Stephen Denis
Psychiatric/Mental Health Nurse Practitioner · Houston, TX 77071 · NPI 1477105955 · 1 payer file
61%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Stephen Denis $59.01 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 56 contract rows for this clinician and code, from $37.67 to $109.93; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston psychiatric/mental health nurse practitioners, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $59.01median of 56 rows · $37.67–$109.93 | $96.33 | 61% | above 4% of 400 Houston psychiatric/mental health nurse practitioners on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $84.21median of 56 rows · $55.46–$159.65 | $137.41 | 61% | above 2% of 400 Houston psychiatric/mental health nurse practitioners on this plan |
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $59.14median of 48 rows · $43.10–$105.60 | $82.68 | 72% | above 4% of 391 Houston psychiatric/mental health nurse practitioners on this plan |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $102.60median of 52 rows · $73.11–$185.26 | $138.62 | 74% | above 4% of 370 Houston psychiatric/mental health nurse practitioners on this plan |