Corina Serna, NURSE PRACTITIONER
Gerontology Nurse Practitioner · Houston, TX 77013 · NPI 1699206052 · 1 payer file
62%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Corina Serna, NURSE PRACTITIONER $59.42 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 44 contract rows for this clinician and code, from $37.67 to $81.60; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston gerontology nurse practitioners, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $59.42median of 44 rows · $37.67–$81.60 | $96.33 | 62% | above 10% of 162 Houston gerontology nurse practitioners on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $83.65median of 44 rows · $55.46–$118.37 | $137.41 | 61% | above 1% of 162 Houston gerontology nurse practitioners on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston gerontology nurse practitioners, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $57.47median of 36 rows · $43.10–$78.30 | $82.68 | 70% | not typically billed by gerontology nurse practitioners |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $97.47median of 36 rows · $73.11–$136.02 | $138.62 | 70% | not typically billed by gerontology 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 Corina Serna, NURSE PRACTITIONER performs these services, and they are kept out of the benchmark above.