Sarah Meade, P/MHNP
Psychiatric/Mental Health Nurse Practitioner · Houston, TX 77021 · NPI 1578504858 · 2 payer files
76%of Medicare
UnitedHealthcare — Optum Behavioral Health pays Sarah Meade, P/MHNP $73.34 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.
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 | UnitedHealthcare — Optum Behavioral Health | $73.34 | $96.33 | 76% | above 1% of 122 Houston psychiatric/mental health nurse practitioners on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $58.11median of 24 rows · $43.13–$78.30 | $96.33 | 60% | above 1% of 400 Houston psychiatric/mental health nurse practitioners on this plan | |
| 99214Office visit, established patient, moderate complexity | UnitedHealthcare — Optum Behavioral Health | $103.71 | $137.41 | 75% | above 1% of 122 Houston psychiatric/mental health nurse practitioners on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $83.80median of 48 rows · $63.51–$110.54 | $137.41 | 61% | above 1% of 400 Houston psychiatric/mental health nurse practitioners on this plan | |
| 90833Psychotherapy, 30 minutes, add-on to an office visit | UnitedHealthcare — Optum Behavioral Health | $61.40 | $82.68 | 74% | above 2% of 122 Houston psychiatric/mental health nurse practitioners on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $56.73median of 24 rows · $47.29–$70.42 | $82.68 | 69% | above 3% of 391 Houston psychiatric/mental health nurse practitioners on this plan | |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | UnitedHealthcare — Optum Behavioral Health | $94.13 | $138.62 | 68% | above 2% of 122 Houston psychiatric/mental health nurse practitioners on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $95.96median of 24 rows · $80.20–$118.85 | $138.62 | 69% | above 1% of 370 Houston psychiatric/mental health nurse practitioners on this plan |