PayerParity

Misty Haltom, FNP-C

Family Nurse Practitioner · Houston, TX 77090 · NPI 1508483397 · 1 payer file

90%of Medicare

Aetna — Texas (office visit and psychotherapy codes only) pays Misty Haltom, FNP-C $86.89 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. The file lists 8 contract rows for this clinician and code, from $65.91 to $107.88; the median is shown.

Negotiated rates vs Medicare

ServicePayer · planNegotiatedMedicare% of MedicareAmong Houston family nurse practitioners, same plan
99213Office visit, established patient, low complexityAetna — Texas (office visit and psychotherapy codes only)$86.89median of 8 rows · $65.91$107.88$96.3390%

above 70% of 1,439 Houston family nurse practitioners on this plan

99214Office visit, established patient, moderate complexityAetna — Texas (office visit and psychotherapy codes only)$125.48median of 8 rows · $97.07$153.89$137.4191%

above 68% of 1,443 Houston family nurse practitioners on this plan

Sources. Aetna — Texas (office visit and psychotherapy codes only) (August 2026 extract). 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