Courtney Reeder, PA
Physician Assistant · Houston, TX 77030 · NPI 1891204442 · 1 payer file
59%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Courtney Reeder, PA $57.14 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 60 contract rows for this clinician and code, from $40.45 to $92.60; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston physician assistants, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $57.14median of 60 rows · $40.45–$92.60 | $96.33 | 59% | above 1% of 1,220 Houston physician assistants on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $86.27median of 48 rows · $59.55–$130.59 | $137.41 | 63% | above 6% of 1,217 Houston physician assistants on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston physician assistants, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $61.30median of 48 rows · $46.74–$81.48 | $82.68 | 74% | not typically billed by physician assistants |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $94.59median of 36 rows · $79.04–$117.19 | $138.62 | 68% | not typically billed by physician assistants |
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 Courtney Reeder, PA performs these services, and they are kept out of the benchmark above.