Judith Ngante, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Houston, TX 77065 · NPI 1962085944 · 2 payer files
80%of Medicare
UnitedHealthcare — Optum Behavioral Health pays Judith Ngante, PMHNP-BC $77.20 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.
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 | UnitedHealthcare — Optum Behavioral Health | $77.20 | $96.33 | 80% | above 2% of 122 Houston psychiatric/mental health nurse practitioners on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $72.25median of 162 rows · $39.00–$109.93 | $96.33 | 75% | above 64% of 400 Houston psychiatric/mental health nurse practitioners on this plan | |
| 99214Office visit, established patient, moderate complexity | UnitedHealthcare — Optum Behavioral Health | $109.17 | $137.41 | 79% | above 2% of 122 Houston psychiatric/mental health nurse practitioners on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $102.62median of 152 rows · $47.00–$159.65 | $137.41 | 75% | above 80% of 400 Houston psychiatric/mental health nurse practitioners on this plan | |
| 90833Psychotherapy, 30 minutes, add-on to an office visit | UnitedHealthcare — Optum Behavioral Health | $64.63 | $82.68 | 78% | above 2% of 122 Houston psychiatric/mental health nurse practitioners on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $68.95median of 90 rows · $55.28–$105.60 | $82.68 | 83% | above 52% of 391 Houston psychiatric/mental health nurse practitioners on this plan | |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | UnitedHealthcare — Optum Behavioral Health | $99.08 | $138.62 | 71% | above 2% of 122 Houston psychiatric/mental health nurse practitioners on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $122.70median of 64 rows · $92.58–$185.26 | $138.62 | 89% | above 61% of 370 Houston psychiatric/mental health nurse practitioners on this plan |