national provider registry by NPI. Rates are the negotiated professional amounts — not billed charges, and not what a member owes after cost sharing. Where a file carries several contract rows for one clinician and code, the median is shown with the range and row count beneath it.

Medicare. Non-facility allowed amount, HOUSTON, Texas, Locality 18, CY2026 non-QP conversion factor, computed from RVUs and the locality’s geographic indices — not looked up from a table.

Position. Percentile of this rate among Houston clinicians in the same specialty holding a rate for the same code on the same plan; falls back to all Houston clinicians on that plan where the specialty cohort is under ten. Payers are never pooled.

Built 2026-09-03 · PayerParity