Allison Hluchan, LCSW, LCDC
Clinical Social Worker · Houston, TX 77007 · NPI 1922300367 · 2 payer files
77%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Allison Hluchan, LCSW, LCDC $74.42 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 72 contract rows for this clinician and code, from $53.61 to $118.30; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston clinical social workers, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $74.42median of 72 rows · $53.61–$118.30 | $96.33 | 77% | above 91% of 780 Houston clinical social workers on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $105.08median of 92 rows · $78.99–$158.28 | $137.41 | 76% | above 91% of 783 Houston clinical social workers on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston clinical social workers, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Cigna — Texas Connect (individual & family) | $25.00 | $82.68 | 30% | not typically billed by clinical social workers |
| Aetna — Texas (office visit and psychotherapy codes only) | $77.50median of 32 rows · $58.12–$106.28 | $82.68 | 94% | not typically billed by clinical social workers | |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Cigna — Texas Connect (individual & family) | $69.00 | $138.62 | 50% | not typically billed by clinical social workers |
| Aetna — Texas (office visit and psychotherapy codes only) | $129.03median of 44 rows · $102.81–$198.81 | $138.62 | 93% | not typically billed by clinical social workers |
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 Allison Hluchan, LCSW, LCDC performs these services, and they are kept out of the benchmark above.