SHU Chen Chen, MSN RN FNP-BC
Family Nurse Practitioner · Houston, TX 77096 · NPI 1689710444 · 1 payer file
63%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays SHU Chen Chen, MSN RN FNP-BC $60.36 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 76 contract rows for this clinician and code, from $47.00 to $80.50; 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) | $60.36median of 76 rows · $47.00–$80.50 | $96.33 | 63% | above 16% of 1,439 Houston family nurse practitioners on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $87.62median of 68 rows · $69.02–$116.82 | $137.41 | 64% | above 15% 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) | $65.67median of 36 rows · $49.92–$77.26 | $82.68 | 79% | not typically billed by family nurse practitioners |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $115.60median of 18 rows · $102.01–$136.02 | $138.62 | 83% | 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 SHU Chen Chen, MSN RN FNP-BC performs these services, and they are kept out of the benchmark above.