Jonathan White, CRNA
Certified Registered Nurse Anesthetist · Houston, TX 77042 · NPI 1477938116 · 1 payer file
75%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Jonathan White, CRNA $72.26 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 132 contract rows for this clinician and code, from $50.28 to $181.71; 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) | $72.26median of 132 rows · $50.28–$181.71 | $96.33 | 75% | above 21% of 816 Houston certified registered nurse anesthetists on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $108.28median of 112 rows · $78.45–$255.74 | $137.41 | 79% | above 53% of 612 Houston certified registered nurse anesthetists on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston certified registered nurse anesthetists, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $72.89median of 60 rows · $54.67–$142.90 | $82.68 | 88% | not typically billed by certified registered nurse anesthetists |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $121.09median of 30 rows · $90.81–$236.63 | $138.62 | 87% | not typically billed by certified registered nurse anesthetists |
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 Jonathan White, CRNA performs these services, and they are kept out of the benchmark above.
