Leigh Mcglinn, PHD. APRN. NNP-BC
Critical Care Neonatal Nurse Practitioner · Houston, TX 77030 · NPI 1558679233 · 1 payer file
61%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Leigh Mcglinn, PHD. APRN. NNP-BC $58.41 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 16 contract rows for this clinician and code, from $47.59 to $69.23; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston critical care neonatal nurse practitioners, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $58.41median of 16 rows · $47.59–$69.23 | $96.33 | 61% | above 0% of 24 Houston critical care neonatal nurse practitioners on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $93.21median of 16 rows · $77.92–$108.50 | $137.41 | 68% | above 0% of 24 Houston critical care neonatal nurse practitioners on this plan |