Janet LEE, LMFT
Marriage & Family Therapist · Houston, TX 77014 · NPI 1952703563 · 1 payer file
85%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Janet LEE, LMFT $82.16 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 20 contract rows for this clinician and code, from $59.59 to $96.65; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston marriage & family therapists, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $82.16median of 20 rows · $59.59–$96.65 | $96.33 | 85% | above 97% of 144 Houston marriage & family therapists on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $118.86median of 40 rows · $91.21–$139.84 | $137.41 | 87% | above 97% of 144 Houston marriage & family therapists on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston marriage & family therapists, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $77.50median of 12 rows · $68.39–$91.18 | $82.68 | 94% | not typically billed by marriage & family therapists |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $129.03median of 24 rows · $114.54–$151.79 | $138.62 | 93% | not typically billed by marriage & family therapists |
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 Janet LEE, LMFT performs these services, and they are kept out of the benchmark above.