Brandi Starks, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Houston, TX 77006 · NPI 1639923501 · 2 payer files
56%of Medicare
Cigna — Texas Connect (individual & family) pays Brandi Starks, PMHNP $53.79 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 3 contract rows for this clinician and code, from $53.79 to $101.00; 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 | Cigna — Texas Connect (individual & family) | $53.79median of 3 rows · $53.79–$101.00 | $96.33 | 56% | above 17% of 283 Houston psychiatric/mental health nurse practitioners on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $72.25median of 272 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) | $84.39median of 3 rows · $84.39–$142.00 | $137.41 | 61% | above 17% of 283 Houston psychiatric/mental health nurse practitioners on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $102.53median of 172 rows · $76.90–$159.65 | $137.41 | 75% | above 72% 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) | $38.00median of 3 rows · $38.00–$75.00 | $82.68 | 46% | above 0% of 283 Houston psychiatric/mental health nurse practitioners on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $74.09median of 108 rows · $55.28–$105.60 | $82.68 | 90% | above 82% 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) | $101.00median of 3 rows · $101.00–$126.00 | $138.62 | 73% | above 0% of 283 Houston psychiatric/mental health nurse practitioners on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $124.08median of 92 rows · $92.58–$185.26 | $138.62 | 90% | above 85% of 370 Houston psychiatric/mental health nurse practitioners on this plan |