Emma Chapman, LCSW
Clinical Social Worker · Houston, TX 77069 · NPI 1720879604 · 2 payer files
0%of Medicare
Blue Cross Blue Shield of Texas — Blue Essentials pays Emma Chapman, LCSW $0.00 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.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston clinical social workers, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Blue Cross Blue Shield of Texas — Blue Essentials | $0.00 | $96.33 | 0% | above 0% of 775 Houston clinical social workers on this plan |
| 99214Office visit, established patient, moderate complexity | Blue Cross Blue Shield of Texas — Blue Essentials | $0.00 | $137.41 | 0% | above 0% of 775 Houston clinical social workers on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $109.66median of 24 rows · $80.68–$148.97 | $137.41 | 80% | above 93% of 783 Houston clinical social workers on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston clinical social workers, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Blue Cross Blue Shield of Texas — Blue Essentials | $0.00 | $82.68 | 0% | not typically billed by clinical social workers |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Blue Cross Blue Shield of Texas — Blue Essentials | $0.00 | $138.62 | 0% | not typically billed by clinical social workers |
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 Emma Chapman, LCSW performs these services, and they are kept out of the benchmark above.