Kisha Williams, PHARM D
Pharmacist · Houston, TX 77079 · NPI 1689903585 · 1 payer file
72%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Kisha Williams, PHARM D $69.12 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 70 contract rows for this clinician and code, from $40.87 to $102.00; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston pharmacists, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $69.12median of 70 rows · $40.87–$102.00 | $96.33 | 72% | above 20% of 21,862 all Houston clinicians on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $97.69median of 80 rows · $62.51–$147.96 | $137.41 | 71% | above 17% of 21,418 all Houston clinicians on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston pharmacists, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $63.67median of 24 rows · $56.65–$78.30 | $82.68 | 77% | not typically billed by pharmacists |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $108.81median of 24 rows · $89.30–$136.02 | $138.62 | 78% | not typically billed by pharmacists |
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 Kisha Williams, PHARM D performs these services, and they are kept out of the benchmark above.