Emmanuel Nwabude
Psychiatric/Mental Health Nurse Practitioner · Houston, TX 77014 · NPI 1861944993 · 2 payer files
82%of Medicare
UnitedHealthcare — Optum Behavioral Health pays Emmanuel Nwabude $79.34 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 psychiatric/mental health nurse practitioners, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | UnitedHealthcare — Optum Behavioral Health | $79.34 | $96.33 | 82% | above 82% of 122 Houston psychiatric/mental health nurse practitioners on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $74.07median of 66 rows · $39.00–$103.82 | $96.33 | 77% | above 82% of 400 Houston psychiatric/mental health nurse practitioners on this plan | |
| 99214Office visit, established patient, moderate complexity | UnitedHealthcare — Optum Behavioral Health | $111.90 | $137.41 | 81% | above 81% of 122 Houston psychiatric/mental health nurse practitioners on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $109.23median of 66 rows · $47.00–$146.90 | $137.41 | 79% | above 91% of 400 Houston psychiatric/mental health nurse practitioners on this plan | |
| 90833Psychotherapy, 30 minutes, add-on to an office visit | UnitedHealthcare — Optum Behavioral Health | $60.83 | $82.68 | 74% | above 1% of 122 Houston psychiatric/mental health nurse practitioners on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $62.74median of 36 rows · $48.72–$74.41 | $82.68 | 76% | above 8% of 391 Houston psychiatric/mental health nurse practitioners on this plan | |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | UnitedHealthcare — Optum Behavioral Health | $101.12 | $138.62 | 73% | above 83% of 122 Houston psychiatric/mental health nurse practitioners on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $108.00median of 32 rows · $82.64–$141.03 | $138.62 | 78% | above 9% of 370 Houston psychiatric/mental health nurse practitioners on this plan |