MY Huynh, APN
Family Nurse Practitioner · Houston, TX 77065 · NPI 1639675564 · 1 payer file
92%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays MY Huynh, APN $88.30 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 40 contract rows for this clinician and code, from $56.57 to $119.14; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston family nurse practitioners, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $88.30median of 40 rows · $56.57–$119.14 | $96.33 | 92% | above 70% of 1,439 Houston family nurse practitioners on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $127.35median of 40 rows · $87.16–$171.83 | $137.41 | 93% | above 69% of 1,443 Houston family nurse practitioners on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston family nurse practitioners, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $88.56median of 24 rows · $71.68–$110.50 | $82.68 | 107% | not typically billed by family nurse practitioners |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $143.52median of 24 rows · $115.92–$179.40 | $138.62 | 104% | not typically billed by family nurse practitioners |
A payer’s file carries a rate for every code in the contract’s fee class, whether or not the clinician will ever bill it. These rows are real, and they are how the fee class shows through — but they are not evidence that MY Huynh, APN performs these services, and they are kept out of the benchmark above.