JOY Niziolek
Psychiatric/Mental Health Nurse Practitioner · Houston, TX 77062 · NPI 1518898915 · 1 payer file
80%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays JOY Niziolek $77.10 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 $39.00 to $103.82; 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) | $77.10median of 56 rows · $39.00–$103.82 | $96.33 | 80% | above 91% 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) | $109.51median of 56 rows · $47.00–$146.90 | $137.41 | 80% | above 92% 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) | $63.25median of 12 rows · $55.81–$74.41 | $82.68 | 76% | above 8% 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) | $130.45median of 8 rows · $119.87–$141.03 | $138.62 | 94% | above 93% of 370 Houston psychiatric/mental health nurse practitioners on this plan |