Kendrick Clack, FNP-C
Family Nurse Practitioner · Houston, TX 77098 · NPI 1730597659 · 1 payer file
58%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Kendrick Clack, FNP-C $55.64 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 36 contract rows for this clinician and code, from $44.32 to $65.45; 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) | $55.64median of 36 rows · $44.32–$65.45 | $96.33 | 58% | above 1% of 1,439 Houston family nurse practitioners on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $80.86median of 28 rows · $65.26–$95.14 | $137.41 | 59% | above 1% 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) | $55.55median of 12 rows · $49.01–$65.35 | $82.68 | 67% | not typically billed by family nurse practitioners |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $98.26median of 18 rows · $86.70–$115.61 | $138.62 | 71% | 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 Kendrick Clack, FNP-C performs these services, and they are kept out of the benchmark above.