Jana Sadler, PSYD
Psychologist · Houston, TX 77007 · NPI 1972939700 · 1 payer file
94%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Jana Sadler, PSYD $90.38 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 $65.55 to $106.32; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston psychologists, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $90.38median of 20 rows · $65.55–$106.32 | $96.33 | 94% | above 95% of 120 Houston psychologists on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $130.75median of 30 rows · $100.33–$153.82 | $137.41 | 95% | above 95% of 120 Houston psychologists on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston psychologists, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $85.25median of 12 rows · $75.23–$100.29 | $82.68 | 103% | not typically billed by psychologists |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $141.93median of 12 rows · $125.99–$166.98 | $138.62 | 102% | not typically billed by psychologists |
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 Jana Sadler, PSYD performs these services, and they are kept out of the benchmark above.