ANA Arenivas, PHD
Clinical Neuropsychologist · Houston, TX 77024 · NPI 1962831800 · 2 payer files
182%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays ANA Arenivas, PHD $174.93 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 64 contract rows for this clinician and code, from $129.61 to $240.39; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston clinical neuropsychologists, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $174.93median of 64 rows · $129.61–$240.39 | $96.33 | 182% | above 100% of 46 Houston clinical neuropsychologists on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $257.51median of 64 rows · $191.04–$352.74 | $137.41 | 187% | above 100% of 46 Houston clinical neuropsychologists on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston clinical neuropsychologists, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | UnitedHealthcare — Optum Behavioral Health | $139.02 | $82.68 | 168% | not typically billed by clinical neuropsychologists |
| Aetna — Texas (office visit and psychotherapy codes only) | $207.30median of 48 rows · $159.63–$237.38 | $82.68 | 251% | not typically billed by clinical neuropsychologists | |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | UnitedHealthcare — Optum Behavioral Health | $230.78 | $138.62 | 166% | not typically billed by clinical neuropsychologists |
| Aetna — Texas (office visit and psychotherapy codes only) | $347.34median of 64 rows · $267.54–$397.59 | $138.62 | 251% | not typically billed by clinical neuropsychologists |
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 ANA Arenivas, PHD performs these services, and they are kept out of the benchmark above.