PayerParity

Kevin Mickle, FNP

Family Nurse Practitioner · Houston, TX 77070 · NPI 1801360318 · 1 payer file

134%of Medicare

Aetna — Texas (office visit and psychotherapy codes only) pays Kevin Mickle, FNP $129.38 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 8 contract rows for this clinician and code, from $98.01 to $160.75; the median is shown.

Negotiated rates vs Medicare

ServicePayer · planNegotiatedMedicare% of MedicareAmong Houston family nurse practitioners, same plan
99213Office visit, established patient, low complexityAetna — Texas (office visit and psychotherapy codes only)$129.38median of 8 rows · $98.01–$160.75$96.33134%

above 76% of 1,439 Houston family nurse practitioners on this plan

99214Office visit, established patient, moderate complexityAetna — Texas (office visit and psychotherapy codes only)$186.55median of 8 rows · $144.07–$229.03$137.41136%

above 74% of 1,443 Houston family nurse practitioners on this plan

Sources. Aetna — Texas (office visit and psychotherapy codes only) (August 2026 extract). Each payer’s machine-readable file, joined to the national provider registry by NPI. Rates are the negotiated professional amounts — not billed charges, and not what a member owes after cost sharing. Where a file carries several contract rows for one clinician and code, the median is shown with the range and row count beneath it.

Medicare. Non-facility allowed amount, HOUSTON, Texas, Locality 18, CY2026 non-QP conversion factor, computed from RVUs and the locality’s geographic indices — not looked up from a table.

Position. Percentile of this rate among Houston clinicians in the same specialty holding a rate for the same code on the same plan; falls back to all Houston clinicians on that plan where the specialty cohort is under ten. Payers are never pooled.

Built 2026-09-03 · PayerParity