Allison Valverde
Psychiatric/Mental Health Nurse Practitioner · Houston, TX 77002 · NPI 1629719083 · 1 payer file
71%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Allison Valverde $68.71 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 24 contract rows for this clinician and code, from $51.36 to $88.63; 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) | $68.71median of 24 rows · $51.36–$88.63 | $96.33 | 71% | above 28% 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) | $97.85median of 44 rows · $75.94–$125.88 | $137.41 | 71% | above 31% 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) | $59.84median of 24 rows · $51.51–$72.12 | $82.68 | 72% | above 4% 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) | $107.53median of 36 rows · $92.39–$126.50 | $138.62 | 78% | above 7% of 370 Houston psychiatric/mental health nurse practitioners on this plan |