Joshua Slater
Behavior Analyst · Houston, TX 77065 · NPI 1902561707 · 1 payer file
56%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Joshua Slater $53.51 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 68 contract rows for this clinician and code, from $28.37 to $80.74; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston behavior analysts, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $53.51median of 68 rows · $28.37–$80.74 | $96.33 | 56% | above 0% of 149 Houston behavior analysts on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $80.61median of 88 rows · $39.94–$116.23 | $137.41 | 59% | above 1% of 149 Houston behavior analysts on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston behavior analysts, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $58.38median of 60 rows · $43.23–$80.67 | $82.68 | 71% | not typically billed by behavior analysts |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $101.54median of 60 rows · $72.67–$135.39 | $138.62 | 73% | not typically billed by behavior analysts |
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 Joshua Slater performs these services, and they are kept out of the benchmark above.