Martina Gallagher, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Houston, TX 77098 · NPI 1972146603 · 2 payer files
95%of Medicare
Cigna — Texas Connect (individual & family) pays Martina Gallagher, PMHNP-BC $91.33 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 2 contract rows for this clinician and code, from $51.76 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) | $91.33median of 2 rows · $51.76–$130.91 | $96.33 | 95% | above 67% of 283 Houston psychiatric/mental health nurse practitioners on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $85.17median of 20 rows · $61.77–$100.20 | $96.33 | 88% | above 95% of 400 Houston psychiatric/mental health nurse practitioners on this plan | |
| 99214Office visit, established patient, moderate complexity | Cigna — Texas Connect (individual & family) | $138.21median of 2 rows · $81.31–$195.11 | $137.41 | 101% | above 87% of 283 Houston psychiatric/mental health nurse practitioners on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $123.21median of 20 rows · $94.55–$144.96 | $137.41 | 90% | above 95% of 400 Houston psychiatric/mental health nurse practitioners on this plan | |
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Cigna — Texas Connect (individual & family) | $78.79median of 2 rows · $38.00–$119.58 | $82.68 | 95% | above 87% of 283 Houston psychiatric/mental health nurse practitioners on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $80.33median of 12 rows · $70.89–$94.51 | $82.68 | 97% | above 94% of 391 Houston psychiatric/mental health nurse practitioners on this plan | |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Cigna — Texas Connect (individual & family) | $154.35median of 2 rows · $101.00–$207.70 | $138.62 | 111% | above 92% of 283 Houston psychiatric/mental health nurse practitioners on this plan |
| Aetna — Texas (office visit and psychotherapy codes only) | $133.76median of 12 rows · $118.73–$157.36 | $138.62 | 96% | above 94% of 370 Houston psychiatric/mental health nurse practitioners on this plan |