Lynda Agbai
Psychiatric/Mental Health Nurse Practitioner · Houston, TX 77030 · NPI 1588505382 · 2 payer files
112%of Medicare
Cigna — Texas Connect (individual & family) pays Lynda Agbai $107.97 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 | Cigna — Texas Connect (individual & family) | $107.97 | $96.33 | 112% | above 91% of 283 Houston psychiatric/mental health nurse practitioners on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $72.25median of 110 rows · $53.11–$109.93 | $96.33 | 75% | above 64% of 400 Houston psychiatric/mental health nurse practitioners on this plan | |
| 99214Office visit, established patient, moderate complexity | Cigna — Texas Connect (individual & family) | $156.34 | $137.41 | 114% | above 91% of 283 Houston psychiatric/mental health nurse practitioners on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $100.61median of 100 rows · $76.90–$159.65 | $137.41 | 73% | above 52% of 400 Houston psychiatric/mental health nurse practitioners on this plan | |
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Cigna — Texas Connect (individual & family) | $94.48 | $82.68 | 114% | above 90% of 283 Houston psychiatric/mental health nurse practitioners on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $68.95median of 72 rows · $55.28–$105.60 | $82.68 | 83% | above 52% of 391 Houston psychiatric/mental health nurse practitioners on this plan | |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Cigna — Texas Connect (individual & family) | $152.97 | $138.62 | 110% | above 89% of 283 Houston psychiatric/mental health nurse practitioners on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $122.70median of 68 rows · $92.58–$185.26 | $138.62 | 89% | above 61% of 370 Houston psychiatric/mental health nurse practitioners on this plan |