Nisha Mathew
Psychiatric/Mental Health Nurse Practitioner · Houston, TX 77021 · NPI 1922536812 · 1 payer file
51%of Medicare
Cigna — Texas Connect (individual & family) pays Nisha Mathew $49.30 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 7 contract rows for this clinician and code, from $49.30 to $130.91; the median is shown.
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 | Cigna — Texas Connect (individual & family) | $49.30median of 7 rows · $49.30–$130.91 | $96.33 | 51% | above 0% of 283 Houston psychiatric/mental health nurse practitioners on this plan |
| 99214Office visit, established patient, moderate complexity | Cigna — Texas Connect (individual & family) | $77.61median of 7 rows · $77.61–$195.11 | $137.41 | 56% | above 0% of 283 Houston psychiatric/mental health nurse practitioners on this plan |
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Cigna — Texas Connect (individual & family) | $38.00median of 7 rows · $38.00–$119.58 | $82.68 | 46% | above 0% of 283 Houston psychiatric/mental health nurse practitioners on this plan |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Cigna — Texas Connect (individual & family) | $101.00median of 7 rows · $101.00–$207.70 | $138.62 | 73% | above 0% of 283 Houston psychiatric/mental health nurse practitioners on this plan |